- Fresenius Medical Center (Homestead, FL)
- …with patients when they come into our clinic. How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping ... to be a vital part of the future of healthcare , apply today. PRINCIPAL DUTIES AND RESPONSIBILITIES: As a...patient condition directly to supervisor. * Enters all treatment data into the designated clinical application in an accurate… more
- AdventHealth (Maitland, FL)
- …claims volumes, quality and efficiency reports, participation gap analysis, accounts receivable data , etc.) to preserve the integrity of those contracts. Shows full ... new product lines, benefit design, etc.) to appropriately respond to perceived healthcare market changes. DEADLINES AND TIMELINESS (10%) + Manages tasks to… more
- Matrix Providers (Jacksonville, FL)
- LPN/LVN - Pain Management Location: Jacksonville, FL, United States Healthcare Provider Type : Ancillary Services (MQS) START YOUR APPLICATION ... Education in Nursing (ACEN). + Certifications: Basic Life Support (BLS) for Healthcare Providers, American Heart Association, or American Red Cross Healthcare … more
- Humana (Tallahassee, FL)
- …moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director provides ... and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance… more
- Cleveland Clinic (Vero Beach, FL)
- APRN: Nationally certified licensed healthcare provider who provides primary and/or specialty nursing and/or medical care in a variety of healthcare settings. ... of acute and chronic health problems. PA: Nationally certified licensed healthcare provider who provides primary and/or specialty medical care (the practice… more
- Humana (Tallahassee, FL)
- …involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Candidate must have valid ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
- University of Miami (Miami, FL)
- …tickets, identification and implementation of application changes, retrieval of requested data , and execution of day-to-day operations. + Collaborates with trainers ... user interface optimization, clinical decision support, health maintenance, rules development, data integration and mining, and adoption of technology. + In-depth… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding ... with the professional staff for clarification of conflicting or ambiguous clinical data . Reports incorrect documentation or codes in the electronic patient health… more
- Monte Nido (Miami, FL)
- …genetics, disability, age, or veteran status. Responsibilities Include: + Perform data entry and conduct detailed reviews of credentialing files, ensuring ... adhere to NCQA standards and meet payor-specific requirements. + Verify credentialing data accuracy and validity through thorough reviews and audits. + Understand… more
- AdventHealth (Altamonte Springs, FL)
- …Condition Categories (HCC) coding to translate, input, extract and validate medical record data . **The value you'll bring to the team:** + Review and assess ... code from inpatient and outpatient medical records + Extracts data for Health Plan reports + Inputs data...you'll need to succeed:** **Minimum qualifications:** + 3 years healthcare experience + 3 years of experience in HCC… more