- Molina Healthcare (St. Petersburg, FL)
- …monitors Health Plan Scorable Action Items (SAIs) to ensure performance and quality levels exist in PI Business products and processes. Establishes procedures and ... payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
- HCA Healthcare (Fort Pierce, FL)
- …We invite you to work in a fast-paced environment while enjoying a vibrant, laid-back quality of life. HCA Healthcare has been recognized as one of the World's ... **Description** **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in...He/she is responsible for providing the physician with reliable data and results at the completion of the procedure.… more
- ABBTECH Professional Resources, Inc. (Tallahassee, FL)
- …and leveraging Tableau capabilities for our specific dataset and use cases, assess data sources to optimize quality and accuracy of reporting output.** ... or in submission notes. and/or** Possess Valid Active Tableau Data Analyst/ Specialist Desktop Certification - Please include...data files using Excel to load with Apex Data Loader.** Healthcare Service Industry and/or Center… more
- Centene Corporation (Spring Hill, FL)
- …and Management (HCQM), Certified Healthcare Professional (CHP), Certified Professional in Healthcare Quality (CPHQ). Pay Range: $26.50 - $47.59 per hour ... and information regarding quality of care issues. + Communicates with external data sources as needed to gather data necessary to measure identified… more
- Banner Health (FL)
- …different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of acute care ... background to a team that values growth and development! This is a Quality position, not a day-to-day coding production role but does require coding proficiency… more
- GE Vernova (Melbourne, FL)
- …Description Summary Who are you? You are a passionate and technical client-obsessed Quality Assurance Lead / Specialist who understands emerging energy industry ... Strategies. **Job Description** **What will you as our new Quality Assurance Lead work on?** + Engage with our...effectiveness of the team + Experience developing application and data customer-focused solutions based upon market and customer needs… more
- Evolent (Tallahassee, FL)
- …quality improvement initiatives + Lead API design and development for seamless healthcare data exchange between provider organizations and health plans + ... architectural guidance to development teams on FHIR implementation best practices and healthcare data standards + Establish coding standards and integration… more
- AdventHealth (Orlando, FL)
- … Specialist experienceEDUCATION AND EXPERIENCE PREFERREDMasters degree in a healthcare related field2 years of Clinical Documentation Specialist ... Second Level Reviewer I strategically facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures to support… more
- ChenMed (North Lauderdale, FL)
- …a dynamic and professional environment to provide the highest level of quality healthcare to all patients. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides ... Checklist. + Communicates alternative/approvals to Referral Coordinator. + Follows up with MMD/ Specialist /MND if no response after 24hours. + Calls and follows up… more
- AdventHealth (Altamonte Springs, FL)
- …Documentation Integrity experience **Preferred Qualifications:** . Master's degree in a healthcare related field . CCS (Certified Coding Specialist ) This ... Second Level Reviewer I strategically facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures to support… more