- Molina Healthcare (FL)
- …Enters denials and requests for appeal into information system and prepares documentation for further review. + Research issues utilizing systems and other available ... of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes,...and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists… more
- Molina Healthcare (Tampa, FL)
- …inquiries; prepares written analyses of advocacy issues; and assists with documentation preparation for appeals, fair hearings or other formal/informal dispute ... Program for Managed Care including working with the State External Advocate, Enrollment Specialist and Ombudsmen on issues of access to medical care, quality of… more
- Molina Healthcare (FL)
- …etc.).; and mailing label extract generation. + Develops and maintains documentation and guidelines for all assigned areas of responsibility. **JOB QUALIFICATIONS** ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- NCH (Naples, FL)
- …Certified Documentation Integrity Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) Certification required. * Advanced clinical ... to learn more. JOB SUMMARY The Quality Improvement Clinical Documentation Integrity Specialist (QI-CDIS) responsibilities include comprehensive secondary… more
- ChenMed (Deerfield Beach, FL)
- …and we need great people to join our team. The Care Promoter, Specialist is an unlicensed medical professional who has received specialized training to perform ... routine administrative and clinical tasks to support the Specialist PCP and provide a great patient experience. In...practices OSHA safety standards; performs accurate, legal, and ethical documentation at all times. + In partnership with care… more
- AdventHealth (Wesley Chapel, FL)
- …accounting procedures to ensure collection and reconciliation of all records.Ensures documentation created by healthcare practitioners on paper is scanned, ... other diseases. **The role you'll contribute:** The Document Imaging Chart Recovery Specialist , under the leadership of the Document Imaging Manager or Supervisor,… more
- MyFlorida (Orlando, FL)
- HEALTH SUPPORT SPECIALIST - 64062463 Date: Aug 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 858639 Agency: Department of Health Working Title: HEALTH SUPPORT SPECIALIST - 64062463 Pay Plan: Career Service Position Number: 64062463 Salary:… more
- MyFlorida (Tallahassee, FL)
- REGULATORY SPECIALIST II - 64082255 Date: Aug 27, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 859789 Agency: Department of Health Working Title: REGULATORY SPECIALIST II - 64082255 Pay Plan: Career Service Position Number: 64082255 Salary:… more
- Community Health Systems (Naples, FL)
- …payer requirements. + Proficiency in electronic medical records (EMR) systems and healthcare documentation practices. + Strong organizational and time management ... **Job Summary** The Care Management Specialist provides administrative and operational support to the Care Management team, assisting with care coordination,… more
- AdventHealth (Sebring, FL)
- …Nature and hiking trails **The role you'll contribute:** The Quality Coding and Documentation Integrity Specialist will focus their work on primary care ... as primary care practices, to perform retrospective reviews of ambulatory clinical documentation to capture the true complexity of the patient. This will include… more