• Business Systems Analyst 3 - Revenue Integrity

    University of Miami (Miami, FL)
    …of Revenue Integrity Systems, the analyst collaborates with clinical departments, coding teams, IT, and compliance to monitor revenue cycle performance, resolve ... practices. Compliance & Documentation + Ensure adherence to payer guidelines, coding standards, and regulatory requirements. + Participate in internal audits and… more
    University of Miami (08/22/25)
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  • Physician Asst CT Surgery

    AdventHealth (Ocala, FL)
    …of AdventHealth with primary focus on clinical services in the inpatient and outpatient setting. Inpatient Responsibilities include: pre-operative admission, ... team:** **PRINCIPAL DUTIES AND JOB RESPONSIBILITIES** **:** Participation in daily inpatient rounding by taking patient history, conducting physical exam, reviewing… more
    AdventHealth (09/25/25)
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  • CDQI Nurse Specialist - Part Time - Remote

    Datavant (Tallahassee, FL)
    …+ Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with ... secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the...throughout a patient's stay. + Follow AHA guidelines and coding clinics for accurate coding and required… more
    Datavant (09/04/25)
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  • Medical Director - Southeast Region

    Humana (Tallahassee, FL)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (09/10/25)
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  • Referral Coordinator

    ChenMed (Plantation, FL)
    …physicians/clinicians needs or outstanding items regarding to patients. + Enters all Inpatient and Outpatient elective procedures in HITS tool. + Ensures patient's ... + Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + Detail-oriented with the ability to multi-task....+ Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + An understanding of the company's patient… more
    ChenMed (10/01/25)
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  • Care Coordinator (Referrals Coordinator)

    ChenMed (Hollywood, FL)
    …physicians/clinicians needs or outstanding items regarding to patients. + Enters all Inpatient and Outpatient elective procedures in HITS tool. + Ensures patient's ... tasks. Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of...+ Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + An understanding of the company's patient… more
    ChenMed (09/25/25)
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  • Analyst, Configuration Oversight (Claims Auditor)

    Molina Healthcare (Orlando, FL)
    …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
    Molina Healthcare (09/17/25)
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  • IRF Pai Coordinator

    AdventHealth (Winter Park, FL)
    …The IRF PAI Coordinator coordinates the data collection on the Inpatient Rehabilitation Facility Patients Assessment Instrument (IRF-PAI). In collaboration with ... **The value you'll bring to the team:** + Coordinates the inpatient rehabilitation facilitypatient assessment instrument (IRF-PAI) process according to State and… more
    AdventHealth (10/02/25)
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  • Medical Director - Claims Management

    Humana (Tallahassee, FL)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled… more
    Humana (09/17/25)
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  • PSC/LPN

    CenterWell (Madison, FL)
    …* Schedule discharge visits, OASIS Collection, recert visits, and Transfer to Inpatient Facility (TIF) OASIS collection visits. * Reschedule declined or missed ... Health experience Preferred * Prior packet review / QI experience * Coding certification **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below… more
    CenterWell (10/02/25)
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