- Molina Healthcare (Miami, FL)
- …comprehensive clinical and financial analysis of claims data, medical documentation , and itemized bills. + Leads efforts to improve claim payment accuracy, ... scope of a Payment Integrity Clinician. This includes assessing medical documentation , itemized bills, and claims data to ensure appropriate payment levels,… more
- Elevance Health (Tampa, FL)
- …Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of 5 years of ... Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (Tampa, FL)
- …or data requires an in-depth evaluation of variable factors. The Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality ... community and help us put health first** The Stars Improvement , Clinical Professional (RN) is responsible for...and incentive programs + Data sharing and connectivity + Documentation and coding + Additional areas related to provider… more
- AdventHealth (Orlando, FL)
- … Documentation Integrity and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, ... nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and...tools, videos and provided Webinars. + Recognizes opportunities for documentation improvement using strong critical-thinking skills. Uses… more
- CenterWell (Orlando, FL)
- …or data requires an in-depth evaluation of variable factors. The Stars Improvement Clinical Professional (RN): + Collaborates with market leadership, and ... community and help us put health first** The Stars Improvement , Clinical Professional (RN) is responsible for...and incentive programs + Data sharing and connectivity + Documentation and coding + Additional areas related to provider… more
- Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
- …program. Understands the laboratory's contingency plan and the need to inform the manager or designee of any issues. Submit work orders as needed. Evaluates and ... analyze root cause defects, and will help develop targeted process improvement opportunities. Supervisors will coach, mentor, and train employees concerning… more
- HCA Healthcare (Ocala, FL)
- …patient care. Advanced Clinical Pharmacist will assist the Director of Pharmacy and Clinical Manager in the development of Pharmacy clinical services and ... in the ICU and/or Trauma areas. + Assist the Clinical Pharmacy Manager in developing the ...and/or computer drug entries. Participate in the continuous quality improvement of pharmacy operations (operational/ clinical ). + Provide… more
- AdventHealth (Orlando, FL)
- …Licensed + CCDS - Certified Cardiac Device Specialist in lieu of BSN + CDIP - Clinical Documentation Improvement Professional in lieu of BSN This facility is ... Integrity and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing… more
- AdventHealth (Orlando, FL)
- …and coaches individuals to support regulatory and content compliance with clinical documentation . + Regularly participates in marketing to physicians/physician ... Clinical experts & a team dedicated to quality improvement and evidence-based practice + Broad clinical ...clinical expertise to the community as approved by manager or director. **The expertise and experiences you'll need… more
- ChenMed (Tamarac, FL)
- …Huddle (SH) and Transforming Care Meeting (TCM) weekly, as well as supports Center Manager /Center General Manager center clinical leader and/or market ... great people to join our team. The Associate Center Clinical Director will directly supervise and train primary care... leader) + Partnering with Center Operations Director/Market General Manager to drive continued improvement of center… more