- AdventHealth (Tampa, FL)
- …and collaboration with the healthcare team. This includes quarterly and annual compliance updates from Medicare . Qualifications **The expertise and experiences ... and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing and HIM coders, the Clinical… more
- AdventHealth (Altamonte Springs, FL)
- …and collaboration with the healthcare team. This includes quarterly and annual compliance updates from Medicare . . Effectively and appropriately communicates ... and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing and HIM coders, the Clinical… more
- CHS (Clearwater, FL)
- …claims and customer service calls to ensure validity, accuracy, and compliance with appropriate policies, procedures, and regulations + **Health, Dental, Vision, ... customer service calls within the MPS call center. + Ensures compliance with appropriate company policies, procedures, guidelines, and reporting requirements;… more
- Highmark Health (Tallahassee, FL)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare… more
- AdventHealth (Davenport, FL)
- …including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social ... of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager 's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team… more
- AdventHealth (Tampa, FL)
- …including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social ... of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager 's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team… more
- Humana (Miramar, FL)
- …for individual patient orders. + Coordinates all supplies recall activities and assures compliance with FDA and company policies for same if applicable. + Maintains ... purchase orders if required. + Maintains inventory as required by the manager and company inventory control. + Performs equipment maintenance and record keeping… more
- ChenMed (Tampa, FL)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... work closely with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management… more
- Molina Healthcare (St. Petersburg, FL)
- …that involve clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal caseload as determined ... staff workload for adherence to the Policies, Procedures, Guidelines, Medicare Model of Care, and deadlines. Assures oversight and...with staff and identify opportunities for improved quality and compliance . + Acts as liaison to both internal and… more
- AdventHealth (Minneola, FL)
- …including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social ... of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager 's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team… more