• Second Level Reviewer II

    AdventHealth (Orlando, FL)
    …for:** AdventHealth Orlando + Located on a lush tropical campus, our flagship hospital , 1,368-bed AdventHealth Orlando + Serves as the major tertiary facility for ... and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing and HIM coders, the Second… more
    AdventHealth (08/07/25)
    - Related Jobs
  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …Utilization Management and Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases in conjunction with ... home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS Guidelines, MCG,… more
    Molina Healthcare (08/02/25)
    - Related Jobs