- Elevance Health (Tampa, FL)
- … chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Molina Healthcare (Orlando, FL)
- …appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/ medical reviews of ... of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional… more
- Actalent (Sunrise, FL)
- …required + Perform other quality initiatives as necessary Skills: Quality improvement, data, audit , data abstraction, chart review, medical , quality audit , ... Actalent is Hiring Multiple Remote HEDIS RN Abstractor Description: Position Purpose: Lead data collection...and/or custom or other measure set standards + Review medical records and abstract data for HEDIS and other… more
- YesCare Corp (Bartow, FL)
- …if applicable. + Bachelor's degree in healthcare administration/related field required. Licensed or Registered Nurse required in lieu of degree. + Minimum of ... compliance with allYesCareand applicable client systems and applications. + Coordinates the Medical Audit Committee and facilitates the monthly meetings. +… more
- Kelly Services (Lake Mary, FL)
- … Aide Evaluator programs across the United States. **Important Requirements:** Must possess a Registered Nurse ( RN ) license in good standing, with a compact ... or multi-state license OR must possess a Registered Nurse ( RN ) license in...all testing and evaluation processes. Assist in managing the audit process and the selection of Quality Assurance auditors… more
- HCA Healthcare (Ocala, FL)
- …reviews, and patient audits as needed. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1 year directly related Healthcare ... opportunities as a Revenue Integrity Clinical Charge Review Analyst RN you want with your current employer? We have...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Kissimmee, FL)
- …with purpose and integrity. We care like family! Jump-start your career as a(an) RN Nurse Lead PRN Trauma today with HCA Florida Osceola Hospital. **Benefits** ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...vary by location._** Come join our team as a(an) RN Nurse Lead PRN Trauma. We care… more
- Molina Healthcare (FL)
- …care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED ... health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU… more
- Naven Health (Tallahassee, FL)
- …+ Graduate of an accredited School of Nursing. + Current active and unrestricted registered nurse license + At least 2 years of clinical experience working ... all members of treatment team. (Naven Health's Clinical team, medical providers, patients, and families/caregivers) to facility continuity of...+ Knowledge of the scope of practice of the registered nurse and ability to apply professional… more
- BayCare Health System (Clearwater, FL)
- …- Associates - Nursing; Preferred - Bachelors - Nursing **Credentials:** + Required - RN ( Registered Nurse ) - State of Florida **Experience:** + Required ... **Status:** Full Time, Exempt **Shift Hours:** 8 hours **The Medical Auditor is responsible for:** + Compare the detailed...donor charges, and maintain a log of all chart audit requests and the related results. + Some travel… more