- HCA Healthcare (Ocala, FL)
- …responsible for determining the appropriateness of patient charges by reviewing the medical record , facility protocol, corporate standards and other applicable ... and patient audits. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1...to apply for our Revenue Integrity Clinical Charge Analyst RN opening. We promptly review all applications.… more
- Houston Methodist (FL)
- …Coding and utilization review experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... overall quality and completeness of clinical documentation. This position analyzes medical records for DRG's, complications, and comorbidities; identifies… more
- HCA Healthcare (Largo, FL)
- …**What qualifications you will need:** + Must be licensed as a Florida Registered Nurse in accordance with state regulations or appropriate compact licensure. ... opportunity to make a real impact. As a Clinical Nurse Coordinator in the Emergency Department you can be...medications and treatment instructions. + You will maintain and review patients' records including posting tests and… more
- HCA Healthcare (Jacksonville, FL)
- …responsible for determining the appropriateness of patient charges by reviewing the medical record , facility protocol, corporate standards and other applicable ... in you as a Revenue Integrity Clinical Charge Analyst RN ? At Parallon, you come first. HCA Healthcare has...and patient audits. **Qualifications that you will need:** + Registered Nurse Degree required + Minimum 1… more
- Elevance Health (FL)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Molina Healthcare (Orlando, FL)
- …assist with ad hoc projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review of ... and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like...entered by the abstraction team during the annual HEDIS medical record review as well… more
- AdventHealth (Orlando, FL)
- …each year **The role you'll contribute:** The Clinical Research Coordinator I ( RN ) is involved in all aspects of research conducted including patient screening, ... patient information to biospecimens used in research; perform patient chart review and data collection._ _Collaborative interaction with Clinical Research nursing… more
- ChenMed (North Miami, FL)
- …departments, external service organizations, agencies and healthcare facilities. + Conducts concurrent medical record review using specific indicators and ... through the integrating and functions of case management, utilization review and discharge planning. The incumbent in this role...related field preferred + Valid, active licensure as professional nurse ( RN , LPN or other nursing discipline)… more
- HCA Healthcare (Pensacola, FL)
- …physical, medical and diagnostic tests. . Prepare, administer, and record prescribed medications. Reports adverse reactions to medications or treatments. . ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...personal growth, we encourage you to apply for our RN Pediatrics PRN opening. We review all… more
- Elevance Health (Tampa, FL)
- …and provider medical necessity appeals. + Reviews prospective, inpatient, or retrospective medical records of denied services for medical necessity. + ... ** Nurse Appeals** **Hybrid 1:** This role requires associates...Extrapolates and summarizes medical information for medical director, consultants and other external review .… more