• Clinical Appeals Nurse (RN)

    Molina Healthcare (FL)
    …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional… more
    Molina Healthcare (04/17/25)
    - Related Jobs

  • NP/PA Cardiology - Tampa Florida

    CenterWell (Plant City, FL)
    …and treats center patients in accordance with standards of care. Follows level of medical care and quality for patients and monitors care using available data and ... Acts as an active participant and key source of medical expertise with the care team through daily huddles....in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol… more
    CenterWell (04/22/25)
    - Related Jobs

  • Primary Care Physician

    CenterWell (Leesburg, FL)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
    CenterWell (04/19/25)
    - Related Jobs

  • Nurse Practitioner

    CenterWell (Boca Raton, FL)
    …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (05/02/25)
    - Related Jobs

  • Coding Auditor - Administration Office

    Ascension Health (Pensacola, FL)
    …of coding and billing, and sufficiency of supporting documentation. + Audit specified number of records per coder as defined in the system coding audit plan. + ... Full time days. Monday-Friday from 8:00am-5:00pm + **Facility:** Ascension Sacred Heart Medical Group + **Location:** Pensacola, FL **Benefits** Paid time off (PTO)… more
    Ascension Health (03/23/25)
    - Related Jobs

  • Auditor-Coding

    Ascension Health (Jacksonville, FL)
    …billing, and sufficiency of supporting documentation. **Responsibilities:** + Audit specified number of records per coder as defined in the system coding audit ... **Details** + **Department:** Ascension Medical Group + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:**… more
    Ascension Health (03/31/25)
    - Related Jobs