- TEKsystems (Orlando, FL)
- TekSystems is currently hiring for several FULLY REMOTE Medical Coders! These positions would start at the end of January! MUST HAVE: 1-3 or more years of ... Medical Coding Experience, MUST BE CPC Certified! MUST have your...MCMC. Then they pass it off to QA for review . They will do these cases over and over again… more
- Cognizant (Tallahassee, FL)
- **Job Title: Medical Coder - Inpatient Hospital ( Remote ) - CCS AHIMA Certified** **Location:** Remote **Employment Type:** Full-time M-F flexible hours An ... **inpatient hospital medical coder** is a healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and… more
- University of Miami (Medley, FL)
- …apply for a faculty or staff position, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University ... of Miami/UHealth Central Business Office has exciting Remote Full-Time opportunities within the Tri-County area, for the...in compliance with applicable laws and regulations. Further, the Medical Collectors are in charge of all duties related… more
- ChenMed (Miami, FL)
- …join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our organization. ... Word and PowerPoint **EDUCATION AND EXPERIENCE CRITERIA:** + Graduate from accredited Medical School with a valid, unrestricted license is required + Completion of… more
- Evolent (Tallahassee, FL)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... **What You'll Be Doing:** Job Description **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a meaningful… more
- Molina Healthcare (Miami, FL)
- JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal ... years clinical nursing experience, including at least 1 year of utilization review , medical claims review , long-term services and supports (LTSS), claims… more
- Zelis (St. Petersburg, FL)
- …maintain claim review content, including but not limited to DRG Reviewer Rationales, DRG Clinical Validation Policies and Dispute Rationales + Perform regulatory ... are. Position Overview At Zelis, the DRG Clinical Dispute Reviewer role is responsible for the resolution of facility...provider disputes. + Utilize the most up-to-date approved Zelis medical coding sources for claim review maintenance.… more
- Fujifilm (Tallahassee, FL)
- **Position Overview** The CPQ Product Marketing Manager, Medical Informatics (MI), manages our go-to CPQ market strategy and workflows for the Synapse Enterprise ... effective leadership and partnership with all members of the HCUS Medical Informatics organization and work effectively with other cross-functional departments in… more
- Zelis (FL)
- …interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay ... exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific… more
- Evolent (Tallahassee, FL)
- …Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review rationales and determinations. ... the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are… more