• Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (St. Petersburg, FL)
    …operations that drive change. + Functions as key lead for clinical chart review /abstraction and team management. This includes qualitative analysis, reporting ... is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment… more
    Molina Healthcare (08/21/25)
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  • Certified Nursing Assistant 3, Remote Video…

    University of Miami (Miami, FL)
    …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Up to ... Miami Hospital + This is an onsite position. Not remote . + Provides for patients' personal hygiene by giving...100%, using hospital designated scripting. + Maintains the patient's chart in appropriate order. + Initiates and assembles admission… more
    University of Miami (07/16/25)
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  • Divisional Coder III Remote

    AdventHealth (Altamonte Springs, FL)
    …Cerner and 3M Encoder 4. Comfortable with all Microsoft Office programs. 5. Ability to review documentation in a medical record and to enter the coding software. ... together we are even better. **Job Location: Monday-Friday - Remote ** **The role you'll contribute:** Assigns codes to hospital...for the Multi-State Division. Will work and resolve the chart correction issues daily and work with the team… more
    AdventHealth (08/07/25)
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  • Senior Overreader, HEDIS/Quality Improvement…

    Molina Healthcare (Orlando, FL)
    …or feedback from the HEDIS audit. Makes recommendations based off of the audit and chart review . + Assists with ad hoc projects. + Participates in scheduled ... with ad hoc projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review of records… more
    Molina Healthcare (08/21/25)
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  • Oncology Prior Authorization Case Manager, Non-RN…

    University of Miami (Miami, FL)
    …UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
    University of Miami (08/21/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Tallahassee, FL)
    …bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized ... severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's..., analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the… more
    Datavant (08/26/25)
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  • Lead Abstractor, HEDIS/Quality Improvement…

    Molina Healthcare (Orlando, FL)
    …Duties** + Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted ... supplemental data collection. The lead abstraction team will meet chart abstraction productivity standards, minimum over read standards, as...by providers and the annual HEDIS medical record review . + Leads meetings with… more
    Molina Healthcare (08/08/25)
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  • Auditor, Risk Adjustment ( Remote )

    Molina Healthcare (Miami, FL)
    …Qualifications** **Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk ... validation related activities, including, but not limited to: progress tracking, chart retrieval, file transmissions, and adherence to applicable timelines * Support… more
    Molina Healthcare (07/25/25)
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  • Revenue Cycle Management / RCM Specialist…

    Option Care Health (Tallahassee, FL)
    …text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using ... bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions). This job description is to be used as a… more
    Option Care Health (08/29/25)
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  • Revenue Integrity Coding Specialist - CPC Required

    Trinity Health (Fort Lauderdale, FL)
    …complex service lines, advanced proficiencies in surgical or specialty coding practice. Review chart , including nursing notes, physician orders, progress notes, ... Day Shift **Description:** Summary This is a M-F, 8a-5p remote position that requires certification. For the Holy Cross...line and charge type; including but not limited to, chart review , charge extraction, E&M level assignment… more
    Trinity Health (08/14/25)
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