• Dispute Resolution Reviewer I

    St. George Tanaq Corporation (Tallahassee, FL)
    Dispute Resolution Reviewer I Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... **About the Role** We are seeking a **Dispute Resolution Reviewer I (DRR I)** to support a contract with...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
    St. George Tanaq Corporation (08/08/25)
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  • Second Level Reviewer II

    AdventHealth (Orlando, FL)
    …collaboration with physicians, nursing and HIM coders, the Second Level Reviewer I strategically facilitates and obtains appropriate and quality physician ... complexity of care of the patient. The Second Level Reviewer I educates members of the patient care team...(ROM), and quality. + Completes accurate and timely record review to ensure the integrity of documentation compliance. +… more
    AdventHealth (08/07/25)
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  • Transportation Plan Reviewer

    Lee County Board of County Commissioners (Fort Myers, FL)
    Transportation Plan Reviewer Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/5007029) Apply  Transportation Plan Reviewer Salary ... Description Lee County is seeking a skilled and detail-oriented Transportation Plan Reviewer to join the Department of Community Development in the Development… more
    Lee County Board of County Commissioners (07/16/25)
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  • Second Level Reviewer I PRN Remote

    AdventHealth (Altamonte Springs, FL)
    …collaboration with physicians, nursing and HIM coders, the Second Level Reviewer I strategically facilitates and obtains appropriate and quality physician ... complexity of care of the patient. The Second Level Reviewer I educates members of the patient care team...(ROM), and quality. . Completes accurate and timely record review to ensure the integrity of documentation compliance. .… more
    AdventHealth (08/07/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Jacksonville, FL)
    …want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... We are looking for a dedicated Coding Quality Audit Reviewer like you to be a part of our...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
    HCA Healthcare (06/21/25)
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  • Case Reviewer (NP/PA) - Ortho Surgery

    Elevance Health (Tampa, FL)
    **Case Reviewer (NP/PA)** **Carelon Medical Benefit Management** **Orthopedic Surgery** **Virtual:** This role enables associates to work virtually full-time, with ... unless an accommodation is granted as required by law._ The **Case Reviewer ** is responsible for conducting pre-authorization, out of network and appropriateness of… more
    Elevance Health (08/13/25)
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  • Building Plans Reviewer

    City of Coral Gables, FL (Coral Gables, FL)
    Building Plans Reviewer Print (https://www.governmentjobs.com/careers/coralgablesfl/jobs/newprint/5031560) Apply  Building Plans Reviewer Salary $86,029.34 - ... of routine and complex technical, aesthetic, & administrative work in plans review and analysis, inspection, and enforcement to determine compliance with all… more
    City of Coral Gables, FL (08/07/25)
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  • Dispute Resolution Reviewer III

    St. George Tanaq Corporation (Tallahassee, FL)
    Dispute Resolution Reviewer III Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... **About the Role** We are seeking a **Dispute Resolution Reviewer III (DRR III)** to support a contract with...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
    St. George Tanaq Corporation (06/25/25)
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  • Licensed Physician Reviewer - Ortho…

    ChenMed (Miami, FL)
    …join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our organization. ... in Hospital medicine preferred + At least one (1) year of utilization review experience preferred We're ChenMed and we're transforming healthcare for seniors and… more
    ChenMed (06/05/25)
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  • Plumbing Plans Reviewer

    City of Coral Gables, FL (Coral Gables, FL)
    Plumbing Plans Reviewer Print (https://www.governmentjobs.com/careers/coralgablesfl/jobs/newprint/5031778) Apply  Plumbing Plans Reviewer Salary $86,029.34 - ... a variety of routine and complex technical and administrative work in plumbing plans review and analysis to determine compliance with all applicable codes as well as… more
    City of Coral Gables, FL (08/13/25)
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