• Government Operations Consultant II - 1

    MyFlorida (Fort Myers, FL)
    …for the position: + Knowledge of the principles, practices, and procedures related to medical coding and billing, health information management, and medical ... Creates Ad-hoc reports from HMS data. Miscellaneous Updates EAR and HMS Personal Health Coding Pamphlets and shares Medical & Billing coding updates.… more
    MyFlorida (11/22/25)
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  • Utilization Management Reviewer, Licensed…

    Excellus BlueCross BlueShield (Rochester, NY)
    …external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case ... identifies and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and… more
    Excellus BlueCross BlueShield (11/19/25)
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  • RN - Registered Nurse - Clinical Documentation…

    Geisinger (Danville, PA)
    …policy and procedures, and personnel management. Create annual education based on coding and CDI industry updates, documentation gaps and trends, and evidenced based ... in compliance with industry rules and regulations, for completeness and accuracy of the medical record. + Monitors and provides feedback to the CDI team to ensure… more
    Geisinger (11/08/25)
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  • Manager Clinical Documentation Improvement Program

    BayCare Health System (Largo, FL)
    …the oversight and management of BayCare's CDI operations. + Shares accountability with Director CDI Program for the integrity and effectiveness of the CDI Program. + ... Promotes effective and efficient provider documentation in the medical record, with accurate, ethical capture of the patient's conditions and precise descriptions of… more
    BayCare Health System (10/21/25)
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  • Physician - PACE Kinder Park

    Trinity Health (Woodlyn, PA)
    …and improve the health of participants. + Complete documentation and uses appropriate diagnostic coding . + Advise the Medical Director in ways and means ... Day Health Insurance Coverage Position Purpose: Under the supervision of the medical director , the Primary Care physician (PCP) provides primary medical care… more
    Trinity Health (09/03/25)
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  • Senior Dentist

    MyFlorida (Jacksonville, FL)
    …a highly responsible position working under minimal supervision of the Dental Executive Director of the Florida Department of Health in Duval County (FDOH-Duval). A ... and quality improvement activities in coordination with the Dental Executive Director . Public Health Competency Domain 2: Policy Development/Program Planning Skills… more
    MyFlorida (10/30/25)
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  • Senior Project Mgr, Performance Improvement…

    Beth Israel Lahey Health (Winchester, MA)
    …operations a plus + Knowledge of and experience with HEDIS quality metrics, risk coding , electronic medical records such as Epic, Athena, and eCW preferred. ... + Provides operational insights and trend data to the Associate Director and Medical Directors to help build comprehensive and accurate short and long-term… more
    Beth Israel Lahey Health (11/18/25)
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  • Regulatory Compliance Administrator…

    University of Utah (Salt Lake City, UT)
    …Oversees, coordinates, and conducts audits on documentation, abstraction, and coding to ensure compliance with University, State, and Federal guidelines. ... American Academy of Professional Coders ( AAPC ) recognized coding certification ( CPC , CPC -H, ACS ,...-H, ACS , CCS -P/H, RHIA ); knowledge of medical auditing, Federal healthcare program policies and requirements (including… more
    University of Utah (11/18/25)
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  • Advanced Practice Registered Nurse

    MyFlorida (St. Augustine, FL)
    …the STI Treatment Guidelines. This position assists the Executive Community Health Nursing Director and Medical Director with the ongoing development and ... includes but not limited to the review of prior medical records, reports and lab results and referrals to...on paper, as needed. Completes accurate CPT and diagnosis coding for each patient visit to support coding more
    MyFlorida (11/20/25)
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  • Clinical Documentation Integrity Team Lead…

    AdventHealth (Tampa, FL)
    …and supports the performance improvement process in conjunction with the Division Director CDI; assists the Division Director CDI with development of ... and internal quality audits for site CDS. Partners with coding leadership related to accuracy of final DRG assignments....as a contact in the absence of the Division Director CDI. Participates in and provides input to site… more
    AdventHealth (11/13/25)
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