- HCA Healthcare (Ocala, FL)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? ... are a committed, caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive… more
- University of Miami (Medley, FL)
- …-Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The Inpatient ... Coding Review Specialist (H) under the general direction of the...Manager works closely with the University of Miami Health's Clinical Documentation Improvement Specialists (CDIS) as well as Quality… more
- Trinity Health (Fort Lauderdale, FL)
- …regulations. a. Perform coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review b. Responsible for proofing ... complex service lines, advanced proficiencies in surgical or specialty coding practice. Review chart, including nursing notes,...experience preferred + Must possess a demonstrated knowledge of clinical processes, clinical coding (CPT,… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services, length of stay and… more
- AdventHealth (Orlando, FL)
- …the Hospitals Medical Staff to facilitate the accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity and ... medical staff of specific updates, statistical trending and/or changes related to denial prevention measures for our contracted managed care payers. The PA role… more
- Datavant (Tallahassee, FL)
- …to realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, ... review of admissions for medical necessity and necessity of...medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be… more
- University of Miami (Miami, FL)
- …quotes + Work with Physician, Nurse Liaison and Administrative Assistant to appeal any denial or Peer to Peer review to ensure all procedures are authorized ... 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 Department of… more
- Ascension Health (Jacksonville, FL)
- …the level of care and length of stay determination. + Assist and manage the denial management process. + Review and offer suggestions related to resources and ... appropriate utilization of alternate levels of care, community resources, clinical documentation improvement, coding , quality and/or compliance processes.… more