- 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 (Miami, FL)
- …review , long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant ... **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory… more
- Prime Therapeutics (Tallahassee, FL)
- …staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial . + Monitors telephone system to ... of pharmacy with us. **Job Posting Title** Pharmacy Technician II - MCP Clinical Liaison - Remote **Job Description** Evaluates and authorizes approval of prior… more
- Public Consulting Group (Tallahassee, FL)
- …other contractual deliverables when needed. Ensures accurate system support through review and updating reference data, contractual metrics, and compliance metrics. ... other contractual deliverables when needed. Ensures accurate system support through review and updating reference data, contractual metrics, and compliance metrics.… 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 ... to 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 Department of… more
- Cardinal Health (Tallahassee, FL)
- …position requires strategic leadership, operational excellence, and collaboration across clinical , operations, and financial teams while spearheading the development ... cycle operations for radiation oncology and imaging, including charge capture, coding , billing, and collections + Ensure all oncology-related claims are submitted… more
- University of Miami (Miami, FL)
- …advise on improving performance across the full revenue cycle, including scheduling, coding , billing, denial management, and collections. + Contributes directly ... to apply for a faculty or staff position, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB SUMMARY… 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