- Elevance Health (Tampa, FL)
- ** Clinical Documentation and Claims Integrity Director** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the ... through home-care and community based services. **The Clinical Documentation and Claims Integrity Director** will lead CareBridge's efforts in diagnostic… more
- Molina Healthcare (Tampa, FL)
- …with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ... + Performs clinical /medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been submitted, to… more
- Elevance Health (Tampa, FL)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical… more
- Elevance Health (Tampa, FL)
- …employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon ... Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary...medical-expense spending. The Manager of DRG Coding Audit & Clinical Validation leads a high-performing team responsible for auditing… more