Clinical Peer Reviewer - Utilization & Compliance
$122.91k - $188.02kHealth First
Healthfirst is seeking a Medical Peer Reviewer in the Town of Florida, NY, to consult on medical necessity within utilization management. This vital role involves reviewing authorization requests and ensuring compliance with Healthfirst's regulations. The ideal candidate holds a valid medical license (M.D. or equivalent) and has expertise in utilization management. This position offers a salary range of $122,907 - $188,020 based on experience, as well as comprehensive benefits including health coverage, life insurance, and retirement contributions. #J-18808-Ljbffr
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$150k - $175k
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- UF Health in New York is seeking an RN, Clinical Document Integrity Specialist to ensure the accuracy, completeness, and regulatory compliance of clinical documentation. You will collaborate with healthcare providers to improve documentation quality and analyze records...
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- ...Participate in year-end inventory. Works under the supervision of the Clinical Supply Supervisor and under the direction of the Manager of... ..., and patient. Demonstrates the ability to effectively utilize various computer software programs for duties and patient supply...Shift workWeekend work
- Remote Clinical Documentation Improvement (CDI) Specialist This is... ...outcomes. Key Responsibilities Review medical records to ensure... ...improve documentation integrity. Utilize EPIC for chart review and... ...practices for documentation. Ensure compliance with all applicable...Remote jobMonday to FridayFlexible hours
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- ...electronic medical record while maintaining compliance with established rules and regulatory... ...appropriately to requests to code or review coded accounts for accuracy. Initiates queries... ...and/or procedures as appropriate, utilizing the established physician query process....ApprenticeshipWork at office
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$49.72k - $92.47k
...City MAITLAND State Florida Postal Code 32751 Job Description Reviews clinical documentation and coding during ambulatory encounters to... ...completeness, and accuracy of documentation. Supports coding compliance, accurate reporting, and improved patient outcomes. Maintains...Full timeWork experience placementLocal areaShift work- ...relate to all kinds of people regardless of background; find topics and common interests that can be used to build rapport with others. Peer Support Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and...Full time
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- ...Orlando Health Jewett Orthopedic Institute West Region Job Title: Clinical Assistant Full Time: Monday-Friday, 8:00 AM - 5:00 PM.... ...communication with patients and family members. Adheres and assures compliance with Orlando Health and department specific policy, procedures...Full timeWork at officeLocal areaMonday to FridayFlexible hours
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- AdventHealth seeks a Clinical Documentation Specialist to educate patient-care teams on documentation regulations and to collaborate with... ...documentation aligned with current standards. You will review concurrent medical records for accuracy of severity of illness...
- AdventHealth in New Smyrna Beach, FL, is seeking a Clinical Documentation Specialist to educate care teams on documentation rules and ensure... ..., resolving coding discrepancies, and conducting timely reviews to support SOI/ROM quality. It emphasizes data entry in CDI software...
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