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
- ...REMOTE CDI Specialist III to join our healthcare team. You will review medical records to ensure accurate documentation of illness... ...provide education to clinicians, perform audits for regulatory compliance, analyze trends, and help develop CDI policies. Strong knowledge...SuggestedRemote work
- ...Quality Data Coordinator to work remotely in Florida. This full-time position involves coordinating medical record reviews, ensuring the accuracy and compliance of health information, and liaising with external agencies. The ideal candidate should have an Associate's...SuggestedFull timeRemote work
- ...The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation... ...in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across... ...conduct detailed retrospective claims reviews, provide expert-level coding analysis,...SuggestedFull timeWork at officeRemote workWork from homeHome office
$16 - $29 per hour
...At Optum, you'll have the clinical resources, data and support of... ...Attends/participates in training/review classes and projects as... ...management decisions Supports peer-to-peer training initiative for... ...After visit Summary in compliance with ACO guidelines Schedules...SuggestedHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startWork from homeMonday to FridayWeekend 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...SuggestedRemote workMonday to FridayFlexible hours
- ...supervision. Work Schedule: Monday - Friday 7am to 3:30pm. Rotating Saturdays Job Responsibilities Observe and report any performance, compliance or staffing related issues to supervisors Manage and monitor patient flow, wait times, inventory levels and information logs...Temporary workWork experience placementCasual workInternshipMonday to FridayFlexible hours
- ...Registered Nurse, the unit secretary provides administrative support utilizing technical and interpersonal skills with patients, visitors,... .... Provides administrative support and assists the medical and clinical teams with requests and tasks. Makes sure every guest...Part timeWork at officeNight shift
- ...common interests that can be used to build rapport with others.Peer SupportProvides guidance and feedback to help others strengthen... ...different tasks be performed when circumstances change. I have reviewed these job requirements and verify that I can perform all essential...Full time
- .... Salary Range Not specified. Job Details Job Title: Clinical Documentation Specialist (RN/LPN) - Full Time Location... ...full-time, on-site role responsible for auditing and reviewing patient charts to ensure compliance with all New York State Department of Health (DOH)...Full timeWork at officeMonday to Friday
- ...WiredPeople Inc is seeking a dedicated Maternal Mortality Review Coordinator to support Florida-based public health initiatives remotely... ...of health, and developing standardized interview protocols for clinical review teams. The position requires residency in Florida and an...Remote work
- New Paradigm Staffing is looking for an Entry-Level Medical Records Clerk to join their remote team in Florida. The role involves organizing electronic medical records, ensuring accuracy, and following HIPAA guidelines. This position is perfect for detail-oriented individuals...Remote work
- A healthcare organization is looking for a Medical Coder to work remotely from Florida. The candidate will be responsible for abstracting data from medical records into system software and coding diagnoses and procedures according to standardized guidelines. A minimum of...Remote work
- ...Complete UHDDS data abstraction as required. Maintain detailed logs of work performed and submit reports as directed. Ensure coding compliance with established regulations and institutional guidelines. Perform additional duties as assigned by management. #J-18808-Ljbffr...Contract workLocal areaRemote work
- ...certification and at least 3 years of coding experience. You will assign diagnostic codes using ICD-10-CM-PCS or CPT-4 standards and ensure compliance with guidelines. Strong attention to detail and proficiency with coding software are essential. Successful candidates will work...Contract workRemote work
$20.5 - $27.85 per hour
Minimum to Midpoint Pay Rate: $20.50 - $27.85/ hour This is a remote position. Incumbents, who reside in Florida only, may work remotely. There may be occasional situations that require work to be performed on-site at an assigned Lee Health location. Summary ...Casual workRemote work- A healthcare staffing agency in the United States seeks a medical coding specialist to analyze and code surgical records from Anesthesia departments. This position requires various coding certifications and at least 2 years of relevant experience. After a training period...Work at officeRemote work
- A healthcare organization seeks a Bilingual Clinical Coordinator Assistant. This remote position requires fluent English and Spanish,... ...clinical coordinators, maintaining medical records, and ensuring compliance with policies. Competitive benefits including health insurance...Remote work
- ...by inclusion, talented peers, comprehensive... ...participates in training, review classes and projects as... ...session. Communicates with clinical staff to keep patient... ...or credit card in compliance with our policies and... ...addressed in a timely manner. Utilize Reply All when needed....Temporary workWork at officeShift work
$18 - $20 per hour
...of affiliated brands, Care Coordinators are the heartbeat of the clinic. They are the first voice a patient hears and the first face... ...scheduling, insurance verification/authorization, and phone calls Review, schedule, and follow up on incoming referrals by gathering...Hourly payMonday to Friday- Benefits Paid time off Health insurance About the Role Join our dynamic team at Urological Consultants of Florida PA as a Bilingual Front Desk professional! In this pivotal role, you will be the first point of contact for our patients, ensuring a warm welcome and seamless...Work at office
- At Elevate ENT Partners, our commitment lies in delivering exceptional patient care while prioritizing the satisfaction of our team members. We strive to attract and retain the industry's finest talent - individuals who are passionate about their roles and driven to effect...
- AdventHealth in Florida is seeking a full-time Patient Registration Specialist. You will answer calls, register patients, verify insurance, and collect copays while maintaining accurate medical records. A sample 2-week schedule mirrors day/weekend coverage with weekday...Full timeWeekend workWeekday work
- About the job Patient Access Representative (Remote) This is the Remote Job Patient Access Representative duties and responsibilities To excel as a Patient Access Representative, a strong candidate needs to balance a variety of duties in a fast-paced environment...Remote work
$17 - $20 per hour
Schweiger is one of the leading dermatology practices in the country with over 580+ healthcare providers and over 170+ offices in New York, New Jersey, Pennsylvania, Connecticut, Florida, Illinois, Missouri, Minnesota, and California. Schweiger provides medical, cosmetic...Hourly payFull timeTemporary workPart timeWork at officeLocal areaMonday to FridayWeekend workWeekday work- ...management organization is seeking a full-time remote Bilingual Clinical Coordinator Assistant. This role involves performing administrative tasks, supporting clinical coordinators, and ensuring compliance with healthcare protocols. Candidates must have at least three years...Remote jobFull time
$22 per hour
Overview Position: Unit Secretary - Per Diem Location: Miami Lakes, FL Schedule: PRN/ Per Diem, 12hr shifts (6pm - 6:30am) Compensation: $22 per hour plus shift differentials for night and weekend shifts Select Specialty Hospital - Miami Lakes is a critical illness recovery...Hourly payDaily paidFull timePart timeReliefShift workNight shiftWeekend work- Position Summary Demonstrates excellent customer service attitude while assisting the Nurse managers and other nursing staff in coordinating the administrative activities and patient care delivery on the nursing units. Responsible for ensuring a professional atmosphere...Full timeWork at officeDay shift
- ...different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Be a part of an organization that invests in you! We are reviewing applications for our Unit Secretary opening. Qualified candidates will be contacted for interviews. We are an equal opportunity...Temporary workFlexible hoursShift work
- ...have several positions we need to fill! Depending on department you would be working in, you will performroutine administrative and clinical assignments andto keep the medical facilityrunning smoothly. Responsibilities would include but not be limited to: Handle all...
$20 - $30 per hour
...every other); 9am -12:30pm Responsibilities Clinical Responsibilities Perform comprehensive... ..., and other recovery modalities. Review medical histories and actively listen to... ..., and sleep ergonomics. Documentation & Compliance Actively scribe SOAP notes and maintain...Part timeWork at officeMonday to Friday
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