HEDIS Medical Record Review Project Nurse Elevance HealthHEDIS Medical Record Review Project NurseTampa, FloridaEducates providers on HEDIS specifications and medical record documentation via various mediums such as HEDIS Encounter Portal Submission Tool, Hybrid Review Tool, HEDIS reference material development, and any other educational pieces for Provider relations, etc. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
HEDIS Medical Record Review Project Nurse Elevance Health IncHEDIS Medical Record Review Project NurseTampa, FLEducates providers on HEDIS specifications and medical record documentation via various mediums such as HEDIS Encounter Portal Submission Tool, Hybrid Review Tool, HEDIS reference material development, and any other educational pieces for Provider relations, etc. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Medical Record Review Auditor - Health Information Services Health First IncMedical Record Review Auditor - Health Information ServicesRockledge, FLEnsure that all external audits are appropriately followed up and completed after approval of the HIM Manager 100% of the time Understands and supports the processing of reports according to department turn-around-time goals. POSITION SUMMARY: To be fully engaged in providing Uncompromised Safety, Superior Quality, Memorable Patient/ Customer Experiences, and Financial Stewardship by: Maintaining accurate and complete medical records for each patient treated at Health First.
Medical Records (ROI) RemXMedical Records (ROI)Panama City, FLExperience working in a high-volume or production-based environment, Strong attention to detail and accuracy, Proficiency in Microsoft Office (Word, Excel, Outlook), Ability to navigate multiple systems simultaneously, Self-motivated This role is responsible for processing medical record requests, auditing records for accuracy, and ensuring timely documentation across multiple systems. .
Medical Records Technician I Baptist Health CareMedical Records Technician IPensacola, FloridaThe organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama.
HIM Analysis Tech Medical Records Mount Sinai Medical Center of FloridaHIM Analysis Tech Medical RecordsMiami Beach, FloridaWe offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Requires working knowledge of medical record content, physician documentation workflows, and EPIC/One Content, with the ability to assign, reassign, and audit deficiencies accurately.
Medical Records Specialist Coloplast CorpMedical Records SpecialistCoral Springs, FLReview each medical record for missing documentation; check physician's notes for appropriate diagnosis to justify Comfort Medical's service; verify that the correct person has signed all paperwork such as physician's orders, and other documentation requiring signature. Our attention to detail, unmatched customer service, and dedication to helping our customers live happier, healthier lives are just a few of the many reasons we are one of the fastest growing catheter and ostomy supply companies in the nation!
Medical Records Specialist - Jacksonville, FL CareSpot Urgent CareMedical Records Specialist - Jacksonville, FLJacksonville, FLWhile working the essential functions of this job, the employee is occasionally required to stand, walk, sit, life, carry, use hands to handle or feel objects, tools or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch or crawl, talk, hear and lift and/or move up to 40 pounds. The physical demands and work environment characteristics described here are representative of those that must be met by a team member to successfully perform the essential functions of this job.
Quality Data Coord - Medical Records BayCare Health SystemQuality Data Coord - Medical RecordsFLWhy BayCare Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers, and thousands of physicians. BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community.
Medical Records Technician Ansible Government SolutionsMedical Records TechnicianOrlando, FLCurrent certification from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) and/or Association of Clinical Documentation Integrity Specialists (ACDIS). Ansible Government Solutions, LLC (Ansible) is seeking multiple Medical Records Technicians to work with us in support of the Orlando VA Medical Center located at 13800 Veterans Way Orlando, FL 32827.
Medical Chart Scrubber/Biller/Documentation Review Specialist EAST FLORIDA EYE INSTITUTEMedical Chart Scrubber/Biller/Documentation Review SpecialistStuart, FLThis role focuses on reviewing patient charts for accuracy, completeness, and compliance prior to billing, while also assisting with documentation improvement, audits, and quality initiatives across the practice. Ensure provider documentation supports ICD‑10, CPT, and HCPCS coding.
NewMedical Records Specialist - Mental Health/ Behavioral Health - Remote contract Pro Med Healthcare ServicesMedical Records Specialist - Mental Health/ Behavioral Health - Remote contractFloridaRemoteThis role serves as the primary point of contact for all record requests and ensures the accurate, timely, and confidential handling of clinical documentation for clients, families, referents, legal entities, payers, and regulatory agencies. Submit and track written appeals, maintaining a centralized appeals log that includes dates, payer, level of care, reason for denial, and final determination.
Medical Records Clerk Gentiva Health Services Inc (Inactive)Medical Records ClerkCrestview, FLIn this vital administrative role, you will manage and maintain accurate patient records, ensure compliance with healthcare regulations, and provide essential office support to help our team deliver exceptional care. Provide general administrative support, including answering phones, ordering supplies, and data collection/entry.
NewSupervisor, Medical Records, Release of Information - Jacksonville, FL Verisma Systems IncSupervisor, Medical Records, Release of Information - Jacksonville, FLJacksonville, FLSummary of Position: Under the direction of the Director of Client Operations and the general instruction of the Facility Contact at various facilities, the Client Operations Supervisor is responsible for the efficient operation of assigned accounts. Reviews release of information requests for validity according to applicable state or federal statutes; returns inappropriate authorizations and requests to the requester.
NewPharmacy Medical Records Technician Guardian Pharmacy LLCPharmacy Medical Records TechnicianBoca Raton, FLWho We Are and What We're About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
Clinical Ops Medical Records Coordinator RadNet IncClinical Ops Medical Records CoordinatorFort Myers, FL$16–$19 / hourPhysical Demands: This position often requires sitting, standing, walking, bending, twisting, reaching with hands and arms, using hands and fingers, handling, or feeling, speaking, listening, and high-level cognitive thinking. Process medical record requests received through multiple channels such as voicemail, fax, email and phone call via Medical Record Request worklist in RIS.
Medical Review Nurse - CMS RAC (Government audits) Performant Healthcare IncMedical Review Nurse - CMS RAC (Government audits)Plantation, FLRemote$81,000–$90,000 / yearRegularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy.
Medical Records Outpatient Coder III BayCare Health SystemMedical Records Outpatient Coder IIIClearwater, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Coder III Outpatient BayCare Health SystemMedical Records Coder III OutpatientTampa, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Coder III - ED Coding (Part Time) BayCare Health SystemMedical Records Coder III - ED Coding (Part Time)Clearwater, FLSummary: Performs advanced coding functions by reviewing short-stay focused encounters and assigning accurate diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Coder III Outpatient (REMOTE) BayCare Health SystemMedical Records Coder III Outpatient (REMOTE)Clearwater, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Coder III Outpatient (PRN/ REMOTE) BayCare Health SystemMedical Records Coder III Outpatient (PRN/ REMOTE)Tampa, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Risk Management/ Medical record Wellness Resource CenterRisk Management/ Medical recordBoca Raton, FloridaFull timeTo learn more about disqualifying offenses, exemption procedures, and screening timelines, please visit the Agency for Health Care Administration (AHCA) Background Screening Education & Awareness webpage: https://info.flclearinghouse.com/education-awareness. Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
NewMedical Review Nurse (RN) - UM/Appeals experience Molina Healthcare IncMedical Review Nurse (RN) - UM/Appeals experienceFlorida, FLREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Medical Review Nurse - CMS RAC (Government audits) PerformantMedical Review Nurse - CMS RAC (Government audits)Plantation, FloridaRemoteRegularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify’s AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy.
Medical Records Team Lead US FertilityMedical Records Team LeadMargate, FloridaEnsure that requests for patient billing information are brought to the attention of the appropriate Financial Services staff member; obtain patient billing records prior to releasing medical records for scanning to ensure a complete package of medical and financial records. Whether collaborating with more than 200 highly respected physicians nationwide or partnering with colleagues who are passionate about solving meaningful problems, you’ll be surrounded by a team committed to shared success.
Medical Records assistant- Full time PACS Group IncMedical Records assistant- Full timeFLEnsure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. Assist in developing procedures to ensure resident records are properly completed, assembled, coded, signed, indexed, etc., before filing.
Medical Records Specialist HCA Healthcare IncMedical Records SpecialistFLSubmit your application for the opportunity below: Medical Records Specialist Job Summary and Qualifications As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. Facilitates the retrieval and printing of medical records from storage, as well as the storage, archival and record retention of documents and/or other Alternate Media that cannot be scanned into HPF/MPF (e.g., fetal monitor strips).May assist with the physician suspension process by evaluating if a physician should be put on suspension, creating the list of recommended suspensions for approval, sending out notice letters, making reminder calls, etc.
ROI Medical Records Specialist - Bilingual Spanish MRO CorporationROI Medical Records Specialist - Bilingual SpanishPembroke Pines, Florida$16–$22 / hourFull timeResponsibilities: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Overview: The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests*.
NewMedical Records - Lutz Suncoast Skin SolutionsMedical Records - LutzLutz, FloridaKnowledgeable in computer programs, EMR systems, customer service, and excellent verbal communication skills. Generate reports on medical record activities, including tracking record volume and turnaround times.
ROI Medical Records Specialist MRO CorporationROI Medical Records SpecialistHialeah, Florida$16–$22 / hourFull timeResponsibilities: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Overview: The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests*.
Medical Records Specialist PRN HCA Healthcare IncMedical Records Specialist PRNSt Petersburg, FLJob Summary and Qualifications As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. Apply share Share Email X Facebook LinkedIn bookmark_border Save Job bookmark Unsave Job // Save Jobs functionality detectsavedjob('1-INFOR-4714227','save-job','unsave-job');
NewMedical Records Specialist Part-Time HCA Healthcare IncMedical Records Specialist Part-TimeSarasota, FLJob Summary and Qualifications As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. We have an exciting opportunity for you to join HCA Florida Sarasota Doctors Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare.
NewMedical Records Specialist HIM HCA HealthcareMedical Records Specialist HIMBrandon, FLServices include the following specialties: Gastroenterology, General Surgery, Gynecology, Ophthalmology, Orthopedic, ENT, Plastics, Podiatry, Pain Management and Urology procedures. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
NewPRN Medical Records Specialist HCA HealthcarePRN Medical Records SpecialistJacksonville, FLAdditional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts. We have an exciting opportunity for you to join Riverside Endoscopy Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.
Medical Records Analyst & Educator HealogicsMedical Records Analyst & EducatorJacksonville, FloridaEngage in formal and informal education to wound care center-based staff, including patient navigators, case manager, clinical nurse managers, and providers as to documentation and data necessary for review of DME / supply orders based on the coverage requirements of specific payors. This includes Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs) associated with Medicare and its Medicare Administrative Contractors (MACs) as well as coverage guidance provided by other governmental payors and private payor entities.
Medical Record Analyst & Educator HealogicsMedical Record Analyst & EducatorJacksonville, FloridaEngage in formal and informal education to wound care center-based staff, including patient navigators, case manager, clinical nurse managers, and providers as to documentation and data necessary for review of DME / supply orders based on the coverage requirements of specific payors. This includes Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs) associated with Medicare and its Medicare Administrative Contractors (MACs) as well as coverage guidance provided by other governmental payors and private payor entities.
Medical Records Coordinator Radiology Regional Center, P.AMedical Records CoordinatorFort Myers, Florida$16–$19 / hourFull timePhysical Demands: This position often requires sitting, standing, walking, bending, twisting, reaching with hands and arms, using hands and fingers, handling, or feeling, speaking, listening, and high-level cognitive thinking. Process medical record requests received through multiple channels such as voicemail, fax, email and phone call via Medical Record Request worklist in RIS.
NewMedical Records Coder II (REMOTE) BayCare Health SystemMedical Records Coder II (REMOTE)Clearwater, FLRemoteBayCare is one of the largest health care providers and employers in the Tampa Bay area, serving our communities through 16 hospitals, a long-term acute care facility, outpatient centers, home health services, and an extensive physician network. Position Summary: The Coder II applies intermediate-level coding knowledge to accurately assign diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, and CPT-4 classification systems.
NewRN, Clinical Review Specialist/Medical Necessity Appeals (FT/REMOTE) CorroHealthRN, Clinical Review Specialist/Medical Necessity Appeals (FT/REMOTE)FloridaRemoteSpecific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
Document Tech - Medical Records, Health Information Management, FT, 08A-4:30P Baptist Health South Florida IncDocument Tech - Medical Records, Health Information Management, FT, 08A-4:30PMiami, FL$16–$20.54 / hourBaptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support.
Medical Review Officer (MRO) - Bid MaximusMedical Review Officer (MRO) - BidMiami, FLFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - After completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service.
Lead Medical Records Technician (ROI) U.S. Department of Veterans AffairsLead Medical Records Technician (ROI)Tampa, FL$50,460–$65,599 / yearAn associates degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, legal aspects of health care, and introduction to health records). In addition to the experience above, the candidate must demonstrate all of the following KSAs: Ability to work with a team to provide technical guidance, plan, organize, and coordinate activities of release of information to effectively complete job assignments (i.e., distributing workload, monitoring the status and progress of work, monitoring accuracy of work, and ensuring required timelines are met.).
Medical Records Clerk (Allied) J. Edward Staffing LLCMedical Records Clerk (Allied)Deerfield Beach, FLRemoten\nPhysical Requirements \n\n" While performing the duties of this job, the employee will be required to communicate with peers/general public, clients and/or vendors\n\n" Tolerant to various noise levels: noise level in the work environment varies may be very quiet to moderate\n\n" Job performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time\n\n" While performing the duties of this job, the employee may be required to talk or hear, sit, stand, walk, reach, climb or balance, stoop, kneel, crouch or crawl. Additionally, the position supports the Utilization Review team by preparing and tracking written insurance appeals.\n\nRelationships and Contacts\n\nWithin the organization: Maintains frequent and close working relationships with Clinical staff and facility team members throughout the organization.\n\nOutside the organization: Initiates and maintains strong professional relationships with clients and families, clinical providers, referral partners and vendors, as needed.\n\nEssential
Medical Review Nurse (USACE) Acuity International LLCMedical Review Nurse (USACE)Cape Canaveral, FL$66,560–$70,000 / yearMay participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems, and maintain a specific level of knowledge pertaining to new developments, new task efforts, contract awards, and new policy requirements. Job Summary: Under general supervision of the Program Manager (PM) and reporting to the PM, the Medical Review Nurse (MRN) is responsible for the initial chart review and chart case management for medical exam/screening programs to verify that all medical information and exam components are accurate.
Casual Medical Review Nurse (Gov/Comm) Acuity International LLCCasual Medical Review Nurse (Gov/Comm)Cape Canaveral, FL$66,560–$70,000 / yearMay participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems, and maintain a specific level of knowledge pertaining to new developments, new task efforts, contract awards, and new policy requirements. Job Summary: Under general supervision of the Program Manager (PM) and reporting to the PM, the Medical Review Nurse (MRN) is responsible for the initial chart review and chart case management for medical exam/screening programs to verify that all medical information and exam components are accurate.
Medical Records Assistant (Non Nurse) Life Care Center of New Port RicheyMedical Records Assistant (Non Nurse)New Port Richey, FloridaAccurately audit and complete ongoing reviews of all patients’ clinical records to ensure documentation and performance compliance. Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours.
NewPharmacy Medical Records Technician Guardian Pharmacy Services ManagementPharmacy Medical Records TechnicianBoca Raton, FloridaOur core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
Medical Records Assistant (Non Nurse) Life Care Centers of America IncMedical Records Assistant (Non Nurse)New Port Richey, FLAccurately audit and complete ongoing reviews of all patients' clinical records to ensure documentation and performance compliance. Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours.
Risk Management/ Medical record Acadia Healthcare Co IncRisk Management/ Medical recordBoca Raton, FLTo learn more about disqualifying offenses, exemption procedures, and screening timelines, please visit the Agency for Health Care Administration (AHCA) Background Screening Education & Awareness webpage: https://info.flclearinghouse.com/education-awareness . EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Bachelor''s degree in a clinical healthcare field, risk management, business, finance, or a related field required.