Top 39 Clinical documentation & utilization review nurses Jobs in Largo, Fl

CLINICAL DOCUMENTATION SPECIALIST II
Moffitt Cancer Center —Tampa, FL
- $82,934.80 - $126,427.60 a year
- Full-time
- Nursing
- RN License
- Writing skills
Medicare Advantage Appeals RN
BayCare —Clearwater, FL
- Weekends as needed
- Nursing
- RN License
- Mid-level
Utilization Review Specialist Senior
BayCare —Tampa, FL
- Weekends as needed
- Hybrid work
- Nursing
- RN License
- Hospital
- Tuition reimbursement
- 401(k) matching
Healthcare Svcs Review Nurse
Hillsborough County, Florida —Tampa, FL
- $32.84 - $60.18 an hour
- Background check
- Spanish
- RN License
3d
Senior Consultant - Clinical Documentation Specialist
Deloitte —Tampa, FL
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
MDS Coordinator Nurse
Trinity Regional Rehab Center —Trinity, FL
- Full-time
- Background check
- Nursing
- Skilled nursing facility
- Paid holidays
- Health insurance
Quick Apply
9d
RN/LPN MDS Coordinator
Westchester Gardens Health & Rehabilitation —Clearwater, FL
- $38 - $40 an hour
- Overtime
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
10d
MDS Coordinator (RN)
Premier Nursing Home Group —Palm Harbor, FL
- $75,000 - $95,000 a year
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
2d
MDS Coordinator / RNAC (RN) - $2,500 Sign-on bonus
Acts Retirement-Life Communities —Dunedin, FL
- $36.05 - $46.19 an hour
- Online Application
- Background check
- CPR Certification
- Nursing
- Commuter assistance
- Paid holidays
4d
Case Manager, RN- Utilization Review
Tampa General Hospital —Tampa, FL
- $36.41 an hour
- 8 hour shift
- Hybrid work
- Microsoft Word
- Nursing
- Microsoft Excel
8d
Care Review Clinician (RN) - Remote in FL
Molina Healthcare —Saint Petersburg, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida
Molina Healthcare —Tampa, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Physical Therapy License
- Health insurance
Clinical Nurse Reviewer
Zelis —Saint Petersburg, FL
- $59,000 - $75,050 a year
- Full-time
- Nursing
- RN License
- Inventory management
- Paid holidays
- Disability insurance
Supervisor Clinical Documentation Integrity Regional
BayCare —Tampa, FL
- Full-time
- Nursing
- RN License
- Bachelor's degree
- Health insurance
- Dental insurance
Utilization Reviewer 2
Enlyte —Tampa, FL
- $59,500 - $76,000 a year
- Full-time
- RN License
- Mid-level
- Office
- Health savings account
- AD&D insurance
Denials Management Appeals Nurse (Anesthesia)
Shriners Hospitals for Children —Tampa, FL
- $80,912.00 - $121,388.80 a year
- Full-time
- 18 years or older
- Nursing
- RN License
Quick Apply
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare —Saint Petersburg, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
MDS Coordinator (RN)
Gulfside Health & Rehab —Clearwater, FL
- $80,000 - $100,000 a year
- Urgently hiring
- Skilled nursing facility
- RN License
- Mid-level
Quick Apply
MDS Coordinator
Lexington Health and Rehabilitation Center —Saint Petersburg, FL
- Full-time
- Background check
- RN License
- Mid-level
Quick Apply
10d
Chest Pain Coordinator
AdventHealth Tampa —Tampa, FL
- $65,622.66 - $122,055.21 a year
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
12d

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clinical documentation & utilization review nurses jobs near largo, fl

CLINICAL DOCUMENTATION SPECIALIST II

Moffitt Cancer Center -
Tampa, FL

Apply Now

Job Details

Full-time
$82,934.80 - $126,427.60 a year

Qualifications

Collaborate with healthcare professionals
Medicare
Writing skills
Coding for hospital billing
Microsoft Office
Medicare regulations
Clinical information systems
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Clinical documentation improvement
Health information management
Acute care experience
Clinical documentation standards
Managing patient records
Healthcare coding investigations
Medical record review for billing accuracy

Full Job Description

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer.

As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces.

Summary

The Clinical Documentation Specialist II is responsible for facilitating the improvement in the overall quality and completeness of provider-based clinical documentation in the medical record by working directly with providers. This position is responsible for assisting treating providers to ensure that documentation in the medical record accurately reflects the severity of illness, risk of mortality, complexity of patient care, and hierarchal condition categories of the patient. This position will recognize opportunities for documentation improvement and hold collaborative discussions with providers.

The Clinical Documentation Specialist II assesses clinical documentation through extensive medical record review and utilization of clinical judgment, deployment of artificial intelligence, and collaborating directly with the providers to clarify the documentation to accurately and completely reflect the patients’ medical conditions. This position conducts independent research to ensure compliance when developing provider queries, while interpreting and applying evolving standards from governing bodies AHIMA and ACDIS and maintaining up-to-date knowledge of coding changes and updates released each April and October.

Extensive collaboration with physicians, mid-levels, nursing staff, other patient care givers to include developing and delivering education, which will be accomplished with zoom meetings, telephonic discussions, and email.

Credentials and Experience:

Associate’s Degree – field of study: Nursing, HIM or another Healthcare related field
A minimum of four (4) years' acute care clinical documentation experience to include:
Applying Medicare, Medicaid and Commercial payer regulations, charging and coding guidelines
Healthcare regulations
ICD-10-CM, ICD-10-PCS coding
Performing independent queries

Certifications:

(CCDS) Certified Clinical Documentation Specialists from ACDIS
(CDIP) Certified Documentation Integrity Practitioner from AHIMA
(CDEI) Certified Documentation Expert Inpatient from AAPC
Registered Nurse (RN) *in lieu of a certification listed above, an (active) RN will satisfy the certification requirement

Minimum Skills/Specialized Training Required

Proven record of combining clinical knowledge and coding skills
Ability to recognize opportunities for documentation improvement and hold collaborative discussions with

providers to address the opportunities in documentation.

Proficient in computer skills including MS Office, Optum 360 eCAC, Cerner EHR
Organized, analytical, superior interpersonal and writing skills
Dependable, self-directed with critical thinking, problem solving, and deductive reasoning
Knowledge of healthcare regulatory environment
Understand and support clinical documentation management strategies
Must be flexible to accommodate clinician schedules
Knowledge of Case Mix Index and how it is influenced

Preferred Experience
2 years of experience in oncology
Vizient experience

Salary Range

$82,934.80 - $126,427.60

Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions.

We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.

Moffitt Career Site

If you have the vision, passion, and dedication to contribute to our mission,

then we have a place for you!

1. Equal Employment Opportunity

Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.

2. Reasonable Accommodation

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. Moffitt endeavors to make moffitt.org/careers accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact one of the Human Resources receptionists by phone at 813-745-7899 or by email at [email protected]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Read more information about your EEO rights under the law.

Transparency in Coverage Rule

Apply Now

Refine Your Search

clinical documentation & utilization review nurses jobs in largo, fl

CLINICAL DOCUMENTATION SPECIALIST II

Medicare Advantage Appeals RN

Utilization Review Specialist Senior

Healthcare Svcs Review Nurse

Senior Consultant - Clinical Documentation Specialist

MDS Coordinator Nurse

RN/LPN MDS Coordinator

MDS Coordinator (RN)

MDS Coordinator / RNAC (RN) - $2,500 Sign-on bonus

Case Manager, RN- Utilization Review

Care Review Clinician (RN) - Remote in FL

Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida

Clinical Nurse Reviewer

Supervisor Clinical Documentation Integrity Regional

Utilization Reviewer 2

Denials Management Appeals Nurse (Anesthesia)

Care Review Clinician (BH Licensed) - Remote in FL

MDS Coordinator (RN)

MDS Coordinator

Chest Pain Coordinator

I want to receive the latest job alert for clinical documentation & utilization review nurses in largo, fl

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Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer.

If you have the vision, passion, and dedication to contribute to our mission,

then we have a place for you!

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