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Chart Utilization Review Jobs in Florida (NOW HIRING)

Msmc

Chart Capture Specialist

Westchester, FL · On-site

Reviews reports to identify unnecessary utilization of miscellaneous charge codes. Performs annual maintenance based on the addition and deletion of new codes. Identify and communicate with impacted ...

YesCare

Internal Medicine Physician

Frostproof, FL

Participate in quality improvement initiatives, including sentinel event reviews and chart audits. * Engage actively in the Utilization Review process, ensuring appropriate use of healthcare ...

Liberty Dental Plan Careers

Senior Staff Dentist

Tampa, FL · Remote

$175K - $185K/yr

Conduct chart reviews to identify trends in care delivery and utilization * Support grievance resolution and contribute to regulatory reporting and compliance activities * Provide clinical insight ...

LIBERTY DENTAL

Senior Staff Dentist

Tampa, FL · On-site +1

$175K - $185K/yr

Conduct chart reviews to identify trends in care delivery and utilization * Support grievance resolution and contribute to regulatory reporting and compliance activities * Provide clinical insight ...

VITAS Healthcare

Team Manager Inpatient

Mount Dora, FL · On-site

Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review ...

VITAS Healthcare

Team Manager Home Care

Kissimmee, FL · On-site

Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review ...

VITAS Healthcare

Team Manager Nursing Home

Lutz, FL · On-site

Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review ...

VITAS Healthcare

Team Manager Home Care

Lutz, FL

Performs substantive chart reviews to assure there is evidence that quality care is being delivered. * Participates in the Outcomes Management and annual program review. * Performs utilization review ...

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Showing results 21-40

All JobsChart Utilization Review JobsChart Utilization Review Jobs in Florida

Chart Utilization Review information

What are the key skills and qualifications needed to thrive as a chart utilization review specialist, and why are they important?

To thrive as a Chart Utilization Review specialist, you need a background in healthcare, strong knowledge of medical terminology, and experience with patient care documentation, often supported by an RN or LPN license. Familiarity with utilization management software, electronic health records (EHR), and relevant certifications such as Certified Professional in Utilization Review (CPUR) are typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for accurately reviewing charts and collaborating with healthcare providers. These abilities ensure compliance, optimize patient care, and support cost-effective healthcare delivery.

What is chart utilization review?

Chart Utilization Review is a process commonly used in healthcare settings to assess the necessity, appropriateness, and efficiency of medical services provided to patients. It involves reviewing patient charts and medical records to ensure that treatments and procedures are justified according to established guidelines and policies. This process helps in improving patient care, managing costs, and ensuring compliance with regulatory requirements. Utilization review professionals work closely with medical staff, insurance companies, and regulatory agencies to support quality and cost-effective care.

What are some common challenges faced by professionals in chart utilization review, and how can they be addressed?

Professionals in Chart Utilization Review often encounter challenges such as navigating incomplete or inconsistent medical documentation, staying current with ever-evolving healthcare regulations, and balancing productivity with accuracy. To address these challenges, it is important to maintain open communication with clinical staff, participate in ongoing training, and utilize robust electronic health record systems. Additionally, collaborating closely with interdisciplinary teams can help clarify documentation and ensure compliance with regulatory standards.

What is the difference between Chart Utilization Review vs Chart Review Specialist?

AspectChart Utilization ReviewChart Review Specialist
CredentialsTypically requires healthcare or insurance-related certificationsOften requires medical or coding certifications
Work EnvironmentHealthcare facilities, insurance companies, utilization management teamsMedical offices, insurance companies, coding firms
Employer & IndustryHospitals, insurance providers, healthcare organizationsMedical billing companies, insurance firms, healthcare providers
Primary FocusAssessing medical necessity and appropriateness of servicesReviewing medical records for coding accuracy and completeness

While both roles involve reviewing medical information, Chart Utilization Review focuses on evaluating the necessity of healthcare services, whereas Chart Review Specialists primarily verify medical documentation for coding and billing accuracy. Understanding these distinctions helps professionals choose the right career path or job search focus.

What are popular job titles related to Chart Utilization Review jobs in Florida? For Chart Utilization Review jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Chart Utilization Review jobs in Florida look for? The top searched job categories for Chart Utilization Review jobs in Florida are:
What cities in Florida are hiring for Chart Utilization Review jobs? Cities in Florida with the most Chart Utilization Review job openings:
Chart Utilization Review jobs near you
Infographic showing various Chart Utilization Review job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Chart Capture Specialist

Mount Sinai Medical Center

Westchester, FL • On-site

Part-time

Medical, Life, Retirement, PTO

Posted 25 days ago

Job description

As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We 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. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department:
CC016782 Westchester ED
Job Description Summary:
Position Responsibilities
  • Monitord all ED charges to ensure compliance with Federal and State guidelines, including accurate charge master coding for appropriate billing and reimbursement.
  • Assists with data entry, billing/audit questions, care site inquiries, education, database maintenance and processing of reviews of internal audits.
  • Ensures execution of changes to all related hospital systems and dictionaries impacted by assigned charge processing projects.
  • Acts as a liaison between the Emergency Department, Health Information Management, Budget & Financial Planning, Patient Financial Services operations and Information Systems to coordinate timely work flow of Charge Description Master related functions.
  • Tracks and monitors the status of Charge Description Master projects. Ensures that additions and changes to the Charge Descriptio Master are processed and communicated in a timely manner.
  • Reviews reports to identify unnecessary utilization of miscellaneous charge codes. Performs annual maintenance based on the addition and deletion of new codes. Identify and communicate with impacted cost centers.
  • Troubleshoot and resolve issues related to the patient revenue cycle, develop and present recommendations.
  • Remain current with updated coding and billing regulations.
Qualifications
  • License/Registration/Certification
    • None
  • Education
    • Bachelor's Degree in healthcare related field, preferred with medical terminology required.
  • Experience
    • 1-2 years experience, preferrably within healthcare.

Benefits:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
  • Health benefits
  • Life insurance
  • Long-term disability coverage
  • Healthcare spending accounts
  • Retirement plan
  • Paid time off
  • Pet Insurance
  • Tuition reimbursement
  • Employee assistance program
  • Wellness program
  • On-site housing for select positions and more!

Degree Requirements:
Certification:

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