• Pro Fee Coding Quality Review Educator

    HCA Healthcare (Aventura, FL)
    …Educator, in collaboration with CQR leadership, will work to identify opportunities for coder education via coder reviews, stakeholder feedback, and review of ... educational needs and delivery of coding education at individual or group coder level. + Analyze training course evaluations, and recommend appropriate action to… more
    HCA Healthcare (09/27/25)
    - Related Jobs

  • Coding Auditor Educator-Inpatient

    Highmark Health (Tallahassee, FL)
    …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
    Highmark Health (09/20/25)
    - Related Jobs

  • Accountant III

    MyFlorida (Fort Lauderdale, FL)
    …daily posting payment reports in Excel. Audits and Processes Encounters Assists the Billing Manager with auditing of all superbills for verification of all insurance ... a large number of claims from being paid. Claims Billing Responsible for the accuracy and timeliness of medical...or university. + Current certification as a Certified Professional Coder (CPC). Florida Department of Health Mission, Vision, and… more
    MyFlorida (10/03/25)
    - Related Jobs

  • Vendor Resource Management Team Lead

    HCA Healthcare (Tampa, FL)
    …reporting of results to enhance quality outcomes. You will prepare and provide coder specific education based on audit outcomes and trends. Additionally, you will ... + Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder /auditor that need to be addressed + Prepares and presents coder … more
    HCA Healthcare (09/27/25)
    - Related Jobs

  • Compliance Audit Manager

    Cardinal Health (Tallahassee, FL)
    …supervises and manages audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation of… more
    Cardinal Health (08/27/25)
    - Related Jobs

  • Vendor Resource Management Manager

    HCA Healthcare (Kissimmee, FL)
    …process issues + Monitors monthly quality scores by vendor and individual coder ; recommends vendor coding personnel to be placed under Quality Improvement Plan ... resources to assure coding knowledge and skills remain current + Ensures coder and VRM staff is in compliance with HCA/Parallon HIM educational requirements… more
    HCA Healthcare (09/27/25)
    - Related Jobs

  • Investigator

    Highmark Health (Tallahassee, FL)
    …hospital or health insurance setting + 1 year in professional billing , facility Patient Financial Services, HIM, Internal Audit, Professional/Facility Reimbursement ... (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud… more
    Highmark Health (09/10/25)
    - Related Jobs

  • Coding Specialist Rapid

    AdventHealth (Altamonte Springs, FL)
    …of the Outpatient Coding Operations manager, the Rapid In & Out Coder is responsible for reviewing, analyzing, and interpreting clinical documentation contained in ... need for comprehensive, accurate, timely clinical documentation. + Outpatient Surgical coder . Assign ICD-10 diagnosis codes and applicable CPT/HCPCS codes to… more
    AdventHealth (10/03/25)
    - Related Jobs

  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and ... quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, … more
    Elevance Health (10/03/25)
    - Related Jobs

  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
    Elevance Health (09/30/25)
    - Related Jobs