• Divisional Coder III

    AdventHealth (Altamonte Springs, FL)
    …Computer Assisted Coding programs. Will work with Case Management, the Billing Office, Coding Manager, Clinical Documentation Improvement specialists and the coding ... team to code and release accounts for the Multi-State Division. Will work and resolve the chart correction issues daily and work with the team to ensure the Coding Department is within two days of discharge and meeting DNFC goals. Employees will assist in… more
    AdventHealth (06/26/25)
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  • Provider Auditor (RN/LPN Medical Coder…

    Elevance Health (Miami, FL)
    …and requests payments for any overpayments. + Identifies aberrant patterns of billing and detects potential abuse. + Participates in developing and/or reviewing ... department policies and procedures. + Works on task forces and committees. **Minimum Requirement:** + Requires a BA/BS degree and a minimum of 2 years' relevant work experience; or any combination of education and experience, which would provide an equivalent… more
    Elevance Health (06/07/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (FL)
    …and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management staff ... documentation to improve the quality of clinical documentation and correctness of billing codes prior to claim submission; to identify possible opportunities for… more
    Banner Health (06/15/25)
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  • Coding Auditor Educator

    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 (05/09/25)
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  • Facility Inpatient Coding Specialist

    HCA Healthcare (Ocala, FL)
    …intrinsic worth of each individual is recognized. Submit your application for our Inpatient Coder opening with Parallon today and find out what it truly means to be ... **_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coder for our team to ensure that we continue to provide all patients with… more
    HCA Healthcare (06/21/25)
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  • Facility Outpatient Coding Editor

    HCA Healthcare (Tallahassee, FL)
    …your potential! **Job Summary and Qualifications** As a work from home Outpatient Coder , you will work outpatient coding related alerts/edits for same day surgery, ... Escalates alert/edit resolution issues as appropriate to minimize final billing delays + Monitors the aging of accounts held...reports to leadership + Works with team members in billing , revenue integrity and/or the Medicare Service Center to… more
    HCA Healthcare (06/21/25)
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  • 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 (06/24/25)
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  • Professional Services Auditor and Educator

    Trinity Health (Fort Lauderdale, FL)
    …leadership to improve HCC, high risk scoring, along with provider and coder education. Responsible for practitioner education in areas related to coding, ... service line.** **Acts as a technical resource for documentation, coding and billing regulations for assigned medical groups and regions.** **Prepares and performs… more
    Trinity Health (06/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, 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 (06/10/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Miami, FL)
    …Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 ... environment preferred. + Broad, deep and niche knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, … more
    Elevance Health (06/05/25)
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