• Oncology Financial Coordinator Regional

    AdventHealth (Daytona Beach, FL)
    …all new and established patients. + Attends and participates in all billing meetings and distributes pertinent information to appropriate staff. Educates the staff ... financial assistance knowledge Preferred qualifications: + Radiation Oncology Certified Coder - ROCC + Certified Professional Coder ...Certified Coder - ROCC + Certified Professional Coder - CPC This facility is an equal opportunity… more
    AdventHealth (08/07/25)
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  • Coding Specialist Rapid

    AdventHealth (Maitland, 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 (08/07/25)
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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 (08/13/25)
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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 (08/13/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (St. Petersburg, FL)
    …necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical ... an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues.… more
    Molina Healthcare (08/08/25)
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  • Nurse Audit Manager

    Humana (Tallahassee, FL)
    …clinical and coding experience to conduct reviews of provider codes and billing . + Decisions are typically related to resources, approach, and tactical operations ... knowledge. + Experience validating and interpreting medical record documentation to ensure billing for services is complete and accurate. + Certified Professional … more
    Humana (08/13/25)
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  • MedBill Team Leader

    The Hartford (Lake Mary, FL)
    …Team Leader is responsible for overseeing a small team within the Medical Billing department, ensuring efficient operations and timely completion of tasks. This role ... with a solid understanding of medical terminology, insurance policies, billing procedures, and reimbursement practices. Proficiency in Microsoft Office… more
    The Hartford (08/13/25)
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  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Tallahassee, FL)
    …we do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations ... focus on meeting state, federal, and company requirements while identifying concerning billing patterns or trends. **Responsibilities:** + Lead and mentor a team of… more
    CVS Health (08/08/25)
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  • Practice Transformation Associate

    CVS Health (Tallahassee, FL)
    …for Performance metrics, ICD-10 coding, Medicaid risk adjustment methodology, and common billing and common billing practices + Demonstrated understanding of ... and peers across the organization **Preferred Qualifications** + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN or LISW or + Three years'… more
    CVS Health (07/12/25)
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  • Non-Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Orlando, FL)
    …it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations to each ... with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. + Provide ongoing communication with service offices via e-mail,… more
    BAYADA Home Health Care (07/01/25)
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