• Analyst, Configuration Oversight (Claims…

    Molina Healthcare (Orlando, FL)
    …standard principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and ... and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules… more
    Molina Healthcare (09/17/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Orange Park, FL)
    …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has committed up… more
    HCA Healthcare (09/27/25)
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  • Vendor Resource Management Team Lead

    HCA Healthcare (Tampa, FL)
    …work from home position.** **This position has a specialization in Inpatient Coding .** **Benefits** Parallon offers a total rewards package that supports the health, ... **Job Summary and Qualifications** As a Vendor Resource Management Coding Lead, you will be responsible for performing concurrent...weekly/monthly quality data to identify trends by vendor and coder/ auditor that need to be addressed + Prepares and… more
    HCA Healthcare (09/27/25)
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  • Specialist, Config Oversight (healthcare Medical…

    Molina Healthcare (FL)
    …and state specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing ... including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
    Molina Healthcare (09/24/25)
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