• Manager , DRG Coding & Validation…

    Molina Healthcare (FL)
    **Job Description** **Job Summary** The Manager , Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing and/or ... Association** Active and unrestricted Registered Nurse (RN) license and Certified Coding Specialist (CCS), (CIC), Certified Professional Coder ( CPC ) License… more
    Molina Healthcare (06/14/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS… more
    Highmark Health (05/09/25)
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  • 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 ... daily and work with the team to ensure the Coding Department is within two days of discharge and...OR REGISTRATION:** * RHIA or RHIT, or CCS or CPC or CPC -P This facility is an… more
    AdventHealth (06/26/25)
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  • Remote Professional Medical Coder - Vascular…

    Guidehouse (Orlando, FL)
    …reporting, research as required, and regulatory compliance. Under the direction of the coding manager , the coder should accurately code conditions and procedures ... coding guidelines, and third-party requirements regarding documentation and billing . + Assures that all services documented in the...Surgery Coding experience, both IP and OP coding for physician claims. + CPC certification… more
    Guidehouse (04/27/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... 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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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). **Preferred Skills, Capabilities and… more
    Elevance Health (06/18/25)
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  • Clinical Provider Auditor II

    Elevance Health (Miami, FL)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... of education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). For candidates working in person or… more
    Elevance Health (06/18/25)
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  • Epic Solutions Architect 2 - Central (H)

    University of Miami (Miami, FL)
    …Statistics, or equivalent or a related field. Master's degree is desirable + Coding Certification (eg CPC , CCS, CIC, CMC) from an accredited healthcare ... Functions as an independent project lead or provides oversight for project manager and/or business analyst on assigned projects, and recognize/ minimize business… more
    University of Miami (04/26/25)
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