• Non-Clinical Coding and OASIS Review…

    BAYADA Home Health Care (Orlando, FL)
    …around this requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager provides ... as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing ...with a focus on documentation trends, star ratings and potential revenue impact. + Perform related duties, or as… more
    BAYADA Home Health Care (05/17/25)
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  • Clinical Coding and OASIS Review…

    BAYADA Home Health Care (Orlando, FL)
    …BAYADA Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. ... as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing ...with a focus on documentation trends, star ratings and potential revenue impact. + Perform related duties, or as… more
    BAYADA Home Health Care (05/17/25)
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  • 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 ... inpatient coding and has a high level of understanding in...staff including assistance in development and training. * Identify potential claims outside of the concept where additional opportunities… more
    Molina Healthcare (06/14/25)
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  • Facility Outpatient Coding Editor

    HCA Healthcare (Tallahassee, FL)
    …invested over 156,000 hours volunteering in our communities. As a Facility Outpatient Coding Editor with Parallon you can be a part of an organization that ... vary by location._** Would you like to unlock your potential with a leading healthcare provider dedicated to the...organization. We are looking for an enthusiastic Facility Outpatient Coding Editor to help us reach our goals. Unlock… more
    HCA Healthcare (06/21/25)
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  • Outpatient Coding Team Lead

    HCA Healthcare (Orange Park, FL)
    …Account Reimbursement Specialists (CARS), and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement of processes and ... potential ! **Job Summary and Qualifications** As an Outpatient Coding Lead, you will perform as the daily contact...Tool [C-PART)) + Coordinates activities in conjunction with the Coding Manager and SSC Education staff related… more
    HCA Healthcare (06/21/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. + Knowledge ... **DRG CODING AUDITOR** **Location** : _This position will work...letter writing). + Identifies new claim types by identifying potential claims outside of the concept where additional recoveries… more
    Elevance Health (06/24/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Miami, FL)
    …/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology strongly preferred Please ... **DRG Coding Auditor Principal** _Virtual: This role enables associates...level auditors. + Identifies new claim types by identifying potential claims outside of the concept where additional recoveries… more
    Elevance Health (06/05/25)
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  • Field Reimbursement Manager , Dermatology…

    J&J Family of Companies (Fort Lauderdale, FL)
    …relationship + Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding , and billing + Reimbursement or relevant managed care experience ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position. PECS is...Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access… more
    J&J Family of Companies (05/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing aberrant coding ... medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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 ... AUDITOR II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**… more
    Elevance Health (06/18/25)
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