• Quality Reviewer (Aetna SIU)

    CVS Health (Tallahassee, FL)
    …of three years of Medicaid Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA). + Knowledge of ... in researching information and identifying relevant resources. + Knowledge of CPT/HCPCS/ICD coding . **Education** + A Bachelors degree or three years of experience… more
    CVS Health (08/08/25)
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  • Revenue Integrity Charge Analyst

    HCA Healthcare (Ocala, FL)
    …charging validation reviews preferred. + Healthcare certification/licensure such as RHIT, CCS , CCP,CPC or other recognized AHIMA certified coding credential, ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (08/02/25)
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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 ... of operational healthcare, hospital and/or ambulatory and inpatient workflows and medical terminology. + Ability to communicate ideas and problem solutions +… more
    University of Miami (07/25/25)
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  • Fraud and Waste Investigator

    Humana (Tallahassee, FL)
    …minimum of 2 years' experience conducting comprehensive health care fraud investigations ( Medical Coding or Healthcare ( Medical Chart Review/Insurance ... * Graduate degree and/or certifications (MBA, JD, MSN, Clinical Certifications, CPC, CCS , CFE, AHFI). * Understanding of healthcare industry, claims processing and… more
    Humana (08/08/25)
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