• Investigator

    Highmark Health (Tallahassee, FL)
    …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... hospital or health insurance setting + 1 year in professional billing , facility Patient Financial Services, HIM, Internal Audit, Professional/Facility Reimbursement… more
    Highmark Health (09/10/25)
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  • Senior Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    … demonstrates experience and expertise, so coding quality review is not required before billing . The Senior Coder utilizes years of experience and expertise to ... 125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in… more
    AdventHealth (08/07/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, ... necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical… more
    Molina Healthcare (09/06/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions… more
    Elevance Health (09/30/25)
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  • Medical Claims Specialist - Remote

    Rising Medical Solutions (Tampa, FL)
    …+ High school diploma required; Associate's or Bachelor's degree preferred + CPC ( Certified Professional Coder ), CCS ( Certified Coding Specialist) or ... insurance or healthcare experience, preferably in claims or medical billing -related position(s) Skills/Competencies + Knowledge of Group Health Insurance, Workers'… more
    Rising Medical Solutions (09/27/25)
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  • Cardiac Cath Lab Auditor

    AdventHealth (Tampa, FL)
    …(RCIS) Required Registered Cardiac Electrophysiology Specialist (RCES) Required Certified Interventioal Radiology Cardiovascular Coder (CIRCC) Required ... role you'll contribute:** Performs inpatient and outpatient audits related to patient billing in assigned area for Cardiac Cath Lab. Researches and analyzes charges,… more
    AdventHealth (09/26/25)
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  • Supervisor, Coding

    Baylor Scott & White Health (Tallahassee, FL)
    …(CCS), or + Certified Coding Specialist-Physician Based (CCS-P), or + Certified Professional Coder (CPC), or + Reg Health Info Administrator (RHIA), ... to meet daily un-coded accounts receivable. + Is a resource for resolving billing edits using the National Correct Coding Initiative and Local and National Coverage… more
    Baylor Scott & White Health (09/10/25)
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  • Claim Field Analyst (Tampa/Orlando, Florida)

    CVS Health (Tallahassee, FL)
    …skills. + Regular and reliable attendance. + Associate's or Bachelor's degree. + Certified Professional Coder ( _CPC_ ) certification. **Education** + High ... and claim trainings to improve provider claims issues. as well as billing practices, while collaborating with internal and/or external departments to identify claim… more
    CVS Health (09/24/25)
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  • Coding Quality Education Manager

    AdventHealth (Altamonte Springs, FL)
    …(RHIA) Required + Registered Health Information Technician (RHIT) - Cert Required + Certified Billing and Coding Specialist (CBCS) Required + Driver's License ... This position is responsible for the Retrospect Review program, quality audits, coder education and operates in accordance with the requirements of the ICD-10-CM… more
    AdventHealth (09/13/25)
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  • Senior Analyst, Encounters

    Molina Healthcare (St. Petersburg, FL)
    …management throughout multiple organizations **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Certified Professional Coder (CPC) To all current Molina ... GED **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 5-7 years of experience in billing , claims, encounters, and data analysis + 5 years or more of managed… more
    Molina Healthcare (09/24/25)
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