• Investigator

    Highmark Health (Tallahassee, FL)
    …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… 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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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing more
    Elevance Health (09/30/25)
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  • Coding Specialist Rapid

    AdventHealth (Altamonte Springs, FL)
    …Administrator (RHIA) + Registered Health Information Technician (RHIT) - Cert Required + Certified Billing and Coding Specialist (CBCS) + Certified Pension ... of the Outpatient Coding Operations manager, the Rapid In & Out Coder is responsible for reviewing, analyzing, and interpreting clinical documentation contained in… more
    AdventHealth (10/03/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer… more
    Elevance Health (10/03/25)
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  • Claim Field Analyst (Tampa/Orlando, Florida)

    CVS Health (Tallahassee, FL)
    …Other duties as assigned. **Required Qualifications** + 3+ years of experience in medical billing and coding, specifically related to claims processing and root ... skills. + Regular and reliable attendance. + Associate's or Bachelor's degree. + Certified Professional Coder ( _CPC_ ) certification. **Education** + High… 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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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Tampa, FL)
    …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
    Elevance Health (10/03/25)
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