• LVN Delegation Oversight Nurse Remote

    Molina Healthcare (St. Petersburg, FL)
    …must be active and unrestricted in state of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case ... Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If… more
    Molina Healthcare (09/20/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Tallahassee, FL)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… more
    Highmark Health (09/20/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Tallahassee, FL)
    …equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of ... The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:**… more
    Evolent (09/23/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (FL)
    …responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder ... (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered… more
    Banner Health (09/06/25)
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  • Medical Claims Specialist - Remote

    Rising Medical Solutions (Tampa, FL)
    …degree preferred + CPC ( Certified Professional Coder ), CCS ( Certified Coding Specialist) or equivalent medical coding certification preferred Experience ... members + Assist members in managing and resolving reimbursement issues related to medical services and covered expenses that are medically necessary + Correspond to… more
    Rising Medical Solutions (09/27/25)
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  • Divisional Coding Quality Auditor Educator Remote

    AdventHealth (Altamonte Springs, FL)
    …to detail + Epic experience + Certified Coding Specialist Required or + Certified Professional Coder Required or + Certified Professional Coder ... leadership. The Corporate QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting on-going quality… more
    AdventHealth (09/17/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …maintain one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA), ... Registered Health Information Technician (RHIT), or Certified Professional Coder Payer (CPC-P) This facility is an equal opportunity employer and complies with… more
    AdventHealth (08/07/25)
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  • Quality Senior Analyst

    CVS Health (FL)
    …and CRC ( Certified Risk Adjustment Coder ) required. + CPMA ( Certified Professional Medical Auditor) **or** CDEO ( Certified Documentation Expert ... Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the...equal to approximately 5 years for CPC. + CPC ( Certified Professional Coder ) **or** CCS-P ( Certified more
    CVS Health (09/30/25)
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  • Senior Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    …125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in ... the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG...relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review… more
    AdventHealth (08/07/25)
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  • Coding Quality Auditor

    Houston Methodist (FL)
    …Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional fee coding **LICENSES ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory… more
    Houston Methodist (09/30/25)
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