• Specialist, Appeals & Grievances

    Molina Healthcare (Orlando, FL)
    …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (11/09/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Orlando, FL)
    …software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional… more
    Molina Healthcare (11/14/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Tampa, FL)
    …software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ...(CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current… more
    Molina Healthcare (11/13/25)
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  • Coding Team Lead, HCC Risk Adjustment Coding…

    Datavant (Tallahassee, FL)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified … more
    Datavant (11/07/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Fort Lauderdale, FL)
    …Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC(R)) credential or Certified ... Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: +...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (10/24/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …and Federal regulations.-Performs other related duties as required. **Required Qualifications** CPC ( Certified Professional Coder ) or CCS-P ( Certified Coding ... Specialist-Physician).) (CRC ( Certified Risk Adjustment Coder must be able to obtain within 1 year...Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA ( Certified Professional Medical Auditor), CDEO ( Certified… more
    CVS Health (11/09/25)
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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 (11/06/25)
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  • Supervisor Medical Coding

    CenterWell (Tallahassee, FL)
    …of billing and coding experience in a health care organization + CPC ( Certified Professional Coder ) Certification required through AAPC or CSS Certification ... community and help us put health first** The Supervisor, Medical Coding extracts clinical information from a variety of... Coding extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and … more
    CenterWell (10/31/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Miami, FL)
    …of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator ... based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective… more
    Elevance Health (09/12/25)
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  • Medical Billing Specialist Not a Remote…

    National Health Transport (Miami, FL)
    …training and experience + Familiar with Medicare/Medicaid laws and billing + Certified Ambulance Coder helpful + Ambulance Industry experience helpful ... Summary: Ambulance Medical Billing Specialist is responsible for billing and...collection processes for National Health Transport's ambulance trips. Ambulance Medical Billing Specialist answers inquiries from insurance companies, patients,… more
    National Health Transport (10/22/25)
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