• HCC Risk Adjustment Coder PRN PPC

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using ... while certified + Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease processes. + Ability… more
    Datavant (03/27/25)
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  • Inpatient Medical Coder - FT - Up…

    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 ... ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation… more
    Datavant (03/27/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (FL)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
    Molina Healthcare (04/17/25)
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  • Delegation Oversight Nurse Remote based in CA…

    Molina Healthcare (FL)
    …**Preferred License, Certification, Association** + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + ... Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) Certified Professional in Health Care Quality (CPHQ) + or other healthcare… more
    Molina Healthcare (04/12/25)
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  • Coding Auditor Educator

    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 (02/07/25)
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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 (04/12/25)
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  • Concurrent Medical Code Reviewer…

    University of Miami (Hialeah, FL)
    …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), and/or Certified Inpatient Coder (CIC) highly desired. Experience: + ... Concurrent Quality Reviewer of our hospital reviews documentation in the electronic medical record (EMR) and ensures that accurate assignment and sequencing of… more
    University of Miami (03/07/25)
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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 (04/24/25)
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  • Division Compliance Officer Population Health

    AdventHealth (Altamonte Springs, FL)
    … Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified Professional Coder (CPC), Certified HIPAA Compliance Officer (CHCO) ... management level. . Experience in hospital compliance and/or physician practice/ medical group compliance, coding and/or operations and/or post-acute compliance,… more
    AdventHealth (05/02/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
    Elevance Health (04/29/25)
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