• Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    medical record documentation review, diagnosis coding, and/or auditing. + CPC ( Certified Professional Coder ) or CCS-P ( Certified Coding ... Specialist-Physician) required. + CRC ( Certified Risk Adjustment Coder ) + Computer proficiency including experience with Microsoft Office products (Word, Excel,… more
    CVS Health (09/26/25)
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  • 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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  • HIM - Inpatient Coding Supervisor (remote)

    Guidehouse (Tampa, FL)
    …by analyzing documentation and discussing correct code assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software ... for patterns of coding errors and opportunities for coder and /or clinical education. + Serves as a...substituted for formal education or advanced degree) + Currently certified as a Registered Health Information Administrator (RHIA), Registered… more
    Guidehouse (08/19/25)
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  • Mid-Level Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    …(RHIT) - Cert Required or + Certified Coding Specialist (CCS) + Certified Professional Coder (CPC) This facility is an equal opportunity employer and ... 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 (09/15/25)
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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 (07/23/25)
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  • Coding and Clinical Documentation Educator

    AdventHealth (Daytona Beach, FL)
    … Documentation Improvement Practitioner (CDIP) **Preferred qualifications:** + Bachelor's degree + Certified Risk Adjustment Coder (CRC) This facility is an ... **The value you'll bring to the team:** + Analyzes medical record documentation for HCC accuracy, correct documentation, and...Registered Health Information Technician (RHIT) - Cert, OR + Certified Coding Specialist (CCS), OR + Certified more
    AdventHealth (09/23/25)
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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 ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
    Elevance Health (09/30/25)
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  • Clinical Documentation Specialist

    Community Health Systems (Naples, FL)
    …preferred + CDIP - Clinical Documentation Improvement Professional preferred or + Certified Coder -AHIMA or AAPC preferred INDNC Equal Employment Opportunity This ... with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity… more
    Community Health Systems (09/13/25)
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  • Coding Auditor Inpatient

    AdventHealth (Orlando, FL)
    …reviewed, and the results are provided to management and feedback to the individual coder . Assist with educating all coders and Medical Staff members while ... **:** + High School Grad or Equiv and two years of coding education ( medical coding certificate program, diploma or 2-year HIM program), including medical more
    AdventHealth (09/11/25)
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