• Certified Professional Coder…

    CVS Health (Tallahassee, FL)
    …And we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure ... and potential to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical… more
    CVS Health (11/11/25)
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  • Investigator, Coding Special Investigative…

    Molina Healthcare (Tampa, FL)
    …Association** Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's ... Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional designations preferred To all current… more
    Molina Healthcare (10/22/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (FL)
    … Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... and support to clinical peers. + Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols. **REQUIRED… more
    Molina Healthcare (09/06/25)
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  • Director of Coding Operations

    AdventHealth (Altamonte Springs, FL)
    …Qualifications:** Bachelors degree in related field Certified Approved Instructor (CPC-I) Certified Professional Coder (CPC) Certified Coding ... status to ensure transparency and accountability. Leads and participates in special projects to improve coding operations and support organizational initiatives.… more
    AdventHealth (11/03/25)
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  • Payment Integrity Clinician

    Highmark Health (Tallahassee, FL)
    …Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability ... SUMMARY** This job requires the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code… more
    Highmark Health (11/14/25)
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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 ... necessary to aid in investigations. + Collaborates with the Special Investigation Unit and other internal areas on matters...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (11/04/25)
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  • Supervisor Medical Coding

    CenterWell (Tallahassee, FL)
    …years of billing and coding experience in a health care organization + CPC ( Certified Professional Coder ) Certification required through AAPC or CSS ... but travel will be required; <25% travel + No special scheduling; hours are clinic hours M-F 8-5 Central...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
    CenterWell (10/31/25)
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