• Medical Claim Review Nurse ( RN )

    Molina Healthcare (Tampa, FL)
    …Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • Clinical Documentation Specialist

    Community Health Systems (Naples, FL)
    …maintaining compliance with regulatory standards and corporate policies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... or + Certified Clinical Documentation Specialist (CCDS) preferred + RHIT - Registered Health Information Technician preferred or + RHIA - Registered Health… more
    Community Health Systems (09/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN (CDI, MS-DRG, AP-DRG...are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical … more
    Elevance Health (09/23/25)
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  • RN Coding Liaison

    AdventHealth (Orlando, FL)
    …accepts responsibility for maintaining relationships that are equally respectful to all. The RN Coding Liaison reports to the HIM Coding Director to assist in ... and quality of the data reported is supported by provider clinical documentation to accurately reflect reimbursement and quality reporting. Maintains knowledge… more
    AdventHealth (08/07/25)
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  • Nurse Audit Senior (Operating Room)

    Elevance Health (Miami, FL)
    ** Nurse Audit Senior (Operating Room)** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending." The ** Nurse Audit Senior** is responsible for identifying, monitoring, and analyzing… more
    Elevance Health (09/30/25)
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