• Provider Reimburse Admin Sr

    Elevance Health (Miami, FL)
    …of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. Serves ... as subject matter expert regarding reimbursement policies, edits, and coding conventions. Primary duties may include, but are not limited to: + Works with vendors… more
    Elevance Health (09/30/25)
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  • Special Investigation Unit Lead Review Analyst…

    CVS Health (Tallahassee, FL)
    …committed by insured's, providers, claimants, etc. - Researches and prepares cases for clinical and legal review. - Documents all appropriate case activity in case ... waste, and abuse investigatory and audits required. * Knowledge of CPT/HCPCS/ICD coding *Proficiency in Word, Excel, MS Outlook products, Database search tools, and… more
    CVS Health (09/19/25)
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  • Associate Director Access Marketing…

    Grifols Shared Services North America, Inc (Gainesville, FL)
    …budgeting process for market access customer segment . Support reimbursement, coding , and coverage-related responsibilities for Medicare Part B, Centers for Medicare ... and Medicaid (CMS) Healthcare Common Procedure Coding System (HCPCS), and American Medical Association (AMA) Current...execution in priority segments . Partner with HEOR and clinical teams to integrate evidence into messaging . Lead… more
    Grifols Shared Services North America, Inc (09/12/25)
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  • HCC Risk Adjustment Coder - Full Time - Remote

    Datavant (Tallahassee, FL)
    …and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of ... guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by...or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge… more
    Datavant (08/26/25)
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  • VP Specialty Services AdventHealth Medical Group…

    AdventHealth (Altamonte Springs, FL)
    …and physicians to achieve the results desired. Ability to translate clinical /business model thinking into a deliverable executable plan. **Physician Relationships** ... percentile o Ability to ensure practices are compliant with coding , monitoring, risk plan) o Ability to achieve PQRS...knowledge of physician practice operations, strategic planning, billing and coding . Ability to handle a large number of tasks… more
    AdventHealth (08/16/25)
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  • Ophthalmic Technician

    Pearle Vision (Jacksonville, FL)
    …having fun while we get the job done! ESSENTIAL DUTIES AND RESPONSIBILITIES: Clinical Duties * Taking patient medical histories * Preparing patients for examinations ... Patient and insurance billing * Optometric medical billing and coding * Vision insurance billing and coding * Selling glasses and contact lens supplies * Various… more
    Pearle Vision (07/15/25)
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  • Post Doctoral Associate

    University of Miami (Miami, FL)
    …data manipulation and analysis using statistical tools (eg, R/SPSS) Experience coding and analyzing qualitative data (eg, thematic analysis, content analysis) ... team Experience working with stakeholders and community partners Experience coding and analyzing qualitative data (eg, thematic analysis, content analysis)… more
    University of Miami (07/06/25)
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  • IRF Pai Coordinator

    AdventHealth (Winter Park, FL)
    …and implements all regulatory changes/updates related to the Federal Rule. Provides clinical patient intervention, as appropriate in order to ensure completions of ... medical record. + Reviews medical records to assure that clinical documentation supports quality indicators. Confers with the ...Diseases (ICD) admission codes to assure congruence and proper Coding for the IRF-PAI. Makes any necessary changes in… more
    AdventHealth (10/02/25)
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  • Medical Assistant

    CenterWell (Orlando, FL)
    …put health first** As a Medical Assistant, you will be a part of the Clinical Care Team engaging with our patients to develop lifelong well-being and health. The ... are multiskilled health professionals responsible for performing administrative and clinical tasks in our primary care facilities while delivering outstanding… more
    CenterWell (10/01/25)
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  • Health Support Technician

    MyFlorida (Pensacola, FL)
    …(https://compcalculator.myflorida.com/) Open Competitive Your Specific Responsibilities: This is a clinical support position in the Escambia County Health Department ... supervision of the Senior Community Health Nursing Supervisor. CLINIC DUTIES: Perform clinical procedures, to include: + Properly take vital signs and input them… more
    MyFlorida (09/26/25)
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