• Clinical Documentation Physician Liaison

    AdventHealth (Orlando, FL)
    …ongoing feedback to physicians, administration, Physician Advisor, CDI Director, and VP of Clinical Services. + Works in conjunction with Coding Liaison, CDI ... and 125,000 outpatients each year **The role you'll contribute:** The Clinical Documentation Integrity Physician Liaison is a Registered Nurse, Advanced Practice… more
    AdventHealth (08/07/25)
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  • Auditor, HCC Risk Adjustment Coding - Full…

    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 ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across… more
    Datavant (08/08/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Miami, FL)
    …of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY ... policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support… more
    Elevance Health (09/12/25)
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  • Physician-based Oncology Senior Complex Coder

    Banner Health (FL)
    …area of specialty. Requires five or more years of specialized, complex professional coding experience for clinical specialty areas. Must demonstrate an elevated ... **Department Name:** Coding Ambulatory **Work Shift:** Day **Job Category:** Revenue...practices by evaluating medical records and validating that appropriate clinical diagnosis and procedure codes are assigned in accordance… more
    Banner Health (09/05/25)
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  • Director of Clinical Documentation…

    AdventHealth (Maitland, FL)
    …Degree in Nursing, Business, or Health-related field + Certified Billing and Coding Specialist (CBCS) + Certified Clinical Documentation Specialist This facility ... AdventHealth** Central Florida **The role you'll contribute:** The Director - Clinical Document Improvement (CDI) is responsible for the strategic and operational… more
    AdventHealth (08/07/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …audits, including but not limited to: International Classification of Diseases, Clinical Modification (ICD-10-CM and ICD-10-PCS), CPT, ICD-10-CM/PCS Coding ... team members on escalated accounts. Collaborates with providers, AH Clinical , CDI, inpatient and outpatient coding staff...providers, AH Clinical , CDI, inpatient and outpatient coding staff to assist with or resolve issues relating… more
    AdventHealth (08/07/25)
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  • Medicaid Insurance Product Manager

    Humana (Tallahassee, FL)
    …**Preferred Qualifications** + Advanced degree (MPH, MBA, or similar). + Experience in clinical operations or medical coding . + Strong financial acumen. + ... insights to inform product strategy. + Collaborate cross-functionally with clinical , financial, actuarial, and operational teams to develop value-added benefits… more
    Humana (09/27/25)
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  • Vendor Resource Management Manager

    HCA Healthcare (Kissimmee, FL)
    …are appropriately educated + Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical /medical resources ... eligible. **Introduction** **This position requires experience in Hospital Inpatient Coding .** Experience the HCA Healthcare difference where colleagues are trusted,… more
    HCA Healthcare (09/27/25)
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  • Physician - Physician Advisor

    Ascension Health (Jacksonville, FL)
    …appropriate utilization of alternate levels of care, community resources, clinical documentation improvement, coding , quality and/or compliance processes. ... + Develop strategy and processes to reduce denials and audits. + Assist with appeals and length of stay market initiatives. + Utilize hospital data sources to identify & analyze patterns of over or under-utilization of services, quality metrics and collaborate… more
    Ascension Health (08/13/25)
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  • Inpatient DRG Reviewer

    Zelis (FL)
    …and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and ... to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical… more
    Zelis (09/27/25)
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