• Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …Must currently hold and maintain one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information ... by corporate leadership. The QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting on-going quality… more
    AdventHealth (08/07/25)
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  • Nurse Practitioner - Conviva - West St.

    CenterWell (Port Saint Lucie, FL)
    …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder , Referral Coordinator and more. Our approach ... medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical… more
    CenterWell (08/15/25)
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  • Quality Senior Analyst

    CVS Health (Tallahassee, FL)
    …equal to approximately 5 years for CPC. + CPC (Certified Professional Coder ) **or** CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk ... Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** CDEO (Certified Documentation Expert Outpatient) preferred. **Preferred Qualifications** + Computer proficiency including experience with Microsoft Office products (Word,… more
    CVS Health (08/15/25)
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  • Coding Auditor-Inpatient

    AdventHealth (Maitland, FL)
    …+ Registered Health Information Technician (RHIT) - Cert Required + Certified Coding Specialist (CCS) Required + Certified Professional Coder (CPC) Required This ... and the results are provided to management and feedback to the individual coder . Assist with educating all coders and Medical Staff members while demonstrating a… more
    AdventHealth (08/07/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Tallahassee, FL)
    …Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **To comply with HIPAA ... security standards (45 CFR sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state.… more
    Evolent (07/18/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... Professional Healthcare Management + Certified Professional in Healthcare Quality + other healthcare certification To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina… more
    Molina Healthcare (08/15/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Tallahassee, FL)
    …Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager ... a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of experience in Risk Adjustment… more
    Evolent (08/14/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified ... Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital… more
    Elevance Health (08/13/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 ... years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG. **Preferred Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality… more
    Elevance Health (08/13/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …to approximately 1-2 years for CPC. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist -Physician) required. **Preferred Qualifications** ... + Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications). + Experience with International Classification of Disease (ICD) codes. + Experience with Medicare… more
    CVS Health (08/09/25)
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