• Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …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 clinical documentation improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems,… more
    Elevance Health (11/12/25)
    - Related Jobs
  • Outpatient Audit Specialist PRN - 1,000 Sign…

    Datavant (Tallahassee, FL)
    …cases concurrently to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in a professional, efficient ... and positive manner + Adhere to the American Health Information Management Association (AHIMA)'s code of ethics + Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment… more
    Datavant (11/12/25)
    - Related Jobs
  • Coding Quality Auditor

    Houston Methodist (FL)
    …good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with ... the coding group and business partners on official coding guidelines. **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding/DRG requests. Responds promptly to Business Office requests to code or review coded accounts for… more
    Houston Methodist (11/12/25)
    - Related Jobs
  • Inpatient Audit Specialist PRN- 1,000 Sign…

    Datavant (Tallahassee, FL)
    …cases concurrently to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in a professional, efficient, ... and positive manner + Adhere to the American Health Information Management Association's code of ethics. + Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to… more
    Datavant (11/12/25)
    - Related Jobs
  • Primary Care Physician

    CenterWell (Weston, FL)
    …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical ... Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. . Participates in potential growth opportunities for new or existing services within the Center. . Participates in the local primary care… more
    CenterWell (11/11/25)
    - Related Jobs
  • Specialist, Appeals & Grievances

    Molina Healthcare (Orlando, FL)
    …of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If you are ... interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 - $38.37 /… more
    Molina Healthcare (11/09/25)
    - Related Jobs
  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using a ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a… more
    Datavant (11/07/25)
    - Related Jobs
  • RN Coding Liaison

    AdventHealth (Orlando, FL)
    …**Licensures:** RN (Required) Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) (Required) This facility is an equal opportunity employer and ... complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant… more
    AdventHealth (11/06/25)
    - Related Jobs
  • Claim Field Analyst (Tampa, Florida)

    CVS Health (Tallahassee, FL)
    …and reliable attendance. + Associate's or Bachelor's degree. + Certified Professional Coder ( _CPC_ ) certification. **Education** + High school diploma or GED. ... **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $91,800.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which… more
    CVS Health (11/05/25)
    - Related Jobs
  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Tampa, FL)
    …an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including ... minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced… more
    Elevance Health (11/04/25)
    - Related Jobs