• Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions ... (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional… more
    Elevance Health (11/12/25)
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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 ... quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, … more
    Elevance Health (10/25/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (FL)
    …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified ... or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims and associated records by… more
    Molina Healthcare (09/06/25)
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  • Ambulatory Payment Classification Coordinator

    AdventHealth (Maitland, FL)
    …+ Registered Health Information Technician (RHIT) - Cert Required + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) This facility is an ... resolution of accounts discharged but not final billed and ensure we are billing clean claims. The APC Coordinator will assist in overseeing the outpatient coding… more
    AdventHealth (10/02/25)
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