• Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …experience Must currently hold and maintain one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health ... 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of...The QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as… more
    AdventHealth (08/07/25)
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  • Compliance Audit Manager

    Cardinal Health (Tallahassee, FL)
    …and/or hospital (technical) services, including: detection and correction of documentation, coding , and billing errors and/or medical necessity of services billed. ... in support of services billed; compliance with other documentation and coding and billing standards; communication of audit results to physicians, physician… more
    Cardinal Health (08/27/25)
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  • HIM ProFee Auditing Specialist FT

    Datavant (Tallahassee, FL)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM,...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
    Datavant (09/13/25)
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  • Outpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM,...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
    Datavant (09/13/25)
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  • Inpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (07/29/25)
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  • Office Coordinator - Rheumatology Office

    Trinity Health (Fort Lauderdale, FL)
    …within job scope as requested by office manager. + Participate in other coding projects and activities as assigned. + Display basic knowledge of problem solving ... High School Diploma or equivalent is required. + Certified Coder (either CPC or CCS-P) is preferred. **Experience &...& Skills:** + Minimum two (2) years' experience with coding practices which includes one (1) year of medical… more
    Trinity Health (09/23/25)
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  • Clinical Documentation Specialist

    Community Health Systems (Naples, FL)
    …insights through individual or group sessions. + Collaborates closely with coding professionals to ensure accurate diagnostic and procedural data through complete ... and conducting formal training sessions. + Monitors regulatory changes in coding , documentation, and quality metrics, ensuring compliance with updated standards and… more
    Community Health Systems (09/13/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , ... for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of… more
    Molina Healthcare (09/06/25)
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  • Investigator

    Highmark Health (Tallahassee, FL)
    …(any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud ... have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and… more
    Highmark Health (09/10/25)
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  • Nurse Audit Senior (Operating Room)

    Elevance Health (Miami, FL)
    …and control principles and a working knowledge of CPT/HCPCS and ICD 10 coding and medical policy guidelines strongly preferred. + Travels to worksite and other ... locations as necessary. + BA/BS preferred. + Certification as a Professional Coder preferred. For candidates working in person or virtually in the below location(s),… more
    Elevance Health (09/30/25)
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