• HIM ProFee Auditing Specialist FT

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. As a Profee Auditing Specialist , you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...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)
    …vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs ... related to coding quality, compliance assessments, external payer reviews, ...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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  • Clinical Documentation Specialist

    Community Health Systems (Naples, FL)
    …or comparable clinical license (eg, International MD) required + CCS-Certified Coding Specialist or ICD-10 certification or trainer designation preferred ... **Job Summary** The Clinical Documentation Specialist (CDS) performs clinical documentation improvement (CDI) activities to support the accuracy, quality, and… more
    Community Health Systems (09/13/25)
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  • Inpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...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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  • Medical Billing Specialist Not a Remote…

    National Health Transport (Miami, FL)
    Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical ... Billing Specialist answers inquiries from insurance companies, patients, and processes...assigned. Required Qualifications: + High School Graduate/GED + Medical coding training and experience + Familiar with Medicare/Medicaid laws… more
    National Health Transport (07/23/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …relevant experience Must currently hold and maintain one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered ... 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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  • 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 ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit… more
    Elevance Health (09/30/25)
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  • Cardiac Cath Lab Auditor

    AdventHealth (Tampa, FL)
    …Invasive Specialist (RCIS) Required Registered Cardiac Electrophysiology Specialist (RCES) Required Certified Interventioal Radiology Cardiovascular Coder ... in assigned area for Cardiac Cath Lab. Researches and analyzes charges, CPT coding , and national coverage decisions in conjunction with medical charts to ensure… more
    AdventHealth (09/26/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Orlando, FL)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS Guidelines, MCG,… more
    Molina Healthcare (09/26/25)
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