• 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 ... (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional fee coding **LICENSES AND CERTIFICATIONS - PREFERRED… more
    Houston Methodist (04/12/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …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… more
    Elevance Health (04/29/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (FL)
    **_ Residents in CENTRAL Time Zone preferred . Candidates who do not live in Central Time zone must work CENTRAL DAYTIME BUSINESS HOURS._** **_Work Schedule: 4 days a ... Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred . **Required Experience** + 3-5 years clinical nursing experience, with 1-3… more
    Molina Healthcare (04/17/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …combination of education and experience, which would provide an equivalent background. ** Preferred Skills, Capabilities and Experiences:** + One or more of the ... following certifications are preferred : Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical… more
    Elevance Health (04/29/25)
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  • Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Tallahassee, FL)
    …with other documentation and coding and billing standards; and physician and coder education. This position will also support the Director with scheduling and ... coding/auditing, medical necessity reviews, or related work. Oncology experience preferred .** + Bachelor's degree in Health Information Management, Business or… more
    Cardinal Health (04/25/25)
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  • Primary Care Physician

    CenterWell (Apopka, 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 ... you will be required to be screened for TB ** Preferred Qualifications:** . Board certification or eligible to become...AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare… more
    CenterWell (04/24/25)
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  • NP/PA Cardiology - Tampa Florida

    CenterWell (Plant City, 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 ... contributing to an organization focused on continuously improving consumer experiences ** Preferred Qualifications** + Associate of the ACC (AACC credential) +… more
    CenterWell (04/22/25)
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  • Delegation Oversight Nurse Remote based in CA…

    Molina Healthcare (FL)
    …State Licensed Vocational Nurse or Licensed Practical Nurse in good standing. ** Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a ... bachelor's degree in Nursing. ** Preferred Experience** + Three-year NCQA, CMS, and/or state Medicaid UM auditing experience. + Three years' experience in delegation… more
    Molina Healthcare (04/12/25)
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  • Primary Care Physician

    CenterWell (Deland, 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 ... you will be required to be screened for TB ** Preferred Qualifications:** . Board Certification or Eligible to become...AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare… more
    CenterWell (04/10/25)
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  • Primary Care Physician

    CenterWell (Deerfield Beach, 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 ... you will be required to be screened for TB ** Preferred Qualifications:** . Board Certification or Eligible to become...AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare… more
    CenterWell (02/22/25)
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