• 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 (09/30/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …review, diagnosis coding, and/or auditing. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified ... Risk Adjustment Coder ) + Computer proficiency including experience with Microsoft Office...Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) preferred . **Education** + AA/AS or equivalent experience + Completion… more
    CVS Health (09/26/25)
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  • Consultative Coding Professional

    CenterWell (Tallahassee, FL)
    …and receives guidance where needed. Follows established guidelines/procedures. **Consultative Coder ** The Consultative Coder provides medical coding expertise ... CPC Certification + Ability to travel both locally and overnight. ** Preferred Qualifications:** + Comprehensive knowledge of all Microsoft Office applications,… more
    CenterWell (09/25/25)
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  • Compliance Audit Manager

    Cardinal Health (Tallahassee, FL)
    …physicians, physician leadership, senior leadership, management, and staff; physician and coder education; and the making of recommendations for corrective action to ... + Other duties as assigned. **_Qualifications_** + 8-12 years of experience, preferred + Bachelor's degree in related field, or equivalent work experience, … more
    Cardinal Health (08/27/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (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 (09/30/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Orlando, FL)
    …Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred . **Required Experience** + 3-5 years clinical nursing experience, with 1-3 ... Active, unrestricted State Registered Nursing (RN) license in good standing. ** Preferred Education** Bachelor's Degree in Nursing ** Preferred Experience** 5+… more
    Molina Healthcare (09/26/25)
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  • Outpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …allowing you to help shape the future of healthcare from your own workspace! ** Preferred : Candidate needs a strong skill set in SDS, ED, Observation and I&I** **What ... to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in...teamwork, and leadership skills **What You Need to Succeed:** ** Preferred : Candidate needs a strong skill set in SDS,… more
    Datavant (09/13/25)
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  • Inpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …to help shape the future of healthcare from your own workspace! Preferred : Ideal candidate will preferably have experience with SMART software experience. Candidate ... to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in...teamwork, and leadership skills **What You Need to Succeed:** Preferred : Ideal candidate will preferably have experience with SMART… more
    Datavant (07/29/25)
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  • Primary Care Physician

    CenterWell (Boynton 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 (09/27/25)
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  • Senior Analyst, Encounters

    Molina Healthcare (St. Petersburg, FL)
    …organizations ** PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Certified Professional Coder (CPC) To all current Molina employees: If you are interested in ... basic to advanced SQL queries **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : ** PREFERRED EDUCATION** : + Bachelor's Degree or equivalent work experience **… more
    Molina Healthcare (09/24/25)
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