• Appeals & Grievances Specialist (Complaints…

    Molina Healthcare (Jacksonville, FL)
    …timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes. * Requests and reviews ... * Researches claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors. * Resolves… more
    Molina Healthcare (12/14/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
    Elevance Health (12/11/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …knowledge to substantiate conclusions. + Utilizes audit tools and auditing workflow systems and reference information to make audit determinations and generate audit ... 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… more
    Elevance Health (12/09/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Lake Mary, FL)
    …substantiate sophisticated conclusions. + Utilizes audit tools and auditing workflow systems and reference information to make audit determinations and generate ... Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10… more
    Elevance Health (12/06/25)
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  • Outpatient Coding Resolution Specialist

    HCA Healthcare (Orlando, FL)
    …to apply! **Job Summary and Qualifications** As a work from home Outpatient Coder , you will work outpatient coding related alerts/edits for same day surgery, ... You will also perform the alert/edit resolution activities in the applicable systems . The alerts/edits shall be worked and corrected according to the established… more
    HCA Healthcare (12/05/25)
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  • Clinical Documentation Manager

    Ascension Health (Pensacola, FL)
    …obtained prior to hire date or job transfer date. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained ... orthopedics and cancer care. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care,… more
    Ascension Health (12/03/25)
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  • Medical Billing Specialist Not a Remote Position

    National Health Transport (Miami, FL)
    …payer type; minimum of 20 days. + Identify recurring denials and make necessary system changes to resolve them. + Assist customers with their account information. + ... + Familiar with Medicare/Medicaid laws and billing + Certified Ambulance Coder helpful + Ambulance Industry experience helpful Compensation: $15.00 - $18.50… more
    National Health Transport (10/22/25)
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  • Full Stack Engineer (Cloud & AI Focus)

    Ford Motor Company (Tallahassee, FL)
    …Engineer** who values technical adaptability above all else. We don't just want a coder ; we need a creative problem solver who can architect robust APIs in Python ... working on **document processing pipelines** + **Experience** in knowledge management systems or the legal domain + **Polyglot Flexibility:** Previous experience… more
    Ford Motor Company (12/02/25)
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  • Profee Coding Consultant (Interventional…

    Datavant (Tallahassee, FL)
    …both hospitals and alternative care settings. **Seeking Profee Interventional Radiology coder . Requires expertise in capturing Interventional Radiology CPTs, DX, RVU ... of NCCI edits. Chart mix includes both inpatient and outpatient. Epic 3M360 systems .** **What You Will Do:** + Review medical records and assign precise codes… more
    Datavant (11/14/25)
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  • Senior Field Sales Executive - Healthcare…

    Wolters Kluwer (Tallahassee, FL)
    …help save lives, improve the way we do business, build better judicial and regulatory systems . We help them get it right. **Who We Are:** **Wolters Kluwer: The world ... Healthcare Data | Health Language | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** ** Coder Workbench Solution:** **Risk Adjustment Software | Health Language… more
    Wolters Kluwer (10/28/25)
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