• Inpatient DRG Quality Auditor

    Humana (Tallahassee, FL)
    …put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor ... is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns… more
    Humana (05/03/25)
    - Related Jobs
  • Remote Professional Medical Coder - Vascular…

    Guidehouse (Orlando, FL)
    coding , billing, internal and external reporting, research as required, and regulatory compliance . Under the direction of the coding manager, the coder should ... **Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:**...**The Vascular Surgery Coder** must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience… more
    Guidehouse (04/27/25)
    - Related Jobs
  • Outpatient Coder

    HCA Healthcare (Jacksonville, FL)
    …and Qualifications** As a work from home coder, part of our hospital outpatient coding team, you will work outpatient coding related alerts/edits for same day ... wound care, emergency department, and/or diagnostic accounts predominately post initial/final coding . You will also perform the alert/edit resolution activities in… more
    HCA Healthcare (04/11/25)
    - Related Jobs
  • Inpatient Coder

    HCA Healthcare (Miami, FL)
    …Schedule! Full-time 40 Hour Work Week!** **Must have ACUTE CARE inpatient coding experience.** **Benefits** Parallon, offers a total rewards package that supports ... team. **Job Summary and Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record… more
    HCA Healthcare (05/09/25)
    - Related Jobs
  • Investigator, SIU RN-Remote

    Molina Healthcare (FL)
    …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
    Molina Healthcare (04/12/25)
    - Related Jobs
  • Systems Programming Administrator - SES

    MyFlorida (Tallahassee, FL)
    …develop, and maintain applications that meet business requirements, with a focus on coding and application architecture. Security and Compliance : Implement and ... enforce security best practices and compliance standards, ensuring the protection of sensitive data and...quality management, and data security best practices to ensure compliance and maintain high data integrity standards. + Familiarity… more
    MyFlorida (05/02/25)
    - Related Jobs
  • Field Reimbursement Manager, Dermatology (Ft.…

    J&J Family of Companies (Fort Lauderdale, FL)
    …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... of national, regional, local, and account market dynamics including coverage and coding requirements + Grow the knowledge of hub and specialty distribution channels… more
    J&J Family of Companies (05/09/25)
    - Related Jobs
  • Field Reimbursement Manager (Oncology)- (Tampa)…

    J&J Family of Companies (Tampa, FL)
    …+ Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for ... of national, regional, local, and account market dynamics including coverage and coding requirements + Grow the knowledge of hub and specialty distribution channels… more
    J&J Family of Companies (04/23/25)
    - Related Jobs
  • Field Access Lead (FAL)

    Pfizer (Tallahassee, FL)
    …the Pfizer Business Units' overarching access and reimbursement plan and compliance standards. Through the demonstration of integrity and excellent business acumen, ... and reimbursement matters, such as Patient Assistance Programs and billing and coding reference guides + Provide education for HCPs/office staff regarding Hub… more
    Pfizer (05/04/25)
    - Related Jobs
  • Clinical Documentation Specialist 1 - Full Time…

    University of Miami (Hialeah, FL)
    …for clinical conditions and procedures to reflect severity of illness, accurate coding /DRG, expected risk of mortality, accuracy of patient outcomes, and complexity ... policies and procedures, continually ensuring quality documentation and regulatory compliance . + Ensures accuracy, completeness, and quality of clinical information… more
    University of Miami (04/17/25)
    - Related Jobs