• Second Level Reviewer I PRN Remote

    AdventHealth (Altamonte Springs, FL)
    …Qualifications:** . Master's degree in a healthcare related field . CCS (Certified Coding Specialist ) This facility is an equal opportunity employer and complies ... policies and procedures, continually ensuring quality documentation and regulatory compliance . Actively participates in outstanding customer service and accepts… more
    AdventHealth (08/07/25)
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  • Associate Quality Practice Advisor

    Centene Corporation (Spring Hill, FL)
    …the position. **A license in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social Work ... education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving deficiencies impacting plan compliance to… more
    Centene Corporation (07/31/25)
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  • Second Level Reviewer II

    AdventHealth (Orlando, FL)
    …) certification and 3 years of Second Level Reviewer experience ORCCS (Certified Coding Specialist ) This facility is an equal opportunity employer and complies ... policies and procedures, continually ensuring quality documentation and regulatory compliance . Actively participates in outstanding customer service and accepts… more
    AdventHealth (08/07/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (Tampa, FL)
    …lines of business. + Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + ... complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
    Molina Healthcare (08/14/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (St. Petersburg, FL)
    …lines of business. + Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + ... complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
    Molina Healthcare (08/14/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (FL)
    …of business. + PMP, Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + ... complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
    Molina Healthcare (08/14/25)
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  • HIM Spec

    Community Health Systems (Naples, FL)
    **Job Summary** The Health Information Management (HIM) Specialist is responsible for managing and maintaining patient health records in accordance with healthcare ... information, while supporting the organization's information management needs. The HIM Specialist performs a variety of tasks including record retrieval, data entry,… more
    Community Health Systems (08/03/25)
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  • System CDI Quality Team Leader Educator

    AdventHealth (Altamonte Springs, FL)
    …with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and quality physician ... policies and procedures, continually ensuring quality documentation and regulatory compliance . Actively participates in outstanding customer service and accepts… more
    AdventHealth (08/07/25)
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  • Software Engineer

    Highmark Health (Tallahassee, FL)
    …and programs. + Responsible for designing & writing code that adheres to coding standards. Perform code reviews. + Responsible for idea generation, exploring and ... Consultant + Salesforce Marketing Cloud Developer + Salesforce Marketing Cloud Email Specialist **EXPERIENCE** **Required** + 3 years of Proficiency in design and… more
    Highmark Health (06/27/25)
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  • VP Specialty Services AdventHealth Medical Group…

    AdventHealth (Altamonte Springs, FL)
    …**:** Ensure that approved strategic plans are in place. Monitor compliance with all applicable local, state, and federal regulations. Monitor facility ... strategy for each campus. Implement contractual and process strategies to link specialist physicians with hospital service lines or institutes. Develop and monitor… more
    AdventHealth (08/16/25)
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