• Associate Director Access Marketing…

    Grifols Shared Services North America, Inc (Gainesville, FL)
    …budgeting process for market access customer segment . Support reimbursement, coding , and coverage-related responsibilities for Medicare Part B, Centers for Medicare ... and Medicaid (CMS) Healthcare Common Procedure Coding System (HCPCS), and American Medical Association (AMA) Current Procedural Terminology (CPT) . Support with… more
    Grifols Shared Services North America, Inc (09/12/25)
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  • Associate Medical Director, Pharmacovigilance…

    Sumitomo Pharma (Tallahassee, FL)
    …assessment of ICSRs, including seriousness, expectedness, safety narratives, adverse event coding , concomitant medication coding , and causality statements. + ... activities such as literature evaluation, investigator site training, continuing education for internal staff, inspection/audit readiness, audits, and inspections. +… more
    Sumitomo Pharma (08/15/25)
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  • Clinical Documentation Physician Liaison

    AdventHealth (Orlando, FL)
    …a high level of clinical proficiency necessary to help in facilitating education and communication of Clinical Documentation Integrity concepts to our Physician ... federal, state, and local documentation guidelines as well as ICD10 and coding guidelines and communicates changes to stakeholders as appropriate. + Audits… more
    AdventHealth (08/07/25)
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  • Test Engineer II

    Sparton Corporation (De Leon Springs, FL)
    …Test Engineer II is responsible for requirements definition, development, coding , integration, verification and validation of software-controlled hardware for custom ... test fixtures + Provide pseudo code/process of events/tests for Software Module Development + Write Coding S/W in NI Lab-Windows CVI + Write TP, ATP, IQ, OQ, PQ, TMV… more
    Sparton Corporation (09/30/25)
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  • Provider Reimburse Admin Sr

    Elevance Health (Miami, FL)
    …criteria. Serves as subject matter expert regarding reimbursement policies, edits, and coding conventions. Primary duties may include, but are not limited to: + ... and a minimum of 4 years related experience; or any combination of education and experience, which would provide an equivalent background. + RN; Medical billing… more
    Elevance Health (09/30/25)
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  • Investigator II

    Elevance Health (Tampa, FL)
    …health plan, line of business and/or state + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and use of proprietary data ... of 3 years related experience; or any combination of education and experience, which would provide an equivalent background....preferred + Fraud certification from CFE, AHFI, AAPC or coding certificates preferred + Knowledge of Plan policies and… more
    Elevance Health (09/30/25)
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  • Clinical Documentation Integrity Specialist Remote

    AdventHealth (Altamonte Springs, FL)
    …continues to educate self and team members, by attending monthly mandated education sessions and using educational tools, videos and provided Webinars . Recognizes ... and collaborates with them to resolves discrepancies with DRG assignments and other coding issues. . Completes well-timed follow-up case reviews on all cases with… more
    AdventHealth (09/26/25)
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  • Manager, Healthcare Analytics

    Centene Corporation (Tallahassee, FL)
    …Mentor, manage, and ensure the continuous development of team ** Education /Experience:** Bachelor's degree in business, economics, statistics, mathematics, actuarial ... of stored procedures, developing complex queries using SQL or other coding languages, and lead or management experience. Project management experience preferred.… more
    Centene Corporation (09/26/25)
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  • Provider Auditor (Certified Medical Coder)

    Elevance Health (Tampa, FL)
    …and a minimum of 2 years' relevant work experience; or any combination of education and experience, which would provide an equivalent background. RN, LPN or medical ... coding certification strongly preferred. **Preferred Skills, Capabilities, and Experiences:**...stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates… more
    Elevance Health (09/24/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Tampa, FL)
    …a minimum of 5 years of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination of education and ... systems within a healthcare payer or RCM organization and associated coding / claim integrity certifications strongly preferred. + Experience working with Medicare/… more
    Elevance Health (09/24/25)
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