• Clinical Documentation Specialist

    Intermountain Health (Tallahassee, FL)
    …physicians, surgeons, and advanced practice providers. 3. Maintains clinical and coding subject matter expertise to accurately identify opportunities to clarify the ... complications and comorbid conditions, procedures, and application of the official coding guidelines for code capture and sequencing. Maintains working knowledge of… more
    Intermountain Health (09/27/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge...ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.… more
    Elevance Health (09/30/25)
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  • Director, Market Access (Remote)

    Cordis (Miami Lakes, FL)
    …successful product launches by navigating the reimbursement landscape-including coding , coverage, and payment-and supporting healthcare provider institutions in ... Clinical Affairs, Training) and external stakeholders (eg, payers, providers, billing/ coding consultants) to ensure that access-related barriers are identified and… more
    Cordis (08/09/25)
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  • Inpatient Medical Coder - FT - Up to $5,000 Sign…

    Datavant (Tallahassee, FL)
    …2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an ... overall 95% coding accuracy rate and a 95% accuracy rate for...CEUs every year + Stipend provided to assist with education and professional dues (AHIMA/AAPC) + Equipment: monitor, laptop,… more
    Datavant (09/24/25)
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  • Medical Records Coder III Outpatient

    BayCare Health System (Tampa, FL)
    … Coding Specialist (CCS) + **Preferred:** RHIT (Health Information) ** Education ** + **Required:** High School or equivalent + **Preferred:** Associate's in ... encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. + Works in conjunction with various departments for missing… more
    BayCare Health System (08/08/25)
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  • Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (FL)
    …is identified as required by regulatory and/or contract requirements. + Renders provider education on appropriate practices (eg, coding ) as appropriate based on ... performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and… more
    Molina Healthcare (09/22/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud,...in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background.… more
    Elevance Health (09/30/25)
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  • CDI Physician Advisor

    AdventHealth (Orlando, FL)
    …and coding compliance. Coordinate with GME to provide focused education on early development of documentation best practices to incoming residents and ... the clinical leader and liaison between the CDI department, physicians, and coding /billing teams. This role is responsible for ensuring that clinical documentation… more
    AdventHealth (09/24/25)
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  • Office Coordinator - Rheumatology Office

    Trinity Health (Fort Lauderdale, FL)
    …within job scope as requested by office manager. + Participate in other coding projects and activities as assigned. + Display basic knowledge of problem solving ... skills and is able to coordinate work area activities. ** Education :** + High School Diploma or equivalent is required....& Skills:** + Minimum two (2) years' experience with coding practices which includes one (1) year of medical… more
    Trinity Health (09/23/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and… more
    Molina Healthcare (09/06/25)
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