• Risk Adjustment Coder

    ChenMed (Miami, FL)
    …all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, ... by the documentation and ensure with ICD-10-CM Guidelines for Coding and Reporting. + The diagnosis codes for each...required. + Other duties as assigned and modified at manager 's discretion. KNOWLEDGE, SKILLS & ABILITIES: + Advanced understanding… more
    ChenMed (09/17/25)
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  • Inpatient Coder Specialist

    BayCare Health System (Tampa, FL)
    …AM to 3:30 PM + **Days:** Monday through Friday The **Advanced Inpatient Coding Specialist** is a full-time remote position. **_Sign on bonuses available!_** This ... position requires 3 years' Inpatient Coding experience and a Certified Coding Specialist...and pharmacology knowledge for accurate code assignments. + Assists Manager /Director with mentoring/training of Coder I, Coder II and… more
    BayCare Health System (08/08/25)
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  • Purchasing Agent III - 1

    MyFlorida (Ocala, FL)
    …rules and regulations. Works closely with their supervisor, the Regional Business Manager , to ensure proper coding . Receives, reviews, and approves all ... through Friday. Not eligible for Telework. Obtain the Florida Certified Contract Manager (FCCM) Certification at first availability. This position requires up to 25%… more
    MyFlorida (09/10/25)
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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...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/30/25)
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  • Medical Records Coder III Outpatient

    BayCare Health System (Tampa, FL)
    …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 ... hold reports. + Strong utilization of medical terminology and anatomy. + Assists Manager /Director with mentoring/training of Coder I and Coder II team members and… more
    BayCare Health System (08/08/25)
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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,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/30/25)
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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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  • Email Marketing Developer

    Carnival Cruise Line (Miami, FL)
    The Email Marketing Developer is responsible for including coding emails using HTML, CSS, AMPscript, conducting rendering testing across email clients and mobile ... content libraries and assign them to customer attributes through coding within the ESP and coordination with our data...+ Vacation Time - All full-time employees at the manager and below level start with 14 days/year; director… more
    Carnival Cruise Line (08/12/25)
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  • Lead Analyst, Payment Integrity - REMOTE

    Molina Healthcare (Orlando, FL)
    …+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in ... payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD),… more
    Molina Healthcare (09/28/25)
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  • Medical Claims Specialist - Remote

    Rising Medical Solutions (Tampa, FL)
    …+ Special projects as assigned by management Reports to: Program Manager Requirements Education/Training + High school diploma required; Associate's or Bachelor's ... degree preferred + CPC (Certified Professional Coder), CCS (Certified Coding Specialist) or equivalent medical coding certification preferred Experience + 2-4… more
    Rising Medical Solutions (09/27/25)
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