• Manager, Coding Operations

    Datavant (Tallahassee, FL)
    …+ Provide monthly performance data to clients (eg, volume metrics, six-month trends, quality audit scores, and productivity levels). + Include action plans for ... educational and life experiences to realize our bold vision for healthcare. The ** Coding Operations Manager** is essential to the Provider HIM Coding division.… more
    Datavant (09/04/25)
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  • Internal Audit IT Analyst

    Coinbase (Tallahassee, FL)
    …and fully supported. *_* *Team / Role Paragraph:* Coinbase is looking for an Internal Audit IT Senior to join the Internal Audit team focusing primarily on ... US (Remote) and will be reporting to an Internal Audit IT Senior Manager. The individual will be responsible...to maximize meetings utility, testing efficiencies and internal controls review coverage across the organization. * Serve as a… more
    Coinbase (09/19/25)
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  • Outpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... ED, Observation and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and… more
    Datavant (09/13/25)
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  • Inpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Academic/Trauma Level 1 facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding,… more
    Datavant (07/29/25)
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  • Healthcare Reimbursement Analyst, Audit…

    LogixHealth (Dania, FL)
    …contribute to our fast-paced, collaborative environment and bring your expertise to review reimbursements and issues in Carrier Payment Audits. The ideal candidate ... skills, excellent interpersonal communication, and analytical skills. Key Responsibilities: + Review all insurance company reimbursements in all practices for all… more
    LogixHealth (07/24/25)
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  • Claims Specialist, Audit & Contracting

    LogixHealth (Dania, FL)
    …contribute to our fast-paced, collaborative environment and will bring your expertise to review and carry out processes on all out of network claims. The ideal ... communication, and a well-rounded knowledge of insurance payers. Key Responsibilities: + Review , organize, and file IDR emails and complete responses + Monitor and… more
    LogixHealth (07/11/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding . **Job Summary** Utilizing clinical knowledge and experience, ... decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and ...two years of experience in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with… more
    Molina Healthcare (09/06/25)
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  • Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Tallahassee, FL)
    …and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review ). You will manage ... regulations and best practices related to prospective risk capture and concurrent review . **Compliance & Quality :** + Partner with Legal, Compliance, and… more
    Datavant (08/08/25)
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  • Vendor Resource Management Team Lead

    HCA Healthcare (Tampa, FL)
    …the monthly random, focus, prebill review , and Ad Hoc quality review process + Submits and reviews coding appeals as appropriate **What qualifications ... with vendor management including monitoring processes and services for improvement, coding quality , trending/analyzing data, creating and presenting education,… more
    HCA Healthcare (09/27/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing ... the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
    Elevance Health (09/30/25)
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