• Quality Reviewer (Aetna SIU)

    CVS Health (Tallahassee, FL)
    …Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA). + Knowledge of Behavioral Health policies ... and procedures is a plus. + Experience reviewing Behavioral Health fraud cases. + Understanding of clinical issues related to healthcare. + Strong communication and customer service skills. + Ability to effectively interact with diverse groups of people at… more
    CVS Health (08/08/25)
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  • Coder Analyst III Virtual

    AdventHealth (Tampa, FL)
    …year HIM program. . 2 years of inpatient coding experience . RHIA or RHIT, or CCS or CPC . . Will consider inpatient years of experience in lieu of certification ... but applicant must obtain certification within 2 years of hire. This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay… more
    AdventHealth (08/07/25)
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  • Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Miami, FL)
    …**Required License, Certification, Association** Active and unrestricted Coding Certification, Active CCS , CCS -P, or CPC credential **Preferred Education** ... Bachelor's Degree in Business Administration, Health Care Management o To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and… more
    Molina Healthcare (07/25/25)
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  • Revenue Integrity Charge Analyst

    HCA Healthcare (Ocala, FL)
    …charging validation reviews preferred. + Healthcare certification/licensure such as RHIT, CCS , CCP, CPC or other recognized AHIMA certified coding credential, ... LPN, LVN, RT, PT, etc., can be accepted lieu of degree with work experience. **Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance… more
    HCA Healthcare (08/02/25)
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  • Medical Necessity Coding Compliance Coordinator

    HCA Healthcare (Panama City, FL)
    …1 year NCD/LCD experience preferred. + Healthcare certification/licensure such as RHIT, CCS , CCP, CPC or other recognized AHIMA certified coding credential, LPN, ... LVN, RT, PT, etc., required. **Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity,… more
    HCA Healthcare (07/20/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Tallahassee, FL)
    …Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder ( CPC ) + Certified Coding Specialist ( CCS ) **To comply with HIPAA ... security standards (45 CFR sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state.… more
    Evolent (07/18/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Gainesville, FL)
    …charging validation reviews preferred. + Healthcare certification/licensure such as RHIT, CCS , CCP, CPC or other recognized AHIMA certified coding credential, ... LPN, LVN, RT, PT, etc., can be accepted lieu of degree with work experience. **Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance… more
    HCA Healthcare (07/11/25)
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  • Senior Client Coding Project Manager

    Datavant (Tallahassee, FL)
    …+ Minimum 5 years managing coders in an outpatient or inpatient setting. + Current CCS , CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, ... Medicaid, Commercial RA, and HEDIS experience. + Familiarity with HIPAA patient privacy requirements. + Excellent communication and organizational skills. + Keen attention to detail. + Advanced problem-solving skills. + Proficient in Microsoft Office and… more
    Datavant (06/28/25)
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  • Outpatient Coder 1

    University of Miami (Medley, FL)
    …outpatient coding experience + Certified Coding Associate (CCA), Certified Professional Coder ( CPC ; CPC -A), Certified Coding Specialist ( CCS ), and/or ... Registered Health Information Technician (RHIT) + Skill in completing assignments accurately and with attention to detail. + Understanding of and adherence to the Health Insurance Portability and Accountability Act (HIPAA). + Commitment to the University of… more
    University of Miami (07/30/25)
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  • Supervisor, HCC Risk Adjustment Coding - Remote

    Datavant (Tallahassee, FL)
    …assigned. **What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials ( CPC , CPC -H, COC, CIC, CRC) + ... Extensive knowledge of ICD -9/10 + 2 years coding experience, required. + People Leader experience managing a team of employees. + Familiarity with HCC coding. + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more
    Datavant (08/13/25)
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