• Investigator

    Highmark Health (Tallahassee, FL)
    …**Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder ( CPC ) + Certified Outpatient Coder (COC) + Accredited ... + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical… more
    Highmark Health (09/10/25)
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  • Specialty Coder II

    BayCare Health System (Tampa, FL)
    … who assigns diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems . + The Specialty Coder audits physician documentation to assign appropriate ... + **Shift:** 8:00am - 4:30pm + **Days:** Monday through Friday This Specialty Coder II opportunity is a full-time remote position. This team member must reside… more
    BayCare Health System (08/08/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Miami, FL)
    …and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit claims ... and experience, which would provide an equivalent background. Certified Professional Coder ( CPC ) or Registered Health Information Administrator (RHIA)… more
    Elevance Health (09/12/25)
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  • Supervisor, Coding

    Baylor Scott & White Health (Tallahassee, FL)
    …(CCS), or + Certified Coding Specialist-Physician Based (CCS-P), or + Certified Professional Coder ( CPC ), or + Reg Health Info Administrator (RHIA), or + ... families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:… more
    Baylor Scott & White Health (09/10/25)
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  • Medical Claims Specialist - Remote

    Rising Medical Solutions (Tampa, FL)
    …+ High school diploma required; Associate's or Bachelor's degree preferred + CPC (Certified Professional Coder ), CCS (Certified Coding Specialist) or equivalent ... and maintain a working knowledge of medical bill processing, procedures, and supporting systems + Adhere to quality assurance objectives and goals + Develop and… more
    Rising Medical Solutions (09/27/25)
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  • Senior Analyst, Encounters

    Molina Healthcare (St. Petersburg, FL)
    …multiple organizations **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Certified Professional Coder ( CPC ) To all current Molina employees: If you ... data and industry knowledge. Collaborates across departments to design and implement systems changes to meet encounter data processing and submission goals. + Writes… more
    Molina Healthcare (09/24/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as ... knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate… more
    Elevance Health (09/30/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a ... standardized system , ensuring accurate representation of patient conditions for risk...on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third… more
    Datavant (08/26/25)
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  • Office Coordinator - Rheumatology Office

    Trinity Health (Fort Lauderdale, FL)
    …area activities. **Education:** + High School Diploma or equivalent is required. + Certified Coder (either CPC or CCS-P) is preferred. **Experience & Skills:** + ... year of medical coding required. Skill in using computer coding programs and systems is necessary. + Knowledge of coding policies and procedures and reimbursement… more
    Trinity Health (09/23/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using a ... standardized system , ensuring accurate representation of patient conditions for risk...certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC). +… more
    Datavant (08/08/25)
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