• Specialty Coder II - Anesthesia

    BayCare Health System (Tampa, FL)
    …opportunities + Community perks and discounts **Certifications and Licensures** + Required CPC ( coding ) **Education** + Required High School or equivalent + ... Preferred Associate Degree **Experience** + Required 2 years Coding + And 1 year of Medical ...years Coding + And 1 year of Medical Office related experience Equal Opportunity Employer Veterans/Disabled **Position**… more
    BayCare Health System (08/08/25)
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  • Business Systems Analyst 3 - Revenue Integrity

    University of Miami (Miami, FL)
    …of Revenue Integrity Systems, the analyst collaborates with clinical departments, coding teams, IT, and compliance to monitor revenue cycle performance, resolve ... practices. Compliance & Documentation + Ensure adherence to payer guidelines, coding standards, and regulatory requirements. + Participate in internal audits and… more
    University of Miami (08/22/25)
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  • Clinical Provider Auditor II

    Elevance Health (Miami, FL)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... + Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1...experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). For candidates… more
    Elevance Health (09/06/25)
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  • Special Investigation Unit Lead Review Analyst…

    CVS Health (Tallahassee, FL)
    …of three years Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of ... waste, and abuse investigatory and audits required. * Knowledge of CPT/HCPCS/ICD coding *Proficiency in Word, Excel, MS Outlook products, Database search tools, and… more
    CVS Health (09/19/25)
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  • Epic Solutions Architect 2 - Central (H)

    University of Miami (Miami, FL)
    …Statistics, or equivalent or a related field. Master's degree is desirable + Coding Certification (eg CPC , CCS, CIC, CMC) from an accredited healthcare ... of operational healthcare, hospital and/or ambulatory and inpatient workflows and medical terminology. + Ability to communicate ideas and problem solutions +… more
    University of Miami (07/25/25)
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  • Claim Field Analyst (Tampa/Orlando, Florida)

    CVS Health (Tallahassee, FL)
    …Other duties as assigned. **Required Qualifications** + 3+ years of experience in medical billing and coding , specifically related to claims processing and root ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
    CVS Health (09/24/25)
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  • Investigator Senior

    Elevance Health (FL)
    …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... you make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and...Skills & Capabilities** + Professional certification of CFE, AHFI, CPC , Paralegal, RN, JD or other job related designation… more
    Elevance Health (10/01/25)
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  • Investigator

    Highmark Health (Tallahassee, FL)
    …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
    Highmark Health (09/10/25)
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