• Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in ... + Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1...experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). **Preferred Skills,… more
    Elevance Health (08/08/25)
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  • Revenue Cycle Audit Specialist (H)

    University of Miami (Medley, FL)
    …degree in relevant field + Minimum 3 years of relevant experience + Certification in Medical Coding (CHC, CPC , CCS, CPMA, RHIT, RHIA through AHIMA or ... Revenue Cycle Audit Specialist conducts reviews of Revenue Cycle external audits related to billing and coding . This role contributes to the success of the… more
    University of Miami (07/23/25)
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  • Specialty Coder II - Anesthesia

    BayCare Health System (Tampa, FL)
    …to assign appropriate CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. + Mentors and ... Community perks and discounts **Certifications and Licensures** + Required CPC ( coding ) **Education** + Required High School...+ Preferred Associate Degree **Experience** + Required 2 years Coding + And 1 year of Medical more
    BayCare Health System (08/08/25)
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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 ... + 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 (08/08/25)
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  • Practice Transformation Associate

    CVS Health (Tallahassee, FL)
    …with your market + Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding , Medicaid risk adjustment methodology, and common billing and common ... analyzing and sharing provider performance metrics related to quality, clinical outcomes, coding , and utilization used to support ABH programs. They will be a… more
    CVS Health (07/12/25)
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  • Revenue Integrity Charge Analyst

    HCA Healthcare (Ocala, FL)
    …validation reviews preferred. + Healthcare certification/licensure such as RHIT, CCS, CCP, CPC or other recognized AHIMA certified coding credential, LPN, ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (08/02/25)
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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 ... program preferred. + Epic HIM Administration - Certification required + Epic Hospital Billing and Professional Billing - Proficiency preferred + 3+ years… more
    University of Miami (07/25/25)
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  • Quality Reviewer (Aetna SIU)

    CVS Health (Tallahassee, FL)
    …years of Medicaid Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA). + Knowledge of ... in researching information and identifying relevant resources. + Knowledge of CPT/HCPCS/ICD coding . **Education** + A Bachelors degree or three years of experience… more
    CVS Health (08/08/25)
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  • Fraud and Waste Investigator

    Humana (Tallahassee, FL)
    …care fraud investigations ( Medical Coding or Healthcare ( Medical Chart Review/Insurance Billing ) or Internal/External Audit or Regulatory/Compliance OR ... Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department,… more
    Humana (08/08/25)
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  • Manager, Special Investigation

    CVS Health (Tallahassee, FL)
    …New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of Aetna's policies and ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
    CVS Health (08/01/25)
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