• Facility Coding Inpatient DRG Quality

    Banner Health (FL)
    …documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) ... or utilized operational systems . Provides explanatory and reference information to internal and...consistent with official coding guidelines. 3. Assists with maintaining system wide consistency in coding practices and ethical coding… more
    Banner Health (06/15/25)
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  • FDC - Construction Projects Consultant I -…

    MyFlorida (Clermont, FL)
    …- 70022509 - Region 3 Office Date: Aug 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Tool (https://compcalculator.myflorida.com/) FLORIDA DEPARTMENT OF CORRECTIONS We Never Walk Alone CPC I This open competitive advertisement is for a Career Service… more
    MyFlorida (07/29/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Gainesville, FL)
    …daily ancillary charge report to identify any potential charging issue related to system failures, system updates or other. Reviews denial trends for ... and observation requirements. + Knowledge of Revenue Cycle Pro, 3M Coding systems , and 3M Coding Resources. + Participates in charge optimization projects and… more
    HCA Healthcare (07/11/25)
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  • Manager Enrollment and Billing

    Healthfirst (FL)
    …role of a business stakeholder. + Working knowledge of how data processes through systems and system integrations work to understand and plan for addressing ... reports / dashboards + Proficiency in relevant software and systems (eg, CRM, billing platforms, Excel). + The role...+ Certification in claims processing or related area (eg, CPC , AIC) WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants… more
    Healthfirst (07/30/25)
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  • Coder II - OP Physician Coding

    Baylor Scott & White Health (Tallahassee, FL)
    …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: ... Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other… more
    Baylor Scott & White Health (08/12/25)
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  • Quality Reviewer (Aetna SIU)

    CVS Health (Tallahassee, FL)
    …required standards. + Document all relevant case activity in the case tracking system . + Evaluate and present referrals, both internal and external, within the ... evidence supporting allegations of fraud and abuse. + Utilize company systems to obtain necessary electronic documentation. **Required Qualifications** + 1 year… more
    CVS Health (08/08/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Tallahassee, FL)
    …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... + Strong understanding of HCPCS, CPT, and ICD-10 coding systems . + 5+ years of experience managing and analyzing...+ Certified Coding Associate (CCA) + Certified Professional Coder ( CPC ) + Certified Coding Specialist (CCS) **To comply with… more
    Evolent (07/18/25)
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  • Coder III - OP Physician Coding

    Baylor Scott & White Health (Tallahassee, FL)
    …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: ... and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates...+ Cert Outpatient Coder (COC) + Cert Professional Coder ( CPC ) + Reg Health Info Administrator (RHIA) + Reg… more
    Baylor Scott & White Health (08/08/25)
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  • Clinical Dispute Reviewer

    Zelis (St. Petersburg, FL)
    …and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by ... active Inpatient Coding Certification required (ie, CCS, CIC, RHIA, RHIT, CPC or equivalent credentialing). + Registered Nurse licensure preferred + Bachelor's… more
    Zelis (08/02/25)
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  • Revenue Cycle Audit Specialist (H)

    University of Miami (Medley, FL)
    …+ Minimum 3 years of relevant experience + Certification in Medical Coding (CHC, CPC , CCS, CPMA, RHIT, RHIA through AHIMA or AAPC) + Ability to maintain effective ... medical, dental, tuition remission and more. UHealth-University of Miami Health System , South Florida's only university-based health system , provides… more
    University of Miami (07/23/25)
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