• Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as CCS or CIC. +… more
    Elevance Health (08/09/25)
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  • Digital Marketing Analytics Manager-Web Analytics,…

    Publix (Lakeland, FL)
    …track-record of finding actionable insights in raw data sourced from multiple systems , and translating those insights into actionable recommendations that can be ... Social, Display, and affiliate marketing; familiarity with common bidding strategies like CPC , CPM, CPA and the analysis techniques used to evaluate each;… more
    Publix (07/11/25)
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  • Special Investigations Unit Life and Health…

    USAA (Tampa, FL)
    …are conducted within regulatory requirements. + Applies proficient product and system knowledge to ensure appropriate investigation and/or claim settlement. + ... CPT, HCPC, EDI 837, etc. + CFE, CHC, AHFI, or Certified Professional Coder ( CPC ) certifications. + 2 or more years of experience in negotiating or settling health… more
    USAA (08/08/25)
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  • Coding Auditor-Inpatient

    AdventHealth (Maitland, FL)
    …and the coding staff concerning changes in the coding and reimbursement system and any weakness identified during the coding validation reviews. Qualifications **The ... Required + Certified Coding Specialist (CCS) Required + Certified Professional Coder ( CPC ) Required This facility is an equal opportunity employer and complies with… more
    AdventHealth (08/07/25)
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  • Coding Specialist Rapid

    AdventHealth (Maitland, FL)
    …CPT codes conventions and requirements of the Medicare Prospective Payment System . Actively participates in outstanding customer service and accepts responsibility ... + Certified Billing and Coding Specialist (CBCS) + Certified Pension Consultant ( CPC ) This facility is an equal opportunity employer and complies with federal,… more
    AdventHealth (08/07/25)
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  • RCM Optimization Specialist 2

    Modernizing Medicine (Boca Raton, FL)
    …early on for the success of our clients and teams. + Stay current with system enhancements and process updates. Provide input to the team and the Lead for ... Bachelor's Degree or equivalent education and experience. + 4-year degree or CPC /CPB certifications, preferred. + 4 Years RCM, Medical office, or billing… more
    Modernizing Medicine (07/23/25)
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  • Director of Revenue

    HCA Healthcare (Palm Harbor, FL)
    …assigned practices and Provider Enrollment + Serve as primary contact for the CPC and the hospital Medical Staff offices for credentialing and re[1]credentialing all ... main entry point for patients looking for high-quality healthcare within the HCA Healthcare system . With a focus on meeting the needs of our patients at all access… more
    HCA Healthcare (07/12/25)
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  • Investigator Senior

    Elevance Health (Miami, FL)
    …entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. + Responsible for ... **Preferred Qualifications, Skills & Capabilities** + Professional certification of CFE, AHFI, CPC , Paralegal, RN, JD or other job related designation preferred. +… more
    Elevance Health (08/12/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …analysis of claims and medical records prior to payment and uses required systems /tools to accurately document determinations and continue to next step in the claims ... which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). **Preferred Capabilities, Skills, and Experiences:** + Knowledge of… more
    Elevance Health (08/12/25)
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  • Remote Outpatient Surgical Coder

    TEKsystems (Jacksonville, FL)
    …experience in an outpatient ambulatory surgery center setting. + Certification required: CPC , CCS, or equivalent. + Strong understanding of CPT, ICD-10, and HCPCS ... coding systems . + Familiarity with ASC billing practices and payer-specific requirements. + Excellent attention to detail and organizational skills. + Ability to… more
    TEKsystems (08/12/25)
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