• Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …to: International Classification of Diseases, Clinical Modification (ICD-10-CM and ICD-10-PCS), CPT , ICD-10-CM/PCS Coding Conventions, Official Coding ... Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the inpatient or… more
    AdventHealth (08/07/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …CPMA). **Preferred Skills, Capabilities, and Experiences:** + Knowledge of ICD-10 and CPT /HCPC coding guidelines and terminology and Bachelors degree strongly ... 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 3 years medical coding /auditing experience, including minimum of 1 year in fraud,… more
    Elevance Health (08/08/25)
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  • Manager, Billing and Collections

    Akumin (Tampa, FL)
    …PPOs, and private + insurance companies, as well as an understanding of ICD-10 and CPT coding , + EMR PQRS, and Medicare Quality Initiatives. + Experience working ... experience + Extensive knowledge of Revenue Cycle, patient registration, coding , billing, + regulatory requirements, billing compliance, business operations,… more
    Akumin (08/16/25)
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  • Scheduler I

    Insight Global (Sarasota, FL)
    …MRI, CT-Scan, CAT Scan, x-ray, PET scan, Mammo, Nucmed, biopsies Knowledge of ICD-9/ICD-10 coding and current CPT coding Knowledge of commercial insurances ... and their portals (Cigna, Aetna, BCBS, UHC) null We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer… more
    Insight Global (07/12/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Tallahassee, FL)
    …vendor, managed care, or healthcare consulting environment. + Strong understanding of HCPCS, CPT , and ICD-10 coding systems. + 5+ years of experience managing ... who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. As a member of… more
    Evolent (07/18/25)
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  • Consultative Coding Professional

    CenterWell (Tallahassee, FL)
    …medical records and assigns appropriate procedural terminology and medical codes (eg, ICD-10-CM, CPT ) to patient records. The Medical Coding Professional 2 work ... **Become a part of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of… more
    CenterWell (08/08/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …surgical, Ob/Gyn, home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS ... Guidelines, MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare, CHIP and Marketplace, applicable State regulatory requirements, including the ability to easily access and interpret these guidelines. **Required License,… more
    Molina Healthcare (08/15/25)
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  • Clinical Auditor Supervisor Educator

    AdventHealth (Tampa, FL)
    …audits related to patient billing in assigned area. Researches and analyzes charges, CPT coding , and national coverage decisions in conjunction with medical ... charts to ensure compliance with Medicare, Medicaid and other third-party payers as well as to ensure appropriate reimbursement. Advises, educates and acts as clinical/billing liaison between ancillary departments, finance and business office staff. Ensures… more
    AdventHealth (08/15/25)
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  • Referral Coordinator

    CenterWell (The Villages, FL)
    …+ Bachelor's Degree in Healthcare or Business Administration + Knowledge of ICD 10 and CPT coding + **Bilingual in English and Spanish** + Medical Assistant or ... Professional State Certifications related to healthcare **Working hours** : Monday to Friday 8AM-5PM **Local travel may be required; Mileage is reimbursed** In addition to being a great place to work, CenterWell Senior Primary Care also offers industry leading… more
    CenterWell (08/15/25)
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  • Medical Assistant

    CenterWell (Stuart, FL)
    …experience in 'back-office' direct patient care + Experience with HEDIS and ICD/ CPT coding + Hands-on professional Phlebotomy experience + Experience with ... Electronic Medical Records + Experience in a fast paced/high volume environment. **Working hours** : Monday to Friday 8AM-5PM **Use your skills to make an impact** This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening… more
    CenterWell (08/13/25)
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