• Referral Coordinator

    ChenMed (Miami, FL)
    …duties as assigned. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of medical terminology, CPT , HCPCS and ICD coding desired + Detail-oriented with the ability ... to multi-task. Must be open to cross-functionally training in referrals and back office duties + Able to exercise proper phone etiquette with the ability to navigate proficiently through computer software systems + Team-oriented with the ability to work… more
    ChenMed (04/18/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …guidelines/established Encryption policies and procedures. + Reviews Current Procedural Terminology ( CPT ) and Healthcare Common Procedure Coding System (HCPCS) ... is preferred + Knowledge of medical terminology + Knowledge of medical coding systems + Knowledge of Medicaid/Medicare Guidelines + Knowledge of billing rules… more
    CHS (05/10/25)
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  • Senior Health Economics Analyst

    ChenMed (Miami, FL)
    …data such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT /HCPCS, Revenue Codes, MS/APR-DRGs and APCs + ... Excellent communication skills across verbal, written, and presentation applications (Microsoft Word, PowerPoint, Excel, etc) + Experience with SQL required, PowerBI and Qlikview & SQpreferred + Spoken and written fluency in English + This job requires use and… more
    ChenMed (03/07/25)
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  • Physician Enterprise Coder Remote

    AdventHealth (Altamonte Springs, FL)
    …you'll contribute:** AH coders will review physician's documentation and assign the proper CPT , ICD-10, HCPCS codes and modifiers for services rendered in the office ... will work on previously coded items and make corrections based on current coding guidelines for charges needing edits, reviews, and denials needing recoding. **The… more
    AdventHealth (05/09/25)
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  • Inpatient DRG Quality Auditor

    Humana (Tallahassee, FL)
    …put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor ... is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns… more
    Humana (05/03/25)
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  • Senior Outpatient Coder

    Houston Methodist (FL)
    …to encounters of high complexity. + Maintains and achieves departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and ... ESSENTIAL FUNCTIONS** + Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. + Participates and provides good… more
    Houston Methodist (05/01/25)
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  • Clinical Coder III - Department of Neurosurgery

    University of Florida (Gainesville, FL)
    …anexperienced surgical coderto perform highly specialized diagnosis and procedural coding for all operative procedures and inpatient consulting services performed ... a thorough knowledge of anatomy, surgical and medical terminology coding , a working knowledge of the billing requirements of...either verify or to apply the appropriate ICD-10 and CPT codes. Confirms physician attestation statements are in place,… more
    University of Florida (04/03/25)
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  • Investigator, SIU RN-Remote

    Molina Healthcare (FL)
    …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain ...understanding of medical terminology along with demonstrated knowledge of CPT , ICD-9, HCPCS and DRG requirements. + Two years… more
    Molina Healthcare (04/12/25)
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  • Revenue Integrity Clin Charge Review Analyst RN

    HCA Healthcare (Ocala, FL)
    …**In this role you will:** + Conduct reviews of charging, coding , and clinical documentation, collaborating with Corporate Revenue Integrity Leadership during ... liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes. Collaborates with Ancillary Departments to resolve… more
    HCA Healthcare (03/22/25)
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  • Medical Billing Specialist, Full Time

    Northwest Florida Community Hospital (Chipley, FL)
    …medical procedures. + Review and analyze medical records to ensure appropriate coding of diagnoses and procedures. + Resolve billing issues with insurance companies ... + Work closely with other departments, such as medical coding and billing, to ensure accurate and timely billing...of medical billing codes and regulations, including ICD-10 and CPT codes + Familiarity with medical billing software and… more
    Northwest Florida Community Hospital (04/19/25)
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