• Sr Compliance RCM & Coding Auditor

    Humana (Tallahassee, FL)
    …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , by ... about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and… more
    Humana (08/23/25)
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  • Special Investigation Unit (SIU) Coding…

    CVS Health (Tallahassee, FL)
    …the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical , behavioral, ... coding and appropriate documentation during the review of medical records. This role requires a strong focus on...up-to-date coding knowledge, including new changes to coding compliance and reimbursement. + Experience with… more
    CVS Health (08/08/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Tallahassee, FL)
    …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will ... coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and...healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder)… more
    Evolent (08/14/25)
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  • Medical Director - Florida

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which… more
    Humana (07/29/25)
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  • Associate Medical Director…

    Sumitomo Pharma (Tallahassee, FL)
    …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more
    Sumitomo Pharma (08/15/25)
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  • Director , Prospective + Concurrent Risk…

    Datavant (Tallahassee, FL)
    …requirements, medical record standards, and regulatory guidance impacting concurrent coding or risk adjustment. + Product experience integrating into EHRs or ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
    Datavant (08/08/25)
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  • Health Information Management Director

    HCA Healthcare (Sebring, FL)
    …join an organization that invests in you as a Health Information Management Director ? At HCA Florida Highlands Hospital, you come first. HCA Healthcare has committed ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...We are looking for a dedicated Health Information Management Director like you to be a part of our… more
    HCA Healthcare (08/08/25)
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  • Director of Performance & Enablement…

    AdventHealth (Maitland, FL)
    ** Director of Performance & Enablement Population Health** **All the benefits and perks you need for you and your family:** Benefits from Day One Paid Time Off from ... per week on Mondays **The role you'll contribute:** The Director of Performance and Enablement plays a critical role...plays a critical role in advancing the performance of medical practices within clinically integrated networks, ACOs, and other… more
    AdventHealth (08/21/25)
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  • Director of Food and Nutrition Services

    HCA Healthcare (Orange Park, FL)
    …objectives Produces and manage Department Budget to include accurate and timely GL coding + Manages and maximize the compliance of HealthTrust contracted vendors ... over 156,000 hours volunteering in our communities. As a Director of Food and Nutrition Services with HCA Florida...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (08/22/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Tampa, FL)
    **Clinical Documentation and Claims Integrity Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... home-care and community based services. The **Clinical Document Improvement Director ** is responsible for leading encounter processing, diagnostic documentation and… more
    Elevance Health (08/14/25)
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