• Product Manager, Risk Adjustment Coding…

    Datavant (Tallahassee, FL)
    …bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for ... Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations, database management, and optimization within… more
    Datavant (08/20/25)
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  • Manager, Coding Operations

    Datavant (Tallahassee, FL)
    …educational and life experiences to realize our bold vision for healthcare. The ** Coding Operations Manager** is essential to the Provider HIM Coding division. ... achievements, and implement performance improvement plans when necessary. + Document unplanned absences and take appropriate coverage actions while monitoring… more
    Datavant (09/04/25)
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  • Oracle Apex Software Engineer

    TekSynap (FL)
    …clarity and accuracy in implementation. + Design, code, test, debug, and document programs, adhering to coding standards and software development methodologies. ... + Participate in the design, implementation, integration, management, and maintenance of complex databases, ensuringoptimalperformance and security. + Direct the work of other developers on specific projects, providing leadership and… more
    TekSynap (08/09/25)
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  • Collections Specialist

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    …Specialist will: + Collect information and verify account-specific billing, insurance, and coding . + Update and document customer accounts designated in the ... work campaign. + Verify the accuracy of existing account standing and progress accounts accordingly. + Conduct outbound calls to reconcile account issues and outstanding account balances. + Ensure compliance through strict adherence to federal and state laws,… more
    Polaris Pharmacy Services, LLC (09/14/25)
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  • Inpatient DRG Reviewer

    Zelis (FL)
    …post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy ... claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client...on the clinical evidence obtained during the review + Document all aspect of audits including uploading all provider… more
    Zelis (09/27/25)
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  • Sr. Medical Posting Representative (H)

    University of Miami (Medley, FL)
    …sufficient information for payment of a claim, and educates them on proper claim coding . + Processes all charge document batches and verifies total charges on ... batch ledger. + Reviews encounter forms to ensure that required data elements are present. + Checks patient registrations for financial class, enters appropriate authorizations, and makes sure encounters and co-pays are linked to patient visits. + Communicates… more
    University of Miami (08/28/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claims lifecycle. + ... 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 (09/30/25)
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  • Physician Advisory Services Auditor

    Intermountain Health (Tallahassee, FL)
    …records to document costs and benefits. Facilitates and enhances the coding and diagnosis-related group between physician and coding staff. Minimum ... illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical records documentation for reimbursement,… more
    Intermountain Health (10/01/25)
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  • Medical Claims Specialist - Remote

    Rising Medical Solutions (Tampa, FL)
    …departments + Keep management updated on activities, issues and developments + Document all claims decisions and communications with members in the system accurately ... Bachelor's degree preferred + CPC (Certified Professional Coder), CCS (Certified Coding Specialist) or equivalent medical coding certification preferred… more
    Rising Medical Solutions (09/27/25)
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  • Com-Application Systems Programmer III

    MyFlorida (Tallahassee, FL)
    …Vacancy Your Specific Responsibilities: + Responsible for the design, coding , testing, and deployment of application development enhancements, maintenance, ... modifications, and/or fixes. + Works to ensure coding changes conform to Department hardware, software, development, and architecture standards, including: + Writing… more
    MyFlorida (09/24/25)
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