• Auditor, HCC Risk Adjustment Coding

    Datavant (Tallahassee, FL)
    …reflect the complexity and severity of a patient's health stats, **You will:** + Provide education through detailed feedback within audits. + Provide coders' ... by management. **What you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school… more
    Datavant (08/08/25)
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  • Quality Coding & Documentation Specialist

    AdventHealth (Altamonte Springs, FL)
    …position must understand the clinical Care Gaps for different populations and use provider education and a multi-disciplinary team approach to aid practices and ... **Quality Coding &** **Documentation** **Specialist AdventHealth PHSO Resources** **All...closing them. They will participate in select committees and provide education as needed. This position will… more
    AdventHealth (08/07/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (FL)
    …Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate reimbursement. ... findings for use as a basis for development of coding education and audit plans. 6. Maintains...limited supervision. Uses an expert level of knowledge to provide coding and billing guidance and oversight… more
    Banner Health (06/15/25)
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  • Clinical Quality Consultant NP 100% Virtual,…

    Elevance Health (Miami, FL)
    …supplying clinical expertise to ensure full accurate and appropriate diagnosis, documentation, coding and care. will review all provider visit medical encounters ... ICD-10 codes that have been assigned in charts. + Provide feedback to the provider for improved...CMS Risk Adjustment Model** ; or any combination of education and experience, which would provide an… more
    Elevance Health (08/08/25)
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  • Patient Care Representative

    AdventHealth (Sebring, FL)
    …succeed** **:** + High-school diploma or equivalent Healthcare environment experience or education + Billing and coding experience required + Insurance ... work with the AdventHealth Medical Group practice providers and team to provide critical analytical support. They will serve our consumers by providing outreach… more
    AdventHealth (08/07/25)
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  • Certified Coder - REMOTE

    Molina Healthcare (St. Petersburg, FL)
    …of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment + Builds positive relationships ... scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists in... guidelines (official through CMS) as well as AHA Coding Clinic guidance **JOB QUALIFICATIONS** **Required Education **… more
    Molina Healthcare (07/31/25)
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  • Profee Medical Coder General Medicine…

    Banner Health (FL)
    …if desired. **Bring your years of Multi-Specialty - General Medicine (some HCC ) Coding experience** with Certified Risk Adjustment Coder (CRC) certification ... **Department Name:** Coding Ambulatory **Work Shift:** Day **Job Category:** Revenue...Range:** $22.06 - $33.10 / hour, based on location, education , & experience. In accordance with State Pay Transparency… more
    Banner Health (08/08/25)
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  • Supervisor, Risk Adjustment Operations

    Datavant (Tallahassee, FL)
    …on a daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving production and quality ... standards of the role. + Report trends for education opportunities to management for review and/or action. +...experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base… more
    Datavant (07/24/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Tampa, FL)
    …and a minimum of 5 years of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination of education ... including associated reporting and KPIs. + Oversees design and execution of provider /chart review workflows to ensure high quality encounter submissions. + Liaises… more
    Elevance Health (07/18/25)
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