• Inpatient Coding Resolution Specialist

    HCA Healthcare (Miami, FL)
    …bachelors) degree in HIM/HIT or related degree required Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding ... Monday-Friday flexible schedule. This position requires acute care/facility based Inpatient Coding experience. Are you passionate about the patient experience? At… more
    HCA Healthcare (09/27/25)
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  • Inpatient Medical Coding Auditor

    Humana (Tallahassee, FL)
    …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from...one of these qualifications for 4 years) * MS-DRG coding /auditing experience * Experience reading and interpreting claims… more
    Humana (09/24/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (10/03/25)
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  • Medical Claims Specialist - Remote

    Rising Medical Solutions (Tampa, FL)
    …+ 2-4 years of insurance or healthcare experience, preferably in claims or medical billing-related position(s) Skills/Competencies + Knowledge of Group ... knowledge of medical terminology, CPT and ICD coding , and healthcare billing practices + Well-developed...offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients:… more
    Rising Medical Solutions (09/27/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Miami, FL)
    …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence… more
    Elevance Health (09/12/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Tallahassee, FL)
    …for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
    Highmark Health (09/20/25)
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  • Medical Claims Processor - Remote

    Cognizant (Tallahassee, FL)
    …High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...of physician practice and hospital coding , billing, and medical terminology, CPT, HCPCS,… more
    Cognizant (10/10/25)
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  • Medical Biller/ Claims Processing…

    IQVIA (Miami, FL)
    **Patient Support Medical Claims Processing ​Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our...or equivalent + Experience in claim processing required + Medical Billing Certification required + Coding Certification… more
    IQVIA (08/21/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …experience is preferred + Knowledge of medical terminology + Knowledge of medical coding systems + Knowledge of Medicaid/Medicare Guidelines + Knowledge of ... Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ...and procedures. + Reviews Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to… more
    CHS (09/13/25)
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  • Claims Specialist, Audit & Contracting

    LogixHealth (Dania, FL)
    …Excel, and Outlook Preferred: + One to two years related experience + Healthcare industry knowledge + Medical billing experience Benefits at LogixHealth: We ... revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting… more
    LogixHealth (10/10/25)
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