• Quality Improvement CDI Specialist

    NCH (Naples, FL)
    …extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting. * Strong understanding of coding application, rules, and ... potential missed opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code discrepancies, collaborate with… more
    NCH (09/15/25)
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  • Coder III - OP (Cath Lab-Circc)

    Baylor Scott & White Health (Tallahassee, FL)
    …opportunity + CERTIFICATION/LICENSE/REGISTRATION - + Cert Coding Specialist (CCS) + Cert Coding Spec Physician Bas (CCS-P) + Cert Inpatient Coder (CIC) + ... and/or level **Job Summary** The Coder III is skilled in high acuity inpatient , hospital-based outpatient, or Profee. This includes high acuity profee service lines,… more
    Baylor Scott & White Health (08/08/25)
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  • Clinical Coder II

    University of Florida (Gainesville, FL)
    …diploma or equivalent and three years of professional medical coding experience. Appropriate college coursework or vocational/technical training may substitute ... Professional Coders (AAPC) or one of the following required: Certified Coding Specialist (CCS-P)/Certified Coding Assistant (CCA)/Registered Health Information… more
    University of Florida (10/02/25)
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  • Compliance Audit Manager

    Cardinal Health (Tallahassee, FL)
    …compliance department audits to determine accuracy and adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing ... and/or hospital (technical) services, including: detection and correction of documentation, coding , and billing errors and/or medical necessity of services billed.… more
    Cardinal Health (08/27/25)
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  • Physician Advisor

    AdventHealth (Orlando, FL)
    …review of utilization, claims management, and quality assurance related to inpatient care, outpatient care/observation stays and referral services. This position ... + SCOPE OF RESPONSIBILITY: Responsible for reviewing and authorizing inpatient days and the evaluation of inpatient ...Staff to facilitate the accurate and complete documentation for coding and abstracting of clinical data, capture of severity,… more
    AdventHealth (09/24/25)
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  • Director, Epic Applications - Revenue Integrity

    University of Miami (Miami, FL)
    …implementation and maintenance of revenue cycle technologies, including charge capture, coding , billing, and reimbursement systems. They will work closely with ... with Epic analysts and application teams to implement enhancements that improve coding accuracy, reduce denials, and support regulatory compliance. + Lead revenue… more
    University of Miami (09/11/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and… more
    Molina Healthcare (09/06/25)
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  • Coder Analyst III Virtual

    AdventHealth (Tampa, FL)
    …**The role you'll contribute:** Assigns ICD-10-CM and ICD-10-PCS codes to hospital inpatient accounts utilizing Epic, the 3M Encoder and Dolbey Computer Assisted ... Coding programs. Will work with Coding leadership, Clinical Documentation Improvement specialists and the Coding Quality team to code and release accounts for… more
    AdventHealth (08/13/25)
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  • Medical Director-Payment Integrity

    Humana (Tallahassee, FL)
    …level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is ... of decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of doing… more
    Humana (09/26/25)
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  • Physician Advisor

    AdventHealth (Orlando, FL)
    …health professionals. Maintains a positive and supportive relationship between the inpatient facilities, payors and physicians (hospitalist groups and primary care ... program development. Educate medical staff on correlation between clinical language, coding guidelines, severity of illness, risk of mortality and DRG assignment.… more
    AdventHealth (09/04/25)
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