• Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims more
    Elevance Health (08/23/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
    Highmark Health (08/08/25)
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  • Admissions Representative Registrar

    HCA Healthcare (Brandon, FL)
    …team by providing accurate demographic and insurance information to ensure accurate coding, billing and claims submission. What you will do: + You will be ... to join an organization that invests in you as a Medical Business Office Specialist ? At Brandon Surgery Center, you come first. HCA Healthcare has committed up to… more
    HCA Healthcare (08/16/25)
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  • Eligibility Supervisor - SES

    MyFlorida (Tampa, FL)
    …counseling, recruiting, billing , or collecting accounts, checking credit, processing insurance policies or claims or providing customer service. + OR ... experience in the Economic Self-Sufficiency Program as an Economic Self-Sufficiency Specialist I or an Economic Self-Sufficiency Specialist II (Eligibility… more
    MyFlorida (08/26/25)
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  • Certified Coder (Risk Adjustment/Outpatient…

    Molina Healthcare (Orlando, FL)
    …chart reviews and abstracts diagnosis codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are ... activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical… more
    Molina Healthcare (08/21/25)
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