• Coding Auditor Educator-Inpatient

    Highmark Health (Tallahassee, FL)
    …factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff ... AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years… more
    Highmark Health (09/20/25)
    - Related Jobs
  • Accountant III

    MyFlorida (Fort Lauderdale, FL)
    …being paid. Claims Billing Responsible for the accuracy and timeliness of medical and dental billing to all insurance companies. Capture the correct charge ... This is a professional position that serves as the medical and dental biller for the Accounts Receivable Department...reports in Excel. Audits and Processes Encounters Assists the Billing Manager with auditing of all superbills for verification… more
    MyFlorida (10/03/25)
    - Related Jobs
  • Vendor Resource Management Team Lead

    HCA Healthcare (Tampa, FL)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...to enhance quality outcomes. You will prepare and provide coder specific education based on audit outcomes and trends.… more
    HCA Healthcare (09/27/25)
    - Related Jobs
  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. + Identifies ... Field **PREFERRED EXPERIENCE:** Nursing experience in Critical Care, Emergency Medicine, Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and… more
    Molina Healthcare (09/06/25)
    - Related Jobs
  • Compliance Audit Manager

    Cardinal Health (Tallahassee, FL)
    …(technical) services, including: detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular ... documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Manages focused audits involving… more
    Cardinal Health (08/27/25)
    - Related Jobs
  • Remote Senior Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    … demonstrates experience and expertise, so coding quality review is not required before billing . The Senior Coder utilizes years of experience and expertise to ... 125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in… more
    AdventHealth (09/06/25)
    - Related Jobs
  • Senior Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    … demonstrates experience and expertise, so coding quality review is not required before billing . The Senior Coder utilizes years of experience and expertise to ... 125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in… more
    AdventHealth (08/07/25)
    - Related Jobs
  • Vendor Resource Management Manager

    HCA Healthcare (Kissimmee, FL)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...+ Monitors monthly quality scores by vendor and individual coder ; recommends vendor coding personnel to be placed under… more
    HCA Healthcare (09/27/25)
    - Related Jobs
  • Investigator

    Highmark Health (Tallahassee, FL)
    …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
    Highmark Health (09/10/25)
    - Related Jobs
  • Coding Specialist Rapid

    AdventHealth (Altamonte Springs, FL)
    …of the Outpatient Coding Operations manager, the Rapid In & Out Coder is responsible for reviewing, analyzing, and interpreting clinical documentation contained in ... the medical record, applying appropriate ICD-10 and CPT codes conventions...for comprehensive, accurate, timely clinical documentation. + Outpatient Surgical coder . Assign ICD-10 diagnosis codes and applicable CPT/HCPCS codes… more
    AdventHealth (10/03/25)
    - Related Jobs