• Acute Care Outpatient Coder Team Lead

    HCA Healthcare (Ocala, FL)
    …is a fully remote/work from home position.** **This position requires Outpatient Coding experience in acute care/facility.** Last year our HCA Healthcare colleagues ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...**Job Summary and Qualifications** As an Acute Care Outpatient Coding Lead, you will perform as the daily contact… more
    HCA Healthcare (06/21/25)
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  • Physician Office Medical Coder/Biller II

    Florida Health Care Plans, Inc. (Daytona Beach, FL)
    …required. + Must pass a Physician Office Medical Biller, POMB, test prior to employment. + Must keep current with coding changes related to the office. ... POSITION SUMMARY: The Physician Office Medical Coder/Biller (POMB) conducts a documentation review of...capture appropriate ICD-10, CPT, HCPCS and modifiers to complete coding portion of the process. The POMB will prepare… more
    Florida Health Care Plans, Inc. (07/20/25)
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  • Investigator, Special Investigative Unit…

    Molina Healthcare (Miami, FL)
    …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to...programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health… more
    Molina Healthcare (07/24/25)
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  • PreA InfBen & Auth Spec-ONC

    AdventHealth (Orlando, FL)
    …supporting documentation packet to the electronic medical record for Revenue Cycle billing and coding teams. + Contacts insurance companies by phone, fax, ... and/or National Comprehensive Cancer Network (NCCN) guidelines. Ensures specified medical terms, diagnosis, medication codes and supporting clinical documentations… more
    AdventHealth (08/07/25)
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  • Clinical Dispute Reviewer

    Zelis (St. Petersburg, FL)
    … and billing rules + Clinical skills to evaluate appropriate Medical Record Coding + Experience performing regulatory research from multiple sources, ... Health Plans and TPA's to ensure adherence to proper coding and billing guidelines as it relates...provider disputes. + Utilize the most up-to-date approved Zelis medical coding sources for bill review maintenance.… more
    Zelis (08/02/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (08/09/25)
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  • Inpatient Coder 3 (H)

    University of Miami (Medley, FL)
    …official coding guidelines and knowledge of anatomy and physiology, medical terminology, and disease processes. + Identify cases with clinical indicators that ... Coder III to work remotely. Under the general direction of the Inpatient Coding Manager, the Inpatient Coder III reviews documentation in the electronic medical more
    University of Miami (07/30/25)
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  • Divisional Coder III Remote

    AdventHealth (Altamonte Springs, FL)
    …the coding software. **EDUCATION AND EXPERIENCE REQUIRED:** 1) High school diploma and medical coding certificate program or 2 year HIM program. 2) One to ... Computer Assisted Coding programs. Will work with Case Management, the Billing Office, Coding Manager, Clinical Documentation Improvement specialists and the… more
    AdventHealth (08/07/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Gainesville, 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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (07/11/25)
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  • Dispute Repricing Analyst

    CVS Health (Tallahassee, FL)
    …2+ years experience working with medical terminology, claim forms, and physician billing coding . + 1+ years of experience with provider disputes. + Computer ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
    CVS Health (07/25/25)
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