• Senior Analyst, Risk Adjustment - Predictive…

    Molina Healthcare (Jacksonville, FL)
    … cycles by identifying, synthesizing, and validating source data needed to build chart retrieval chase lists for medical record collection. Success in this ... execution by identifying appropriate data sources, validating CMS audit samples, and generating chart retrieval chase...sources, validating CMS audit samples, and generating chart retrieval chase lists in coordination with internal teams.… more
    Molina Healthcare (08/03/25)
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  • Site Medical Director

    YesCare Corp (Tallahassee, FL)
    …at the Leon County in Tallahassee, FL** **Administrative** + Serve as Chairman of the Medical Audit Committee. + Consult with medical providers in the ... **Experience & Requirements** + Graduate of an accredited medical school. + Fully licensed to practice medicine...action on patient complaints, infection control, peer review and chart audits. + Manage referrals to outside healthcare facilities… more
    YesCare Corp (05/23/25)
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  • DRG Coding Auditor

    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, clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes … more
    Elevance Health (07/22/25)
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  • Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Miami, FL)
    …**Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data ... validation related activities, including, but not limited to: progress tracking, chart retrieval, file transmissions, and adherence to applicable timelines * Support… more
    Molina Healthcare (07/25/25)
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  • REMOTE Outpatient Facility Auditor

    TEKsystems (Orlando, FL)
    …improving overall coding practices. Top Skills Details Outpatient facility Outpatient coder Audit Certified coding specialist (CCS) EPIC CPT, Medical coding ... ensure accurate coding and compliance. Coding Logic Review and Audit within EPIC: Review and audit coding...them. Carry out other duties as assigned by leadership. Chart Audits: Perform detailed audits on outpatient facility coders,… more
    TEKsystems (08/02/25)
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  • Medical Assistant

    MTC (Quincy, FL)
    …to patients; provide education on condition, treatment or treatment plan. 7. Properly chart medical care consistent with scope of practice and ensure ... Highway Quincy, Florida 32351 **Work schedule:** Full-time **Benefit package includes:** + Medical , vision, and prescription drug benefits + Dental benefits + Life… more
    MTC (07/30/25)
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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 (08/01/25)
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  • Inpatient Medical Coder - FT - Up to $5,000…

    Datavant (Tallahassee, FL)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence...ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders,… more
    Datavant (06/25/25)
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  • Quality Systems Associate

    Biomat USA, Inc. (Jacksonville, FL)
    …responsibilities for role (level-specific responsibilities should be included in the chart below):** * Completes weekly review of equipment QC and maintenance ... documentation. * Reviews unexpected plasmapheresis events including electronic donor chart and related documentation pertaining to exceptions occurring during the… more
    Biomat USA, Inc. (07/16/25)
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  • Physician Lead

    CenterWell (Daytona Beach, FL)
    …+ Assisting in resolution of inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality care and ... continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists as needed. Advises… more
    CenterWell (07/10/25)
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