• LVN Delegation Oversight Nurse Remote

    Molina Healthcare (St. Petersburg, FL)
    …must be active and unrestricted in state of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), ... Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare… more
    Molina Healthcare (09/20/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more
    Datavant (08/08/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Tallahassee, FL)
    …a related field or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + ... The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:**… more
    Evolent (09/23/25)
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  • Medical Claims Specialist - Remote

    Rising Medical Solutions (Tampa, FL)
    …diploma required; Associate's or Bachelor's degree preferred + CPC (Certified Professional Coder ), CCS (Certified Coding Specialist) or equivalent medical coding ... members + Assist members in managing and resolving reimbursement issues related to medical services and covered expenses that are medically necessary + Correspond to… more
    Rising Medical Solutions (09/27/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (FL)
    …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG and ... researching authoritative reference information from a variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that… more
    Banner Health (09/06/25)
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  • Pro Fee Coding Quality Review Educator

    HCA Healthcare (Aventura, 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...with CQR leadership, will work to identify opportunities for coder education via coder reviews, stakeholder feedback,… more
    HCA Healthcare (09/27/25)
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  • Remote Senior Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    …125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in ... the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG...relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review… more
    AdventHealth (09/06/25)
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  • 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)
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  • Divisional Coding Quality Auditor Educator Remote

    AdventHealth (Altamonte Springs, FL)
    …leadership. The Corporate QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting on-going quality ... assurance needs for coding staff. They will review medical records and documentation for coding accuracy, providing feedback,...+ Certified Coding Specialist Required or + Certified Professional Coder Required or + Certified Professional Coder more
    AdventHealth (09/17/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …6a-3p, or 7a-3:30p, 8a-4p, etc. **Location:** AdventHealth Daytona Beach 301 Memorial Medical Parkway, Daytona Beach, FL 32117 **The role you'll contribute:** The ... The QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as...quality assurance needs for coding staff. They will review medical records and documentation for coding accuracy, providing feedback,… more
    AdventHealth (08/07/25)
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