• Medical Claims Specialist - Remote

    Rising Medical Solutions (Tampa, FL)
    …or Bachelor's degree preferred + CPC (Certified Professional Coder ), CCS (Certified Coding Specialist) or equivalent medical coding certification preferred ... 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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  • Quality Senior Analyst

    CVS Health (FL)
    …equal to approximately 5 years for CPC. + CPC (Certified Professional Coder ) **or** CCS -P (Certified Coding Specialist-Physician) and CRC (Certified Risk ... Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** CDEO (Certified Documentation Expert Outpatient) preferred. **Preferred… more
    CVS Health (09/30/25)
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  • Coding Quality Auditor

    Houston Methodist (FL)
    …and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
    Houston Methodist (09/30/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Miami, FL)
    …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. +… more
    Elevance Health (09/12/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …documentation review, diagnosis coding, and/or auditing. + CPC (Certified Professional Coder ) or CCS -P (Certified Coding Specialist-Physician) required. + CRC ... **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit...(Certified Risk Adjustment Coder ) + Computer proficiency including experience with Microsoft Office… more
    CVS Health (09/26/25)
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  • 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 ... or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist ( CCS ) + AAPC Credentials (Outpatient): Certified Professional Coder … more
    Highmark Health (09/20/25)
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  • Consultative Coding Professional

    CenterWell (Tallahassee, FL)
    …considerable latitude in determining objectives and approaches to assignments. **Consultative Coder ** The Consultative Coder provides medical coding ... our caring community and help us put health first** The consultative coder confirms appropriate diagnosis and procedural code assignment. Analyzes, enters, and… more
    CenterWell (09/25/25)
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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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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …hold and maintain one of the following: Certified Coding Specialist ( CCS ), Certified Professional Coder (CPC), Registered Health Information Administrator ... 7a-3:30p, 8a-4p, etc. **Location:** AdventHealth Daytona Beach 301 Memorial Medical Parkway, Daytona Beach, FL 32117 **The role you'll...The QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as… more
    AdventHealth (08/07/25)
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