• DRG Coding Auditor Principal

    Elevance Health (Miami, FL)
    …as a Registered Health Information Technician, CCS as a Certified Coding Specialist , CIC as a Certified Inpatient Coder , or Certified Clinical Documentation ... Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation...business, and its clients. Specializes in review of DRG coding via medical record and attending physician's… more
    Elevance Health (06/05/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of ... position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and… more
    Elevance Health (06/24/25)
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  • Facility Outpatient Coding Editor

    HCA Healthcare (Tallahassee, FL)
    …Unlock your potential! **Job Summary and Qualifications** As a work from home Outpatient Coder , you will work outpatient coding related alerts/edits for same day ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...+ As needed, may periodically be asked to perform Coding Integrity Specialist II (CIS-II) duties +… more
    HCA Healthcare (06/21/25)
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  • Investigator, Coding SIU

    Molina Healthcare (Orlando, FL)
    …to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified ... **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving...and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip,… more
    Molina Healthcare (06/19/25)
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  • Clinical Documentation Specialist (On-site)

    Community Health Systems (Naples, FL)
    …Nurse - State Licensure and/or Compact State Licensure required or + CCS-Certified Coding Specialist or ICD-10 certification or trainer designation required or + ... **Job Summary** The Clinical Documentation Specialist (CDS) performs clinical documentation improvement (CDI) activities to support the accuracy, quality, and… more
    Community Health Systems (04/09/25)
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  • Medical Billing Specialist Not…

    National Health Transport (Miami, FL)
    …other duties as assigned. Required Qualifications: + High School Graduate/GED + Medical coding training and experience + Familiar with Medicare/Medicaid laws ... Summary: Ambulance Medical Billing Specialist is responsible for...and billing + Certified Ambulance Coder helpful + Ambulance Industry experience helpful Compensation: $15.00… more
    National Health Transport (04/24/25)
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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 (06/10/25)
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