• Inpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …vision for healthcare. **What We're Looking For:** As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs ... related to coding quality, compliance assessments, external payer reviews, ...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (07/29/25)
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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 (07/23/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …relevant experience Must currently hold and maintain one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered ... The QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as...as well as supporting on-going quality assurance needs for coding staff. They will review medical records… more
    AdventHealth (08/07/25)
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  • Quality Senior Analyst

    CVS Health (Tallahassee, FL)
    …experience equal to approximately 5 years for CPC. + CPC (Certified Professional Coder ) **or** CCS-P (Certified Coding Specialist -Physician) and CRC ... Qualifications** + Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Experience… more
    CVS Health (08/08/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Tallahassee, FL)
    Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **To comply with HIPAA ... of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and… more
    Evolent (07/18/25)
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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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  • Primary Care Nurse Practitioner or Physician…

    CenterWell (Deerfield Beach, FL)
    …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder , Referral Coordinator and more. Our approach ... in accordance with standards of care. Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy… more
    CenterWell (08/09/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer candidates with… more
    Molina Healthcare (08/02/25)
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