• 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 (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 (09/30/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (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 (09/30/25)
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  • Cardiac Cath Lab Auditor

    AdventHealth (Tampa, FL)
    …charges, CPT coding , and national coverage decisions in conjunction with medical charts to ensure compliance with Medicare, Medicaid and other third party payers ... Invasive Specialist (RCIS) Required Registered Cardiac Electrophysiology Specialist (RCES) Required Certified Interventioal Radiology Cardiovascular Coder … more
    AdventHealth (09/26/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Orlando, FL)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
    Molina Healthcare (09/26/25)
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