• Medical Claims Specialist - Remote

    Rising Medical Solutions (Tampa, FL)
    …of all medical information and adhere to privacy regulations and company policies + Special projects as assigned by management Reports to: Program Manager ... diploma required; Associate's or Bachelor's degree preferred + CPC (Certified Professional Coder ), CCS (Certified Coding Specialist) or equivalent medical coding… more
    Rising Medical Solutions (09/27/25)
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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 ... ** Company :** Allegheny Health Network **Job Description :**...(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA)… 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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  • 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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (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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  • Consultative Coding Professional

    CenterWell (Tallahassee, FL)
    …direction and receives guidance where needed. Follows established guidelines/procedures. **Consultative Coder ** The Consultative Coder provides medical ... a part of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records… more
    CenterWell (09/25/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Miami, FL)
    …of Evaluation and Management, CPT, HCPCS and ICD-10 code. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement ... based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective… more
    Elevance Health (09/12/25)
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  • Quality Senior Analyst

    CVS Health (FL)
    …) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** ... **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs… more
    CVS Health (09/30/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …**Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs ... passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital… more
    CVS Health (09/26/25)
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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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