• Medical Billing Specialist Not a Remote…

    National Health Transport (Miami, FL)
    Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance ... Medical Billing Specialist answers inquiries from insurance companies, patients,...Familiar with Medicare/Medicaid laws and billing + Certified Ambulance Coder helpful + Ambulance Industry experience helpful Compensation: $15.00… more
    National Health Transport (07/23/25)
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  • Investigator

    Highmark Health (Tallahassee, FL)
    ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti-fraud program which includes ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
    Highmark Health (09/10/25)
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  • Vendor Resource Management Manager

    HCA Healthcare (Kissimmee, FL)
    …educated + Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical/ medical resources to assure ... 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… more
    HCA Healthcare (09/27/25)
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  • HIM - Inpatient Coding Supervisor (remote)

    Guidehouse (Tampa, FL)
    …by analyzing documentation and discussing correct code assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software ... for patterns of coding errors and opportunities for coder and /or clinical education. + Serves as a...any other EHR + Knowledge of Anatomy, Physiology and Medical Terminology The annual salary range for this position… more
    Guidehouse (08/19/25)
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  • Nurse Audit Senior (Operating Room)

    Elevance Health (Miami, FL)
    …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending." The **Nurse Audit Senior** is responsible for identifying, ... impact:** + Investigates potential fraud and over-utilization by performing medical reviews via prepayment claims review and post payment...service operations as well as other areas of the company relative to claims reviews and their status. +… more
    Elevance Health (09/30/25)
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  • Primary Care Physician

    CenterWell (Port Orange, FL)
    …medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists ... of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
    CenterWell (09/23/25)
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  • Primary Care Physician

    CenterWell (Boynton Beach, FL)
    …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... 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 and… more
    CenterWell (09/27/25)
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  • Primary Care Physician

    CenterWell (Deerfield Beach, FL)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... 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 and… more
    CenterWell (09/23/25)
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  • Primary Care Physician

    CenterWell (Orlando, FL)
    …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... 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 and… more
    CenterWell (09/18/25)
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  • Primary Care Physician

    CenterWell (Delray Beach, FL)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... 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 and… more
    CenterWell (08/15/25)
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