• Consultative Coding Professional

    CenterWell (Tallahassee, FL)
    …direction and receives guidance where needed. Follows established guidelines/procedures. **Consultative Coder ** The Consultative Coder provides medical ... caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety...and Offshore coding management) + RHIA, RHIT, CCS, or CPC Certification + Ability to travel both locally and… more
    CenterWell (09/25/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Miami, FL)
    …and experience, which would provide an equivalent background. Certified Professional Coder ( CPC ) or Registered Health Information Administrator (RHIA) ... 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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  • Coding Quality Auditor

    Houston Methodist (FL)
    …Certified Coding Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional fee ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory… more
    Houston Methodist (09/30/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC). + Proficient in ICD-10 coding. +… more
    Datavant (08/08/25)
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  • Mid-Level Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    …(RHIT) - Cert Required or + Certified Coding Specialist (CCS) + Certified Professional Coder ( CPC ) This facility is an equal opportunity employer and complies ... 125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in… more
    AdventHealth (09/15/25)
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  • Investigator

    Highmark Health (Tallahassee, FL)
    …**Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder ( CPC ) + Certified Outpatient Coder (COC) + Accredited ... 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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  • Compliance Audit Manager

    Cardinal Health (Tallahassee, FL)
    …detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation ... physicians, physician leadership, senior leadership, management, and staff; physician and coder education; and the making of recommendations for corrective action to… more
    Cardinal Health (08/27/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
    Elevance Health (09/30/25)
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  • HIM ProFee Auditing Specialist FT

    Datavant (Tallahassee, FL)
    …**What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate ... to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in...5+ years of Professional Fee coding and/or auditing + CPC (required) + CPMA (preferred) + Maintain 95% accuracy… more
    Datavant (09/13/25)
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  • Claim Field Analyst (Tampa/Orlando, Florida)

    CVS Health (Tallahassee, FL)
    …duties as assigned. **Required Qualifications** + 3+ years of experience in medical billing and coding, specifically related to claims processing and root cause ... and reliable attendance. + Associate's or Bachelor's degree. + Certified Professional Coder ( _CPC_ ) certification. **Education** + High school diploma or GED.… more
    CVS Health (09/24/25)
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