• DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more
    Elevance Health (07/22/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
    Elevance Health (07/17/25)
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  • Practice Transformation Associate

    CVS Health (Tallahassee, FL)
    …of an internal, cross-functional team of clinical, analytics, provider relations and medical personnel. The PTA will work both internally and externally with some ... or related discipline or three years of relevant work experience or + Three years' experience in...**Preferred Qualifications** + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN… more
    CVS Health (07/12/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Tampa, FL)
    …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for ... control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more
    Elevance Health (07/02/25)
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  • Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Orlando, FL)
    …HCS-O or COQS and HCS-D or BCHH-C in order to be considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening for ... Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with...required certifications with a minimum of 2 years clinical experience . + Please note, while this is a clinical… more
    BAYADA Home Health Care (07/01/25)
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  • Non-Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Orlando, FL)
    …HCS-O or COQS and HCS-D or BCHH-C in order to be considered, there is no flexibility around this requirement.** BAYADA Home Health Care is hiring a full time OASIS ... Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with...Care Coding Certification (Required)** + Minimum of 1 year experience with coding and OASIS review. + Knowledge of… more
    BAYADA Home Health Care (07/01/25)
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