• Manager, Risk Adjustment Coding Support

    Evolent (Tallahassee, FL)
    …a related field or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What… more
    Evolent (09/23/25)
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  • Medical Claims Specialist - Remote

    Rising Medical Solutions (Tampa, FL)
    …are related to the claim + Develop and maintain a working knowledge of medical bill processing, procedures, and supporting systems + Adhere to quality assurance ... 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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  • 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 ... documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC)… more
    Banner Health (09/06/25)
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  • Clinical Documentation Specialist

    Community Health Systems (Naples, FL)
    …skills to identify opportunities for documentation improvement. + Proficiency in CDI and medical record software systems (eg, 3M 360 Encompass, Iodine Interact). ... with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity… more
    Community Health Systems (09/13/25)
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  • Remote Senior Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    …125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in ... the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in… more
    AdventHealth (09/06/25)
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  • Divisional Coding Quality Auditor Educator Remote

    AdventHealth (Altamonte Springs, FL)
    …leadership. The Corporate QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting on-going quality ... assurance needs for coding staff. They will review medical records and documentation for coding accuracy, providing feedback,...Works with Epic and AIT to identify automation and system enhancements as they pertain to coding. **The expertise… more
    AdventHealth (09/17/25)
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  • Senior Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    …125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in ... the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in… more
    AdventHealth (08/07/25)
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  • Coding Quality Auditor

    Houston Methodist (FL)
    …and enters physician identification number and procedure date correctly in the medical record abstracting system . Reviews medical record documentation ... service focus and application of positive language principles + Knowledge of an electronic medical record and imaging systems + Working knowledge of medical … more
    Houston Methodist (09/30/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Miami, FL)
    …and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit claims ... 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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  • 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,...20 days. + Identify recurring denials and make necessary system changes to resolve them. + Assist customers with… more
    National Health Transport (07/23/25)
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