• Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record… more
    Molina Healthcare (09/06/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …**Required Qualifications** + Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + CPC ... every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that… more
    CVS Health (09/26/25)
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  • Quality Assurance Manager

    Humana (Tallahassee, FL)
    …our vendor partners. Will support and promote consistent, compliance, and high-quality medical coding practices, with a strong focus collaboration and quality ... loops. **Use your skills to make an impact** **Required Qualifications** + Medical coding certification (AAPC or AHIMA) + Minimum 7 years of experience in… more
    Humana (09/27/25)
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  • REMOTE Inpatient Rehab Coder

    Insight Global (Jacksonville, FL)
    … coding rules and regulations by staying current on issues regarding medical coding , compliance and reimbursement. Performance Criteria: - Assists in ... As an IRF Coder you will be responsible for coding and applying ICD-10-CM and PCS codes as applicable...applying ICD-10-CM and PCS codes as applicable to code medical records for a large rehabilitation hospital in Florida… more
    Insight Global (09/13/25)
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  • Divisional Coder II Remote

    AdventHealth (Altamonte Springs, FL)
    …need to succeed:** + High School Diploma or Equiv Required + successfully completed a medical coding certificate program or 2 year HIM program. Required + 2 ... Office programs. + Ability to review documentation in a medical record and to enter the coding ...a medical record and to enter the coding software. **Preferred Qualifications:** + 2 of ambulatory surgery… more
    AdventHealth (09/06/25)
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  • Vendor Resource Management Team Lead

    HCA Healthcare (Tampa, FL)
    … guidelines and policies + Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence ... work from home position.** **This position has a specialization in Inpatient Coding .** **Benefits** Parallon offers a total rewards package that supports the health,… more
    HCA Healthcare (09/27/25)
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  • Mid-Level Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    …responsible for reviewing, analyzing, and interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS coding conventions and ... indicators. + Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations.… more
    AdventHealth (09/15/25)
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  • Divisional Coder III Remote

    AdventHealth (Altamonte Springs, FL)
    …the coding software. **EDUCATION AND EXPERIENCE REQUIRED:** 1) High school diploma and medical coding certificate program or 2 year HIM program. 2) One to ... to hospital inpatient accounts utilizing the 3M Encoder and Dolbey Computer Assisted Coding programs. Will work with Case Management, the Billing Office, Coding … more
    AdventHealth (08/07/25)
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  • Coder Analyst IV Virtual

    AdventHealth (Tampa, FL)
    …expertise and experiences you'll need to succeed** **:** High School Grad or Equiv and medical coding certificate program or 2 year HIM program Required. 3 years ... a Health Information Professional with a high level of coding and clinical proficiency necessary for the oversight of... and clinical proficiency necessary for the oversight of coding integrity, and ability to function as a liaison… more
    AdventHealth (09/16/25)
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  • Risk Adjustment Coder

    ChenMed (Miami, FL)
    …of Microsoft Office Suite (Excel-basic mathematical formulas, charts, tables). + Strong medical coding and third party operating procedures and practices. + ... physicians and their office staff and other support departments to review medical records and other clinical documentation to identify appropriate risk adjustment… more
    ChenMed (09/17/25)
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