• Provider Auditor (Certified Medical Coder)

    Elevance Health (Tampa, FL)
    …and experience, which would provide an equivalent background. RN, LPN or medical coding certification strongly preferred. **Preferred Skills, Capabilities, and ... Experiences:** + Medical coding certification is highly preferred. + Knowledge of contract language and federal guidelines. + Experienced working with Facets… more
    Elevance Health (09/24/25)
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  • Medical Economics Manager

    AdventHealth (Maitland, FL)
    …language as it relates to reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ... language as it relates to reimbursement methodologies + Applies detailed understanding of medical coding systems affecting the adjudication of claims to include… more
    AdventHealth (08/19/25)
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  • Inpatient DRG Reviewer

    Zelis (FL)
    …and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and ... and billing rules + Clinical skills to evaluate appropriate Medical Record Coding + Experience conducting root cause analysis and identifying solutions +… more
    Zelis (09/27/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... **Minimum Requirements:** + Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud, waste abuse… more
    Elevance Health (09/30/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Tallahassee, FL)
    …**GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data ... arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical … more
    Highmark Health (09/20/25)
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  • Senior 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 ... equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior Coder utilizes… more
    AdventHealth (08/07/25)
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  • Office Coordinator - Rheumatology Office

    Trinity Health (Fort Lauderdale, FL)
    …(2) years' experience with coding practices which includes one (1) year of medical coding required. Skill in using computer coding programs and systems ... and ethical claims submission, as assigned. + Effectively audit medical documentation for the purpose of ensuring compliance to...as requested by office manager. + Participate in other coding projects and activities as assigned. + Display basic… more
    Trinity Health (09/23/25)
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  • Manager, Provider Education

    LogixHealth (Dania Beach, FL)
    …combination of education and experience required + 5-7 years Emergency Department Medical Coding and 3-5 years auditing experience required + Experience ... with multiple types of medical records required + Coding certification required (CPC, CCS, CPMA, etc.; specialty certification preferred CEDC) Benefits at… more
    LogixHealth (08/16/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (09/30/25)
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  • Senior Analyst, Medical Economics (Vbc)…

    Molina Healthcare (FL)
    …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
    Molina Healthcare (08/31/25)
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