• Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …experience is preferred + Knowledge of medical terminology + Knowledge of medical coding systems + Knowledge of Medicaid/Medicare Guidelines + Knowledge of ... Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ensure validity, accuracy, and… more
    CHS (06/14/25)
    - Related Jobs
  • Client Success Manager

    Datavant (Tallahassee, FL)
    …related field + Knowledge of healthcare industry, payment models, risk adjustment, medical coding , physician workflow, and/or electronic health record systems + ... resources working closely with all internal teams including: data integrations, coding management, engineering, sales, and executive teams. + Ensure smooth… more
    Datavant (08/02/25)
    - Related Jobs
  • Senior Compliance Analyst

    AdventHealth (Maitland, FL)
    …as it relates to reimbursement methodologies + Applies significant understanding of medical coding systems affecting the adjudication of claims to include ... damages calculations, and organizing data/materials from other AdventHealth departments (ie medical records, itemized bills, etc.) within the scheduled timeframes. +… more
    AdventHealth (08/07/25)
    - Related Jobs
  • Medical Claim Review Nurse (RN)

    Molina Healthcare (St. Petersburg, FL)
    …appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record ... + Minimum two years of experience in Claims Auditing, Medical Necessity Review and Coding experience +...in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with state/federal regulations **REQUIRED LICENSE,… more
    Molina Healthcare (08/08/25)
    - Related Jobs
  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …process for assigned staff, as well as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for ... staff to assist with or resolve issues relating to medical record documentation and coding . May participate in Iodine Retrospect inpatient reviews in partnership… more
    AdventHealth (08/07/25)
    - Related Jobs
  • Medical Office Representative

    AdventHealth (Winter Garden, FL)
    …is required. **Preferred qualifications:** + A minimum of one year experience in a medical setting with coding , charge entry and payment collection. + CPR ... ** Medical Office Representative** **- Primary Care Network** **All...**Location:** The opportunity to work within a primary care medical office in a location in the Orlando Area.… more
    AdventHealth (08/07/25)
    - Related Jobs
  • Medical Biller/Collections Specialist

    Robert Half Accountemps (Melbourne, FL)
    …to contribute to the healthcare industry while utilizing your expertise in medical billing and coding . Responsibilities: * Gather insurance information from ... Description We are looking for a detail-oriented Medical Biller/Collections Specialist to join our team on a Contract-to-Permanent basis in the Melbourne, Florida… more
    Robert Half Accountemps (08/01/25)
    - Related Jobs
  • Inpatient Coder Specialist

    BayCare Health System (Tampa, FL)
    …General Surgery, Trauma Level II, and high acuity cases. **Responsibilities** + The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, ... and ICD-10-PCS coding systems. + Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and… more
    BayCare Health System (08/08/25)
    - Related Jobs
  • Physician Advisor

    AdventHealth (Orlando, FL)
    …providers), and acts as the interdepartmental liaison for program development. Educate medical staff on correlation between clinical language, coding guidelines, ... risk of mortality and DRG assignments. Attend departmental meetings to teach medical staff about coding and documentation improvement guidelines, clinical… more
    AdventHealth (08/07/25)
    - Related Jobs
  • Manager Admitting and Registration II

    BayCare Health System (Tampa, FL)
    …Access Services including front desk, registration, cashier, financial counseling, medical records, coding , scheduling, insurance verification and authorization, ... implements policies in conjunction with Patient Accounts & Billing Office, Medical Records, Coding and Patient Services to provide quality care and maximize… more
    BayCare Health System (08/01/25)
    - Related Jobs