• Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …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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  • Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (FL)
    …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to...programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health… more
    Molina Healthcare (09/22/25)
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  • Fiscal Assistant II

    MyFlorida (Fort Lauderdale, FL)
    …being paid. Claims Billing Responsible for the accuracy and timeliness of medical and dental billing to all insurance companies. Capture the correct charge ... Date: Oct 1, 2025 The State Personnel System is an E-Verify employer. For more information click on our...This is a professional position that serves as the medical and dental biller for the Accounts Receivable Department… more
    MyFlorida (10/02/25)
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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 ... inside and outside of the department to ensure timely coding and billing of accounts. + May...Office programs. + Ability to review documentation in a medical record and to enter the coding … more
    AdventHealth (09/06/25)
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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 ... Coding programs. Will work with Case Management, the Billing Office, Coding Manager, Clinical Documentation Improvement...the job, as identified, and shall not be considered an exhaustive list of job responsibilities which may be… 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 ... Computer Assisted Coding programs. Will work with Case Management, the Billing Office, Coding Manager, Clinical Documentation Improvement specialists and the… more
    AdventHealth (09/16/25)
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  • Business Systems Analyst 3 - Revenue Integrity

    University of Miami (Miami, FL)
    …years of relevant experience, 3+ years of experience in revenue cycle management ( billing , coding , or financial analysis) preferred + Understanding of healthcare ... billing , coding (CPT, ICD-10, HCPCS), charge capture, and... education at the Miller School of Medicine. As an academic medical center, we are proud to… more
    University of Miami (08/22/25)
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  • Inpatient DRG Reviewer

    Zelis (FL)
    …coding and billing rules + Clinical skills to evaluate appropriate Medical Record Coding + Experience conducting root cause analysis and identifying ... reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA...packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience,… more
    Zelis (09/27/25)
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  • Medical Business Office Specialist

    HCA Healthcare (Kissimmee, FL)
    … billing , chart preparation, cash posting, collections, insurance verification, medical records, patient registration and scheduling + Be responsible for ... your patients prior to surgery + You will identify coding or billing problems from EOBs and...will need: Minimum 2 years of experience in a medical office setting, preferably an ambulatory setting… more
    HCA Healthcare (09/25/25)
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  • VP Specialty Services AdventHealth Medical…

    AdventHealth (Altamonte Springs, FL)
    …AND SKILLS REQUIRED:** Thorough knowledge of physician practice operations, strategic planning, billing and coding . Ability to handle a large number of ... care with responsibility for the strategic direction of the AdventHealth Medical Group (AHMG) providers of designated service lines. The primary responsibility… more
    AdventHealth (08/16/25)
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