- Elevance Health (Miami, FL)
- …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. +… more
- CVS Health (Tallahassee, FL)
- …codes required. + Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Experience with ... every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ensure… more
- University of Miami (Miami, FL)
- …Working under the direction of the Director of Revenue Integrity Systems, the analyst collaborates with clinical departments, coding teams, IT, and compliance to ... of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business Systems Analyst 3 - Central… more
- AdventHealth (Maitland, FL)
- …to reimbursement methodologies for various provider types. + Applies detailed understanding of medical coding . + Other duties as assigned. **The expertise and ... Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic… more
- University of Miami (Miami, FL)
- …Health System, "UHealth", IT Department has an exciting opportunity for a Full-Time Epic Analyst - HIM. The Epic Analyst -HIM assists Associate Epic Analysts on ... optimize the application's configuration, function, and access. The Epic Analyst -HIM facilitates day-to-day application support and resolving application issues and… more
- Norstella (Tallahassee, FL)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... records (EHRs)** . You will be responsible for translating clinical and medical data requests into structured queries, ensuring that extracted data aligns with… more
- Citigroup (Tampa, FL)
- …not just adapt to change - we drive it. Our Summer Technology Analyst Program is where forward-thinking talents meet unparalleled opportunities. This is your chance ... you need to succeed ** We are committed to teaching you the ropes. The Summer Analyst Program starts in **early June** with an in-depth education on the Analyst … more
- Intermountain Health (Tallahassee, FL)
- …**Required** + Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. + Experience in a role requiring attention to ... **Job Description:** The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture,...levels. + Monitors for positive or negative trends in coding , charge capture and/or editing processes to improve teams'… more
- Centene Corporation (Tallahassee, FL)
- …preferred. Working knowledge of SQL/query languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, ... in fraud/waste/abuse identification and investigation, provider billing, or clinical coding preferred; Experience with data mining, machine learning, artificial… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** This Actuarial Analyst 2 position is a part of the HealthCare Economics team focused on evaluating ... stakeholders and providing valuable input to the business. The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data… more
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