• HIM Coding Manager

    Insight Global (Jacksonville, FL)
    Job Description The Health Information Management (HIM) Coding Manager is responsible for our client's Rehabilitation coding operations. As the HIM Coding ... apply ICD-10-CM and PCS codes as applicable to code medical records according to IRF-PAI Coding Guidelines,...tiering comorbidities impacting reimbursement is required. As the HIM Coding Manager you will work collaboratively with… more
    Insight Global (07/25/25)
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  • Divisional Coding Quality Auditor Educator…

    AdventHealth (Altamonte Springs, FL)
    …to the compliance department. Provides suggestions on process improvement. Works with the audit team and coding manager to develop meaningful education ... as well as supporting on-going quality assurance needs for coding staff. They will review medical records...quality assurance audits while adhering to inpatient and/or outpatient coding policies, procedures, and established audit schedule;… more
    AdventHealth (07/01/25)
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  • Client Coding Project Manager - Full…

    Datavant (Tallahassee, FL)
    …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining ... assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of...manner ensuring that appropriate changes are implemented. + Support audit processes ensuring work flows and results are properly… more
    Datavant (07/26/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is...+ BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or… more
    Elevance Health (07/22/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …:** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to ... performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for… more
    Highmark Health (05/09/25)
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  • Manager , Coding Operations

    Datavant (Tallahassee, FL)
    …educational and life experiences to realize our bold vision for healthcare. The ** Coding Operations Manager ** is essential to the Provider HIM Coding ... data to clients (eg, volume metrics, six-month trends, quality audit scores, and productivity levels). + Include action plans...RHIA, or CCS) with at least **5 years of coding experience** . + Excellent interpersonal and organizational skills.… more
    Datavant (06/24/25)
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  • Claims Manager

    CHS (Clearwater, FL)
    …including plan building and identification of new and updated benefit categories based on new medical coding and medical services. * Act as a liaison with ... **Overview** **Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party… more
    CHS (05/09/25)
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  • Product Manager , Risk Adjustment Analytics…

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more
    Datavant (06/06/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    … principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by… more
    Elevance Health (07/17/25)
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  • Provider Inquiry Manager

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …and facility claims disputes and/or appeals, claims processing, provider compensation, benefits, coding and medical terminology + Proven track record in ... The Provider Inquiry Manager provides leadership and oversight of claim disputes....Lead special claim dispute projects + R eview and audit high-dollar and complex claim disputes + Identify opportunities… more
    DOCTORS HEALTHCARE PLANS, INC. (07/26/25)
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