• Investigator, Coding SIU

    Molina Healthcare (Orlando, FL)
    **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... position uses information from a tip, member benefits, and medical records to document relevant findings of a post...GED (or higher) **Required Experience** + 3+ years CPT coding experience (surgical, hospital, clinic settings) or 5+ years… more
    Molina Healthcare (06/19/25)
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  • Professional Services Auditor and Educator

    Trinity Health (Fort Lauderdale, FL)
    …a specific healthcare service line.** **Acts as a technical resource for documentation, coding and billing regulations for assigned medical groups and regions.** ... improve HCC, high risk scoring, along with provider and coder education. Responsible for practitioner education in areas related...remote work guidelines.** **Expert knowledge in ICD-10 and CPT coding and medical terminology, with knowledge of… more
    Trinity Health (06/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, 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 (06/10/25)
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  • Clinical Documentation Specialist (On-site)

    Community Health Systems (Naples, FL)
    …with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity ... and acuity. + Adheres to corporate recommended CDI workflows and uses CDI and medical records software, such as 3M 360 Encompass and Iodine Interact, to support… more
    Community Health Systems (04/09/25)
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  • Medical Billing Specialist Not a Remote…

    National Health Transport (Miami, FL)
    …other duties as assigned. Required Qualifications: + High School Graduate/GED + Medical coding training and experience + Familiar with Medicare/Medicaid laws ... Summary: Ambulance Medical Billing Specialist is responsible for billing and...and billing + Certified Ambulance Coder helpful + Ambulance Industry experience helpful Compensation: $15.00… more
    National Health Transport (04/24/25)
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  • Senior Manager, Health Economics, Policy,…

    Medtronic (FL)
    …the only way to drive healthcare forward and remain a global leader in medical technology and solutions. The Senior Reimbursement Program Manager will serve in a ... strategy for the US to include all considerations for coding , coverage, and payment for both government and private...of relevant experience. **Nice To Have** + Certified Professional Coder (CPC) or commiserate knowledge and experience + 'Project… more
    Medtronic (06/27/25)
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  • Physician - Conviva - East

    CenterWell (Port Orange, FL)
    medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.** **. Follows policy and protocol defined ... continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists as needed. Begins… more
    CenterWell (06/25/25)
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  • Primary Care Physician

    CenterWell (Port Orange, FL)
    medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by ... continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists as needed. Begins… more
    CenterWell (05/24/25)
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  • Primary Care Physician

    CenterWell (West Palm Beach, FL)
    medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by ... doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators… more
    CenterWell (06/27/25)
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  • Primary Care Physician

    CenterWell (Deerfield Beach, FL)
    medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
    CenterWell (05/23/25)
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