• Coding Auditor Educator-Inpatient

    Highmark Health (Tallahassee, FL)
    …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… more
    Highmark Health (09/20/25)
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  • Consultative Coding Professional

    CenterWell (Tallahassee, FL)
    …and Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. **Relationship/Concierge ... considerable latitude in determining objectives and approaches to assignments. **Consultative Coder ** The Consultative Coder provides medical coding… more
    CenterWell (09/25/25)
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  • Divisional Coding Quality Auditor Educator Remote

    AdventHealth (Altamonte Springs, FL)
    …as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for coding accuracy, providing feedback, and ... staff to assist with or resolve issues relating to medical record documentation and coding. + May participate in...+ Certified Coding Specialist Required or + Certified Professional Coder Required or + Certified Professional Coder … more
    AdventHealth (09/17/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for coding accuracy, providing feedback, and ... 6a-3p, or 7a-3:30p, 8a-4p, etc. **Location:** AdventHealth Daytona Beach 301 Memorial Medical Parkway, Daytona Beach, FL 32117 **The role you'll contribute:** The… more
    AdventHealth (08/07/25)
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  • Consultative Coding Professional

    CenterWell (Tallahassee, FL)
    … Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical ... and Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. **Relationship/Concierge… more
    CenterWell (09/25/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …and every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes ... all State and Federal regulations and internal policies and procedures. + Utilize medical records to ensure support is documented for etiology and manifestations… more
    CVS Health (09/26/25)
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  • Medical Coding Auditor

    CenterWell (Tallahassee, FL)
    …The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical ... (eg, ICD-10-CM, CPT) to patient records . The ** Medical Coding Auditor** work assignments are varied and frequently...from the list below: * CPC - Certified Professional Coder (AAPC) * CCS - Certified Coding Specialist (AHIMA)… more
    CenterWell (10/01/25)
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  • Quality Senior Analyst

    CVS Health (FL)
    …day. **Position Summary** Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the submission ... ) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or**… more
    CVS Health (09/30/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by applying advanced clinical ... and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager… more
    Molina Healthcare (09/06/25)
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  • Medical Coding Appeals Analyst

    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
    Elevance Health (09/12/25)
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