- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
- AdventHealth (Altamonte Springs, FL)
- …Certification and . examination at the time of graduation and . CCDS ( Certified Clinical Documentation Specialist ) certification, or/and CDIP ( Certified . ... team. This includes quarterly and annual compliance updates from Medicare . . Effectively and appropriately communicates with physicians and...degree and 3 years of CDI experience . CCS ( Certified Coding Specialist ) This facility is an… more
- AdventHealth (Altamonte Springs, FL)
- …**Shift** : 7:00AM-5:00PM **Location:** Remote **The role you'll contribute:** The Medicare Risk Adjustment Coding Specialist coordinates and supports ... **Risk Adjustment Coding Specialist ** **AdventHealth** **PHSO Resources** **All the benefits and...3 years of experience in HCC coding + CPC ( Certified Professional Coder) **Preferred qualifications:** + Prior risk adjustment… more
- Molina Healthcare (Orlando, FL)
- …High School Diploma or GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a ... sanctions/exclusions. * Reviews and processes monthly daily alerts for Medicare Opt-Out reports to determine if any provider has...to determine if any provider has opted out of Medicare . * Reviews and processes assigned daily NPDB Continuous… more
- AdventHealth (Orlando, FL)
- …Administrator (RHIA) + Registered Health Information Technician (RHIT) - Cert + Certified Coding Specialist (CCS) + Infection Control Certification (CIC) This ... medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding… more
- MyFlorida (Fort Myers, FL)
- 68063233 - REGISTERED NURSE SPECIALIST Date: Aug 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... for Health Care Administration Working Title: 68063233 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number: 68063233 Salary: $1,915.08 Biweekly… more
- MyFlorida (Alachua, FL)
- 68061400 - FIRE PROTECTION SPECIALIST Date: Aug 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency for Health Care Administration Working Title: 68061400 - FIRE PROTECTION SPECIALIST Pay Plan: Career Service Position Number: 68061400 Salary: $1,768.86 -… more
- National Health Transport (Miami, FL)
- …High School Graduate/GED + Medical coding training and experience + Familiar with Medicare /Medicaid laws and billing + Certified Ambulance Coder helpful + ... Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical… more
- Banner Health (FL)
- …through 5 years of current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder ... Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist -Physician (CCS-P) or Registered Health Information Technologist… more
- Molina Healthcare (Tampa, FL)
- …Experience with Medicare , Medicaid, and Marketplace lines of business. + Certified Business Analysis Professional (CBAP), or Certified Coding Specialist ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more