• Senior Specialist , Member & Community…

    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
    Molina Healthcare (07/31/25)
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  • Clinical Documentation Integrity Specialist…

    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 (08/07/25)
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  • Specialist , Corporate Credentialing

    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
    Molina Healthcare (08/31/25)
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  • Senior Inpatient Coding Specialist

    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
    AdventHealth (08/07/25)
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  • Fire Protection Specialist

    MyFlorida (Delray Beach, FL)
    68037451 - FIRE PROTECTION SPECIALIST Date: Aug 21, 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: 68037451 - FIRE PROTECTION SPECIALIST Pay Plan: Career Service Position Number: 68037451 Salary: $1,768.86 -… more
    MyFlorida (09/03/25)
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  • Registered Nurse Specialist

    MyFlorida (Alachua, FL)
    68037169 - REGISTERED NURSE SPECIALIST Date: Aug 20, 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: 68037169 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number: 68037169 Salary: $1,915.08 -… more
    MyFlorida (09/02/25)
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  • Medical Billing Specialist Not a Remote…

    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
    National Health Transport (07/23/25)
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  • Facility Coding Inpatient DRG Quality

    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
    Banner Health (08/30/25)
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  • Lead Analyst, Payment Integrity

    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
    Molina Healthcare (08/20/25)
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  • Profee Medical Coder Complex Surgical Pediatric

    Banner Health (FL)
    …field. Requires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - ... your attached resume);** + **Specialty experience preferred;** + **Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below.… more
    Banner Health (07/30/25)
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