• Analyst, Configuration Oversight (Claims…

    Molina Healthcare (Orlando, FL)
    …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
    Molina Healthcare (09/17/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Orange Park, FL)
    …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs + Assists in ensuring HSC coding … more
    HCA Healthcare (09/27/25)
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  • Vendor Resource Management Team Lead

    HCA Healthcare (Tampa, FL)
    …related field preferred + Minimum of 2 years acute care inpatient and/or outpatient coding experience required + Coding auditing/monitoring experience ... weekly/monthly quality data to identify trends by vendor and coder/ auditor that need to be addressed + Prepares and...times, quality) + Performs quality reviews of inpatient and/or outpatient records as needed (including concurrent coding );… more
    HCA Healthcare (09/27/25)
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  • Quality Senior Analyst

    CVS Health (FL)
    …(Certified Risk Adjustment Coder) required. + CPMA (Certified Professional Medical Auditor ) **or** CDEO (Certified Documentation Expert Outpatient ) preferred. ... highlighting findings, recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with project deadlines… more
    CVS Health (09/30/25)
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