• Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and… more
    Molina Healthcare (09/06/25)
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  • Specialty Coder II - Anesthesia

    BayCare Health System (Tampa, FL)
    …bonuses available!_ **Responsibilities:** + The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-10 CM and ... CPT-4 coding systems. + The Specialty Coder audits physician documentation...team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive… more
    BayCare Health System (08/08/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud,...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (09/30/25)
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  • Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (FL)
    …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
    Molina Healthcare (09/22/25)
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  • Clinical Documentation Specialist

    Community Health Systems (Naples, FL)
    …insights through individual or group sessions. + Collaborates closely with coding professionals to ensure accurate diagnostic and procedural data through complete ... and conducting formal training sessions. + Monitors regulatory changes in coding , documentation, and quality metrics, ensuring compliance with updated standards and… more
    Community Health Systems (09/13/25)
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  • Director, Epic Applications - Revenue Integrity

    University of Miami (Miami, FL)
    …operations and oversees the preparation of productivity reports. + Attends professional meetings, workshops, conferences, and seminars to keep abreast of ... implementation and maintenance of revenue cycle technologies, including charge capture, coding , billing, and reimbursement systems. They will work closely with… more
    University of Miami (09/11/25)
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  • Commercial Leader, Health Information Management

    Datavant (Tallahassee, FL)
    …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... + **Drive Mid- and Late-Funnel Conversion:** Serve as a credible HIM/ coding expert during discovery, solution design, and stakeholder alignment. shortening sales… more
    Datavant (08/13/25)
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  • Coder Analyst III Virtual

    AdventHealth (Tampa, FL)
    …+ Registered Health Information Technician (RHIT) - Cert Required or + Certified Coding Specialist (CCS) Required or + Certified Professional Coder (CPC) ... utilizing Epic, the 3M Encoder and Dolbey Computer Assisted Coding programs. Will work with Coding leadership,...Computer Assisted Coding programs. Will work with Coding leadership, Clinical Documentation Improvement specialists and the … more
    AdventHealth (08/13/25)
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  • Email Marketing Developer

    Carnival Cruise Line (Miami, FL)
    The Email Marketing Developer is responsible for including coding emails using HTML, CSS, AMPscript, conducting rendering testing across email clients and mobile ... and maintain dynamic content libraries and assign them to customer attributes through coding within the ESP and coordination with our data partners. This may involve… more
    Carnival Cruise Line (08/12/25)
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  • Clinical Documentation Specialist RN

    Houston Methodist (FL)
    …with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is received for the level ... + Educates all internal customers on clinical documentation opportunities, coding , and reimbursement issues, as well as performance improvement methodologies… more
    Houston Methodist (08/13/25)
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