• Manager, Medical Economics (Medicaid)…

    Molina Healthcare (Orlando, FL)
    …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
    Molina Healthcare (08/27/25)
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  • PEND Management Coordinator - REMOTE

    Datavant (Tallahassee, FL)
    …systems and compile medical records to send to other parties for coding + Log all call transactions into the designated computer software system(s) + Requests ... diploma or equivalent + 2+ year of experience in medical records, medical record coding ...include intake methods/processes; the workflows between Outreach and + Onsite/ Remote teams; Onsite/ Remote workflows; Offsite Scheduling We… more
    Datavant (09/26/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Tallahassee, FL)
    …healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (08/26/25)
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  • Clinical Documentation Integrity Specialist…

    AdventHealth (Altamonte Springs, FL)
    …we are even better. **Shift** : Full-time; Monday-Friday **Job Location** : Remote **The role you will contribute:** Under general supervision of the Director ... in the management of resources entrusted to them. . Reviews concurrent medical record for documentation compliance including completeness and accuracy for severity… more
    AdventHealth (09/26/25)
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  • CDQI Nurse Specialist - Part Time - Remote

    Datavant (Tallahassee, FL)
    …you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication ... with providers to enhance documentation clarity, completeness, and overall medical record quality. By ensuring accurate and comprehensive physician documentation,… more
    Datavant (09/04/25)
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  • Claims Examiner | General Liability BI | Captive…

    Sedgwick (Tallahassee, FL)
    …in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take on ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of...+ Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to… more
    Sedgwick (09/06/25)
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  • Tech Transformation Associate Six Sigma & RPA…

    Cognizant (Tallahassee, FL)
    **Tech Transformation Associate Six Sigma & RPA ( Remote )** Cognizant is looking to hire an experienced Tech Transformation Associate with Six Sigma and RPA Drive ... and conduct High Level Process and Technical Feasibility Assessment. Work model: Remote We strive to provide flexibility wherever possible. Based on this role's… more
    Cognizant (09/20/25)
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  • Senior Field Sales Manager ( Remote )

    Wolters Kluwer (Tallahassee, FL)
    Senior Field Sales Manager- Remote Work with Healthcare Providers, Payers, Consultants, Insurance Companies, Corporations and State/Local Government Agencies to sell ... and maintain Wolters Kluwer Healthcare Regulatory & Coding Solutions. **_ This position will work from a remote office and can be based anywhere in the US_**… more
    Wolters Kluwer (09/10/25)
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  • Sr Warehouse & Custody Solutions Configuration…

    SitusAMC (Tallahassee, FL)
    …toward goals; acknowledges team accomplishments. + Ability to work independently in a remote work environment. + Understanding of ADO, WLS, and SQL coding ... related to AML, funds transfer policies, client confidentiality and data security. \#LI-AS1 #LI- Remote Note: This job description is not intended to be all inclusive… more
    SitusAMC (08/15/25)
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  • Medication Therapy Management (MTM) Specialist…

    Prime Therapeutics (Tallahassee, FL)
    …injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding ... make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior authorization… more
    Prime Therapeutics (09/19/25)
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