• RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Orlando, FL)
    …are highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of ... reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge,… more
    Molina Healthcare (11/14/25)
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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 (11/14/25)
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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 (11/11/25)
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  • Clinical Documentation Specialist RN…

    Houston Methodist (FL)
    …extensive interaction with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is ... quality and completeness of clinical documentation. This position analyzes medical records for DRG's, complications, and comorbidities; identifies trends; and… more
    Houston Methodist (10/21/25)
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  • Claims Examiner | Multi-Line | Public Entity…

    Sedgwick (Tallahassee, FL)
    …in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an opportunity to join a global industry leader where ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
    Sedgwick (10/15/25)
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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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  • 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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  • Claims Advisor | Professional Liability…

    Sedgwick (Jacksonville, FL)
    …in Financial Services & Insurance Claims Advisor | Professional Liability | Remote This person will analyze professional liability, error and omissions, and complex ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
    Sedgwick (11/18/25)
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  • WebLogic Application Developer/Administrator…

    VetsEZ (FL)
    …are currently looking for a WebLogic Application Developer/Administrator for a 100% remote position on a large federal government project. The ideal candidate will ... + Proficiency in full software development lifecycle including design, coding , testing, and deployment. + Strong experience with REST...WebLogic and IBM ODM in enterprise environments. Benefits: + Medical / Dental / Vision. + 401(k) with Employer… more
    VetsEZ (11/16/25)
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  • Product Support and Configuration -Warehouse…

    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 (11/14/25)
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