• Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (FL)
    …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... 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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  • Manager, Provider Education

    LogixHealth (Dania Beach, FL)
    …combination of education and experience required + 5-7 years Emergency Department Medical Coding and 3-5 years auditing experience required + Experience ... Location: Remote in AL, FL, GA, MA, MI, MO, NC, NH, OH,...with multiple types of medical records required + Coding certification required (CPC, CCS, CPMA,… more
    LogixHealth (08/16/25)
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  • Quality Practice Advisor

    Centene Corporation (Fort Myers, FL)
    …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... a fresh perspective on workplace flexibility. **This is a remote position with regular local travel required for practice...for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports… more
    Centene Corporation (09/24/25)
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  • Medical Director - Claims Management

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
    Humana (09/17/25)
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  • Medical Director - National Medicare Team

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for ... services. The Medical Director work assignments involve moderately complex to complex...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
    Humana (09/12/25)
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  • Medicare Risk Adjustment

    TEKsystems (Sunrise, FL)
    …providers. + Retrieve charts from electronic medical record systems and compile medical records for coding purposes. + Make outbound phone calls to provider ... Microsoft Office products. + 2-4 years of experience. + Coding experience is a plus. + Medical ...meaningful impact in healthcare. Work Environment This is a remote position, providing flexibility and the convenience of working… more
    TEKsystems (09/20/25)
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  • Assistant Project Manager - Traffic

    System One (Tallahassee, FL)
    …- Traffic **Employment Type:** Full Time **Date Posted:** 9/29/2025 **Location:** Remote (Based in the US) **Pay Range:** Negotiable **Job Number:** JO-2509-2735 ... productivity in a fast-paced environment. Ad trafficking involves coordinating, substantiating, coding , reviewing and optimizing campaign tactics so they're ready to… more
    System One (09/30/25)
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  • Senior Guidewire PolicyCenter Developer

    Kemper (Jacksonville, FL)
    Location(s) Jacksonville, Florida, Remote -AL, Remote -CT, Remote -FL, Remote -GA, Remote -IL, Remote -IN, Remote -OH, Remote -PA, Remote -WI ... Experience with cloud development practices. + Advanced certifications for coding /development. Current Guidewire Certified Ace preferred. + Demonstrates advanced… more
    Kemper (08/24/25)
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  • Sales Engineer-Dynamic Yield

    Mastercard (Tallahassee, FL)
    …knowledge as you pitch to large commerce companies *Developing miscellaneous coding projects that support sales cycles and Proofs-of-Concept, as needed *Working ... or assistance you are requesting. Do not include any medical or health information in this email. The Reasonable...- $141,000 USD Chicago, Illinois: $77,000 - $123,000 USD Remote - Colorado: $77,000 - $123,000 USD Remote… more
    Mastercard (08/30/25)
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  • Oncology Data Specialist Certified

    AdventHealth (Daytona Beach, FL)
    …per week **Shift:** Days **Location:** Virtual - This position will be remote . **The role you'll contribute:** The Oncology Data Specialist Certified is responsible ... to stay abreast of all applicable changes in the cancer industry with regards to coding and compliance. **The value you'll bring to the team:** + Serves as the… more
    AdventHealth (08/07/25)
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