• Medical Biller/Claims Processing - Patient…

    IQVIA (Orlando, FL)
    **Patient Support Medical Claims Processing ​Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... announce that currently we are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical...or equivalent + Experience in claim processing required + Medical Billing Certification required + Coding Certification… more
    IQVIA (07/23/25)
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  • Provider Auditor (RN/LPN Medical Coder…

    Elevance Health (Miami, FL)
    …and experience, which would provide an equivalent background. RN, LPN or medical coding certification strongly preferred. **Preferred Skills, Capabilities, and ... **Provider Auditor** _This position will work a hybrid model ( remote and office), 1 time per week. The Ideal...Experiences:** + Medical coding certification is highly preferred. +… more
    Elevance Health (08/01/25)
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  • Medical Director- South Central

    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 and Medicare Advantage requirements, and… more
    Humana (07/11/25)
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  • Associate Quality Practice Advisor

    Centene Corporation (Spring Hill, FL)
    …within a managed care environment related to HEDIS record review, quality improvement, medical coding or transferable skill sets that demonstrates the ability to ... fresh perspective on workplace flexibility. This is position is remote /field based with travel required for provider group visits....education to providers and provider staff OR 2 years medical coding or other transferable experience and… more
    Centene Corporation (07/31/25)
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  • Inpatient Coder

    TEKsystems (Orlando, FL)
    Description This role is responsible for accurately coding inpatient medical records using ICD and CPT coding systems, ensuring compliance with MS-DRG ... in a dynamic, team-oriented environment. Key Responsibilities: Review and analyze inpatient medical records to assign accurate ICD and CPT codes. Utilize Epic, 3M… more
    TEKsystems (08/01/25)
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  • Specialty Coder II - Anesthesia

    BayCare Health System (Tampa, FL)
    …High School or equivalent + Preferred Associate Degree **Experience** + Required 2 years Coding + And 1 year of Medical Office related experience Equal ... within the Tampa Bay area. **Position Details:** + **Location:** Remote (must reside in the state of Florida, Georgia,...diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems. + The Specialty Coder audits physician documentation… more
    BayCare Health System (08/08/25)
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  • Medical Director - Spine

    CVS Health (Jacksonville, FL)
    …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum… more
    CVS Health (08/08/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Tallahassee, FL)
    …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as ... effective use of health care resources. This is a remote based (work from home) role. Preferred candidates will.../ Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for … more
    CVS Health (08/08/25)
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  • Medical Director - Mid West Region

    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 and Medicare Advantage requirements, and… more
    Humana (08/08/25)
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  • Supervisor, Risk Adjustment Operations

    Datavant (Tallahassee, FL)
    …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight...and verbal communication skills, ability to work in a remote environment and time management skills. + Working knowledge… more
    Datavant (07/24/25)
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