• Investigator, SIU RN- Remote

    Molina Healthcare (FL)
    …clinical nursing experience with broad clinical knowledge. + Five years experience conducting medical review and coding /billing audits involving ... to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews.… more
    Molina Healthcare (04/12/25)
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  • Investigator, SIU ( Remote )

    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 (03/21/25)
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  • Medical Billing Specialist Not…

    National Health Transport (Miami, FL)
    …Performs other duties as assigned. Required Qualifications: + High School Graduate/GED + Medical coding training and experience + Familiar with ... Summary: Ambulance Medical Billing Specialist is responsible for billing and...billing + Certified Ambulance Coder helpful + Ambulance Industry experience helpful Compensation: $15.00 - $18.50 hourly Required Shifts/Schedule:… more
    National Health Transport (04/24/25)
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  • Clinical Documentation Specialist 1 - Full Time…

    University of Miami (Hialeah, FL)
    …years direct patient care in acute care setting or (3) years inpatient coding experience required. Prior clinical documentation improvement (CDI) experience ... physician and hospital outcomes. + Performs thorough and timely medical record reviews to identify potential gaps or opportunities...CDIP within 3 years from date of hire + Coding certification (CCS, CIC, or CPC) preferred Experience more
    University of Miami (04/17/25)
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  • Sr Analyst, Medical Economics (Medicaid)…

    Molina Healthcare (St. Petersburg, 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 Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
    Molina Healthcare (04/16/25)
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  • Sr Analyst, Medical Economics (Clinical…

    Molina Healthcare (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 Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and… more
    Molina Healthcare (04/12/25)
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  • PEND Management Coordinator - Remote

    Datavant (Tallahassee, FL)
    …the table:** + High school diploma or equivalent + 2+ year of experience in medical records, medical record coding or a related field, preferred + Prior ... medical records to send to other parties for coding + Log all call transactions into the designated...outbound/sales/collections/call center experience preferred + Understanding of medical terminology… more
    Datavant (05/03/25)
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  • Technical Lead - Node, React, Azure…

    OneRail (Orlando, FL)
    …mentorship, while maintaining a strong balance between leadership and hands-on coding . Responsibilities: Technical Leadership & Architecture + Lead technical design ... Quality + Actively participate in code reviews, ensuring adherence to coding standards, security guidelines, and performance best practices. + Champion high-quality… more
    OneRail (02/21/25)
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  • Remote Insurance Verification…

    BCA Financial Services, Inc. (Orlando, FL)
    REMOTE POSITION - Actively Hiring LIFE IS SHORT, DO WORK THAT MAKES A DIFFERENCE BCA Financial Services, Inc. is seeking a detail-oriented, full-time Remote ... Benefits we offer: + Monday through Friday schedule + Medical , Dental, Vision, and Voluntary Life insurance + 401k...those issues + Other duties as assigned Education & Experience : + Minimum of 1 year working in a… more
    BCA Financial Services, Inc. (05/14/25)
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  • Clinical Documentation Integrity Specialist…

    AdventHealth (Altamonte Springs, FL)
    …certification **Preferred Qualifications:** . BSN or higher degree and 3 years of CDI experience . CCS (Certified Coding Specialist) This facility is an equal ... we are even better. **Shift** : Full-time; Monday-Friday **Job Location** : Remote **The role you will contribute:** Under general supervision of the Director… more
    AdventHealth (03/12/25)
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