• Second Level Reviewer I PRN Remote

    AdventHealth (Altamonte Springs, FL)
    …and experiences you'll need to succeed:** . Five years acute care nursing experience with specific medical /surgical, Intensive Care, post-acute care unit, or ... while understanding that **together** we are even better. **Job Location** : Remote **Shift:** Per-diem **The role you will contribute:** Under general supervision… more
    AdventHealth (08/07/25)
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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 (08/07/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Tallahassee, FL)
    …credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience , while certified. + Full understanding and knowledge of ICD-10, ... an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (08/01/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Tallahassee, FL)
    …tasks asked by quality supervisor **What You Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience + Extensive knowledge ... an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized...and verbal communication skills, ability to work in a remote environment and time management skills + Working knowledge… more
    Datavant (08/01/25)
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  • CDQI Nurse Specialist - Full Time - Remote

    Datavant (Tallahassee, FL)
    …to Succeed:** + 3+ years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in ... a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and...secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the… more
    Datavant (07/26/25)
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  • Cardio Accounts Receivable Physician - Follow Up…

    Cognizant (Tallahassee, FL)
    …analysis physician payer denials, identify procedures impacted by National Correct Coding Initiative Edits (NCCI), work with technical payer policies, appeal ... solutions. + **NCCI Edits** : Understand procedures impacted by National Correct Coding Initiative Edits (NCCI). + **Appeal Documentation** : Prepare and submit… more
    Cognizant (08/01/25)
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  • Claims Processor - Remote

    Cognizant (Tallahassee, FL)
    …* Knowledge of physician practice and hospital coding , billing and medical terminology, CPT, HCPCS, ICD-9 * Experience with UB/institutional (CMS-1450) ... Based on this role's business requirements, this is a remote position open to qualified applicants in the United...(Work-from-Home) **Schedule:** Monday to Friday 8am - 4:30pm ET ** Experience :** A minimum of 1 years claims processing is… more
    Cognizant (08/01/25)
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  • Auditor, Risk Adjustment ( Remote )

    Molina Healthcare (Miami, FL)
    …Qualifications** **Required Education** Associates degree. **Required Experience ** 3 Years in coding and medical record chart review and experience with ... Required Li **Required License, Certification, Association** Active and unrestricted Coding Certification, Active CCS, CCS-P, or CPC credential **Preferred… more
    Molina Healthcare (07/25/25)
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  • Sr. Product & Configuration Support - Warehouse…

    SitusAMC (Tallahassee, FL)
    …for everyone, we proudly serve. At SitusAMC, we are looking to match your unique experience with one of our amazing careers, so that we can help you realize your ... or technical school or equivalent combination of education and experience + Minimum of 6+ years of industry and/or...team accomplishments. + Ability to work independently in a remote work environment. + Understanding of ADO, WLS, and… more
    SitusAMC (07/11/25)
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  • Claims Associate - Workers Compensation…

    Sedgwick (Tallahassee, FL)
    …who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what ... Financial Services & Insurance Claims Associate - Workers Compensation ( REMOTE ) Are you looking for an opportunity to join...the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context… more
    Sedgwick (08/09/25)
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