• 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 ... ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare… more
    Molina Healthcare (11/14/25)
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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 (11/14/25)
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  • CDQI Nurse Specialist - Part 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 (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)
    …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 ... Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an opportunity to join...are an agile multi-line examiner with 5+ years of experience handling both 3rd party liability and 1st party… more
    Sedgwick (10/15/25)
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  • Claims Examiner | General Liability BI | Captive…

    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 ... Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have...service. **ARE YOU AN IDEAL CANDIDATE?** Do you have experience as a **Bodily Injury General Liability Claims Examiner**… more
    Sedgwick (09/06/25)
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  • Claims Advisor | Professional Liability…

    Sedgwick (Jacksonville, 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 ... Services & Insurance Claims Advisor | Professional Liability | Remote This person will analyze professional liability, error and...+ Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to… more
    Sedgwick (11/18/25)
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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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  • Ruby on Rails API Developer ( Remote

    VetsEZ (FL)
    …distributed system design. + Knowledge of security best practices and secure coding principles. + Experience with test-driven (TDD) or behavior-driven ... a Ruby on Rails API Developer for a 100% remote position supporting the Department of Veterans Affairs (VA)....Computer Science, Engineering, or a related field, or equivalent experience . + 5+ years of hands-on experience more
    VetsEZ (11/12/25)
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  • WebLogic Application Developer/Administrator…

    VetsEZ (FL)
    …and implementation. + Proficiency in full software development lifecycle including design, coding , testing, and deployment. + Strong experience with REST and ... looking for a WebLogic Application Developer/Administrator for a 100% remote position on a large federal government project. The...a related field. + 5+ years of hands-on development experience with Java, WebLogic, and IBM ODM. + 5+… more
    VetsEZ (11/16/25)
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