• Special Investigation Unit (SIU)…

    CVS Health (Tallahassee, FL)
    … will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record ... reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining correct … more
    CVS Health (08/08/25)
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  • Dialysis Clinical Manager Registered Nurse…

    Fresenius Medical Center (Venice, FL)
    …of the disciplinary decisions. + Participates in Corporate and Business Unit specific employee recognition and satisfaction programs. + Creates, maintains, and ... + Accountable for completion of the Annual Standing Order Review and ICD coding . + Checks correspondence whether electronic, paper or voice mail, and responds as… more
    Fresenius Medical Center (07/31/25)
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  • Inpatient Coder 3 (H)

    University of Miami (Medley, FL)
    …Coder III to work remotely. Under the general direction of the Inpatient Coding Manager , the Inpatient Coder III reviews documentation in the electronic ... standards of ≥ 95%. + Adheres to University and unit -level policies and procedures and safeguards University assets. Department...high dollar accounts that have been assigned by the coding supervisor or manager . + Check IP… more
    University of Miami (07/30/25)
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  • Manager , Special Investigation

    CVS Health (Tallahassee, FL)
    …States: **Texas, Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of ... Aetna's policies and procedures **Education** + Bachelor's degree preferred/specialized training/relevant professional qualification **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,300.00 -… more
    CVS Health (08/01/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud...with the Special Investigation Unit and other internal areas on matters of mutual… more
    Elevance Health (08/08/25)
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  • Clinical Provider Auditor II

    Elevance Health (Miami, FL)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud...with the Special Investigation Unit and other internal areas on matters of mutual… more
    Elevance Health (08/08/25)
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  • Epic Solutions Architect 2 - Central (H)

    University of Miami (Miami, FL)
    …Functions as an independent project lead or provides oversight for project manager and/or business analyst on assigned projects, and recognize/ minimize business ... adoption, and utilization rates. + Adheres to University and unit -level policies and procedures and safeguards University assets. +...or a related field. Master's degree is desirable + Coding Certification (eg CPC, CCS, CIC, CMC) from an… more
    University of Miami (07/25/25)
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  • Collections Specialist

    HCA Healthcare (Sarasota, FL)
    …will perform follow up activities on accounts to ensure prompt payment + You will identify coding or billing errors from EOBs and work to correct them + You will ... collections for patient services. Under the supervision of the Business Office Manager /Business Office Supervisor, you will obtain payment from third party payers… more
    HCA Healthcare (06/21/25)
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