• Sr Analyst, Scope Management - Healthcare

    Evolent (Tallahassee, FL)
    …of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and ... would want for our loved ones. Evolent employees enjoy work /life balance, the flexibility to suit their work...health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs.… more
    Evolent (07/18/25)
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  • Remote HCC Coder

    Insight Global (Tampa, FL)
    Job Description Insight Global is hiring HCC/Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . Must ... obtain an active Coding certification (CPC) through AAPC or AHIMA, or a...Medicare Advantage members. I would say 20-30% of our work require CPT review. Also, most of the projects… more
    Insight Global (07/26/25)
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  • Nurse Auditor 2

    Humana (Tallahassee, FL)
    …The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is ... medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to...established guidelines/procedures. **Use your skills to make an impact** ** WORK STYLE:** Remote/ Work at Home .… more
    Humana (08/08/25)
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  • Medical Director- South Central

    Humana (Tallahassee, FL)
    …requirements, and will understand how to operationalize this knowledge in their daily work . The Medical Director's work includes computer-based review of ... markets. May participate on project teams or organizational committees. ** Work at Home Guidance** To ensure ...family while also knowing your life extends outside of work . Among our benefits, Humana provides medical ,… more
    Humana (07/11/25)
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  • Payment Integrity Professional

    Humana (Tallahassee, FL)
    …run of business. Follows established guidelines/procedures. **Use your skills to make an impact** ** WORK STYLE:** 100% remote/ work at home . ** WORK ... **Additional Information** To ensure Home or Hybrid Home /Office associates' ability to work effectively, the...family while also knowing your life extends outside of work . Among our benefits, Humana provides medical ,… more
    Humana (08/02/25)
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  • Inpatient Coder Specialist

    BayCare Health System (Tampa, FL)
    …General Surgery, Trauma Level II, and high acuity cases. **Responsibilities** + The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, ... coding systems. + Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses...of an amazing team and a great place to work ! **Certifications and Licensures** + **Required:** Certified Coding more
    BayCare Health System (08/08/25)
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  • Medical Records Coder II

    BayCare Health System (Tampa, FL)
    …+ **Shift:** 7:00 AM to 3:30 PM + **Days:** Monday through Friday The ** Medical Records Outpatient Coder II** will work remotely on a full-time basis. ... the Chance to be part of an amazing team and a great place to work ! **Certifications and Licensures** + Preferred CCS ( Coding ) + Preferred RHIT (Health… more
    BayCare Health System (08/08/25)
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  • Medical Records Coder I - PRN

    BayCare Health System (FL)
    …(non-exempt) + **Shift:** 7:00 AM to 3:30 PM + **Days:** Monday through Friday The ** Medical Records Coder I** will work remotely on a **PRN** basis. This team ... must currently reside in the state of Florida. **Responsibilities** + The Medical Records Coder I assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS,… more
    BayCare Health System (05/23/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Gainesville, FL)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (07/11/25)
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  • Medical Director - Spine

    CVS Health (Jacksonville, FL)
    …an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home . The Medical Director (Spine) will be a Subject Matter ... of health care resources. **This is a remote based ( work at home ) based anywhere in the...including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the… more
    CVS Health (08/08/25)
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