• Certified Professional Coder

    CVS Health (Tallahassee, FL)
    …And we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure ... for meetings and potential to testify **Required Qualifications** - AAPC Coding certification - Certified Professional Coder (CPC). - 3+ years of experience… more
    CVS Health (09/10/25)
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  • Senior Analyst, Special Investigative Unit

    CVS Health (Tallahassee, FL)
    …internet research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Bilingual ... Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's Special Investigations Unit. In this role, you will manage complex… more
    CVS Health (08/24/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient ... of new staff, performing audits and research related to special projects and providing coverage for coding manager(s). (10%)...Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital… more
    Highmark Health (08/08/25)
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  • Investigator

    Highmark Health (Tallahassee, FL)
    …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder ... for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations… more
    Highmark Health (09/10/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, ... and support to clinical peers. + Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB… more
    Molina Healthcare (09/06/25)
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