• Director , Medical Coding

    CenterWell (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding of how organization capabilities… more
    CenterWell (10/23/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Fort Lauderdale, FL)
    coding and documentation improvement education to Providers. + Assists the Director Coding Operations Division Support in reviewing progress against business ... processes, and division relationship management as applicable. The RCOM assists the Regional Coding Operations Director with the oversight and implementation of … more
    HCA Healthcare (10/24/25)
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  • Revenue Integrity Coding Billing Specialist…

    Guidehouse (Tampa, FL)
    …**:** None **What You Will Do** **:** + Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue ... commensurate with skills and experience as determined by the Director of Revenue Integrity. **What You Will Need** **:**...+ Experience in ICD-10, CPT and HCPCS Level II Coding . + Expertise in determining medical necessity… more
    Guidehouse (12/04/25)
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  • PCO Medical Director - UM - Part…

    CenterWell (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
    Humana (10/25/25)
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  • Medical Director - Medicaid (remote)

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
    Humana (12/07/25)
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  • Medical Director - IP Claims…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (12/11/25)
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  • Medical Director -Payment Integrity

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (12/11/25)
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  • Medical Director -Spine

    CVS Health (Tallahassee, FL)
    …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... Medical Director (Spine) will be a Subject...predetermination reviews ad reviews of claim determinations, providing clinical, coding , and reimbursement expertise, using multiple computer based applications.… more
    CVS Health (10/28/25)
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  • Director , Field Health Economics…

    Edwards Lifesciences (Miami, FL)
    …healthier lives. Join us and be part of our inspiring journey. The Director , Global Health Economics and Reimbursement is a field-based role responsible for working ... (payment rates and market access) by serving as a knowledgeable resource in coding , coverage and payment, as well as, an intermediary to payers including Center… more
    Edwards Lifesciences (11/22/25)
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