- TEKsystems (Orlando, FL)
- Description Looking for experienced Medical Coders to ramp up and support upcoming system migration from Cerner to Epic slated to go live March 2026. Will help with ... into training, to provide some relief in those processes. Must have Epic medical coding experience and experience with system migrations. Preferred to also have … more
- Molina Healthcare (Orlando, FL)
- …Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- Molina Healthcare (Orlando, FL)
- …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified ... **Job Description** **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal… more
- Molina Healthcare (Orlando, FL)
- …Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Certified Clinical Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified ... Professional in Healthcare Management (CPHM) and/or other health care certification/licensure. If licensed, license must be active and unrestricted in state of practice. To all current Molina employees: If you are interested in applying for this position,… more
- Molina Healthcare (Orlando, FL)
- …suite/applicable software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal… more
- Humana (Orlando, FL)
- …(Certified Professional Coder ) Certification + 4 or more years of medical coding experience + Risk Adjustment knowledge + Proficiency with data analytics tools ... **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience interacting with healthcare providers + Strong technical… more
- CenterWell (Edgewater, FL)
- …medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- Elevance Health (Lake Mary, FL)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG Coding Auditor Principal** is responsible for ... auditing inpatient medical records on claims paid based on Diagnostic Relation...a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). + Requires… more
- CenterWell (Apopka, FL)
- …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- HCA Healthcare (Orlando, 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 ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Summary and Qualifications** As a work from home Outpatient Coder , you will work outpatient coding related alerts/edits for… more
- Molina Healthcare (Orlando, FL)
- …supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all ... Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national Risk Adjustment teams and strategic teams...be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you… more