• Certified Medical Coder

    Ascension Health (Callahan, FL)
    …Professional Coders (AAPC) obtained prior to hire date or job transfer date. + Medical Certified Professional Coder (CPC) credentialed from the Practice ... Coding + **Schedule:** Full-Time, Day Shifts + **Facility:** Ascension Medical Group + **Location:** Hybrid in Jacksonville, FLMust have...prior to hire date or job transfer date. + Certified Professional Coder (CPC) credentialed from the… more
    Ascension Health (11/12/25)
    - Save Job - Related Jobs - Block Source
  • Specialist, Appeals & Grievances

    Molina Healthcare (Jacksonville, FL)
    …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (11/21/25)
    - Save Job - Related Jobs - Block Source
  • Specialist, Appeals & Grievances

    Molina Healthcare (Jacksonville, FL)
    …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (11/21/25)
    - Save Job - Related Jobs - Block Source
  • Associate Specialist, Appeals & Grievances

    Molina Healthcare (Jacksonville, FL)
    …setting experience. * Completion of a health care related vocational program (ie, certified coder , billing, or medical assistant). To all current ... according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research.… more
    Molina Healthcare (11/21/25)
    - Save Job - Related Jobs - Block Source
  • Manager, Appeals & Grievances

    Molina Healthcare (Jacksonville, FL)
    …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... 1 year management/leadership experience. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss,… more
    Molina Healthcare (11/13/25)
    - Save Job - Related Jobs - Block Source
  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Jacksonville, FL)
    …software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional… more
    Molina Healthcare (11/14/25)
    - Save Job - Related Jobs - Block Source
  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Jacksonville, FL)
    …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 ...(CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current… more
    Molina Healthcare (11/13/25)
    - Save Job - Related Jobs - Block Source
  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (Jacksonville, FL)
    …Association** Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's ... ability to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred +… more
    Molina Healthcare (11/20/25)
    - Save Job - Related Jobs - Block Source
  • Director, Clinical Data Acquisition

    Molina Healthcare (Jacksonville, FL)
    …Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you ... supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all… more
    Molina Healthcare (10/22/25)
    - Save Job - Related Jobs - Block Source