Managing Consultant - Risk Adjustment Coding Compliance Berkeley Research GroupManaging Consultant - Risk Adjustment Coding ComplianceTampa, FloridaOther job responsibilities include: Serves as a subject matter expert on interpretation and application of coding and documentation guidelines; Recommends procedural or policy changes to improve coding and documentation practices based on industry knowledge and audit findings; Monitors relevant resources, publications, and current government compliance and enforcement activity related to high-risk compliance areas; Stays current on coding guidelines, risk adjustment reimbursement requirements, and changes to the CMS-HCC model; Generates client deliverables and make valuable contributions to expert reports; Manages client relationships and communicate results and work product as appropriate; Manages junior staff and delegate assignments as directed by more senior managers; Demonstrates creativity and efficient use of relevant software tools and analytical methods to develop solutions; Participates in group practice meetings, contribute to business development initiatives and office functions such as staff training and recruiting; Prioritizes assignments and responsibilities to meet goals and deadlines. Required skills include: Demonstrated ability to: interpret national coding and documentation guidelines and translate them into effective auditing practices and tools; identify issues in coding and documentation practices and develop plans to remediate; develop reports, track, and trend audit findings and results; make timely and appropriate judgements on audit findings and translate into needed actions and follow up plans; and.
Medical Coder Certified - USFTGP UMSA RCO Coding Tampa General HospitalMedical Coder Certified - USFTGP UMSA RCO CodingTampa, FL680952'',''true'',''680952'',''false'',''Submission for the position: Medical Coder Certified - USFTGP UMSA RCO Coding - (Job Number: 260002CD)'',''false'',''680952'',''false'',''true'',''Medical Coder Certified - USFTGP UMSA RCO Coding'',''260002CD'',''!*! The Medical Coder Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings.
Entry-Level Medical Billing & Coding Assistant Revel HealthcareEntry-Level Medical Billing & Coding AssistantTampa, FloridaWe are seeking an Entry-Level Medical Billing & Coding Assistant to support important administrative functions related to patient care, insurance claims, and healthcare reimbursement. You will help ensure medical services are documented accurately, claims are prepared correctly, and billing records are maintained in accordance with privacy and HIPAA requirements.
Medical Records Coder III - ED Coding (Part Time) BayCare Health SystemMedical Records Coder III - ED Coding (Part Time)Clearwater, FLSummary: Performs advanced coding functions by reviewing short-stay focused encounters and assigning accurate diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Revenue Cycle Senior Solution Tech Expert - Health Information Management Coding Specialist GuidehouseRevenue Cycle Senior Solution Tech Expert - Health Information Management Coding SpecialistTampa, FloridaAssist with development, maintenance, and iterative improvement of working groups/project teams, including charter development, schedule working group/project meetings, track tasks to completion, and assist with planning and execution of workshops/summits. Experience with educational course material design and build for DHA MHS GENESIS RCM Solution Owner Teams, and intermediate and advanced end user training that includes Edit Failures from the Alpha ii Scrubber and SSI Clearinghouse Scrubber.
Coding Coordinator (REMOTE) BayCare Health SystemCoding Coordinator (REMOTE)Tampa, FLRemoteResponsibilities: The Medical Records Coding Coordinator performs reviews of medical records to assign or confirm appropriate diagnosis assignment of ICD-10-CM, ICD-10-PCS, CPT4, HCPCS and Modifiers. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Revenue Cycle Senior Solution Tech Expert - Health Information Management Coding Specialist Guidehouse IncRevenue Cycle Senior Solution Tech Expert - Health Information Management Coding SpecialistTampa, FL$89,000–$148,000 / yearAssist with development, maintenance, and iterative improvement of working groups/project teams, including charter development, schedule working group/project meetings, track tasks to completion, and assist with planning and execution of workshops/summits. Experience with educational course material design and build for DHA MHS GENESIS RCM Solution Owner Teams, and intermediate and advanced end user training that includes Edit Failures from the Alpha ii Scrubber and SSI Clearinghouse Scrubber.
Medical Billing and Coding (Adjunct) Instructor Hillsborough Community CollegeMedical Billing and Coding (Adjunct) InstructorFLIf the transcript does not reflect the awarding of the qualifying degree, or the attainment of the required graduate semester hours, attach written documentation from the educational institution showing when the degree was awarded or hours earned. Load points are generated: (1) one lecture or distance learning credit hour generates 10 load points and (2) one laboratory contact hour or one clinical contact hour generates 8 load points.
HIM Coder 2 - Inpatient Coding Tampa General HospitalHIM Coder 2 - Inpatient CodingTampa, FLBe knowledgeable in the requirements of the industry with regard to Medicare and/or Managed care regulations, the International Classification of Diseases (ICD-9 and ICD-10-CM/PCS) and the Current Procedural Terminology (CPT) coding systems. ''667702'',''true'',''667702'',''false'',''Submission for the position: HIM Coder 2 - Inpatient Coding - (Job Number: 250003VM)'',''false'',''667702'',''false'',''true'',''HIM Coder 2 - Inpatient Coding'',''250003VM'',''!*!
Coding Supervisor TAMPA FAMILY HEALTH CENTERS, INC.Coding SupervisorTampa, FLMinimum 2 years EMR experience (Epic preferred) • Minimum of 3 years multi-specialty coding experience (5+ years preferred) • Experience using Microsoft Office suite with intermediate Excel skills • Excellent written and verbal communication skills, including grammar, punctuation, and style • Comfort presenting to large and small groups • Advanced knowledge of medical terminology, anatomy, physiology, disease processes, medications, and laboratory values • Ability to analyze data and apply insights to work-related situations. • Frequently required to sit; occasionally required to stand and walk • Frequently required to communicate both expressively and receptively • Occasionally required to lift and/or move up to 25 pounds • Occasionally required to bend, twist, climb, and reach • Moderate concentration and prolonged mental effort with limited breaks • Normal memory demands based on volume and type of information • Moderate complexity in decision-making • Ability to handle normal levels of intensity.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321St. Petersburg, FLIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Inpatient Coding Auditor AdventHealthInpatient Coding AuditorTampa, FL$26.29–$48.91 / hourComprehensive experience with cases requiring more complex coding skills, such as advanced cardiovascular, cardiothoracic, neurological, and orthopedic surgical procedures, extended or prolonged length of stays (> 100 days, BMT and other solid organ transplantations, ECMO, cutting-edge surgical advancements that are considered new and innovative, procedures that may be considered experimental or research-based, and other complicated treatments or procedures provided in a quaternary care facility. Assists with writing compelling appeals to all DRG denials from outside agencies, referencing Official Coding Guidelines and Coding Clinic advice as appropriate to defend the DRG assignment and protect the organization's reimbursement.
Coding Specialist (remote position) Chapters Health System IncCoding Specialist (remote position)Temple Terrace, FLRemote$24.30–$36.16 / hourAll Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. Job Responsibilities: Analyzes and interprets information in the medical record and assigns the correct code(s) utilizing ICD-10-CM and or CPT-4 classification system to the diagnoses/procedures of medical records according to the coding guidelines.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerFL$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
NewCoding Instructor Code NinjasCoding InstructorTampa, FL$14–$18 / hourWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
IRC67219 Codes & Permit Technician II City of St Petersburg FLIRC67219 Codes & Permit Technician IISt Petersburg, FL$22.66–$34.59 / hourWork involves reviewing, investigating, processing and responding to requests or inquiries regarding permits, licenses, fees, inspection activities, City, State and Federal codes and other related matters; review of applications for compliance with applicable municipal building and related codes; responding verbally or in writing to inquiries from the business community, other governmental agencies and the public on code and permit matters; performing general office, clerical work and computer functions; and considerable contact with the public on the telephone and in person, requiring the exercise of considerable discretion, tact and diplomacy. In accordance with Chapter 295 of the Florida Statutes, qualified servicemembers/veterans and the spouses/family members of certain servicemembers/veterans receive preference/priority in employment.
Building Code Inspector Tew & TaylorBuilding Code InspectorSt Petersburg, FloridaAbout Private Provider Enacted October 1, 2002, and then revised on July 1, 2006, F.S. §553.791 provides that homeowners "may elect to use a private provider to provide plans review or required building inspections, or both." Required Licenses and Certifications: Applicants must hold all four residential discipline licenses for the state of Florida: Residential Plans Examiner and Inspector, Building (structural).
NewArchitectural CAD Drafter: Code-Compliant Plans LATITUDEArchitectural CAD Drafter: Code-Compliant PlansTampa, FL$27–$33 / hourA leading architectural firm is seeking an Architectural CAD Drafter in Tampa, FL, to create detailed architectural drawings and ensure compliance with local building regulations. The role demands proficiency in CAD software like AutoCAD and Revit, along with a solid understanding of architectural principles and the Florida Building Code.
Supervisor, Quality Improvement Avalon Health Services LLCSupervisor, Quality ImprovementTampa, FLAbout the Supervisor, Quality Improvement position: The Supervisor, Quality Improvement is responsible for overseeing Avalon's quality improvement auditing and monitoring activities while leading a team of Quality Improvement Specialists. This position serves as a working leader, directly participating in quality audits, data analysis, reporting, and process improvement initiatives while ensuring the team consistently delivers accurate, timely, and actionable quality insights.
Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu LtdSenior Consultant, Health Insurance - Risk Regulatory & ComplianceTampa, FLThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorFL$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Medical Coder Certified - USFTGP UMSA RCO Back End Tampa General HospitalMedical Coder Certified - USFTGP UMSA RCO Back EndTampa, FL681099'',''true'',''681099'',''false'',''Submission for the position: Medical Coder Certified - USFTGP UMSA RCO Back End - (Job Number: 260002EB)'',''false'',''681099'',''false'',''true'',''Medical Coder Certified - USFTGP UMSA RCO Back End'',''260002EB'',''!*! Medical Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings.
Inpatient DRG Reviewer Zelis Healthcare, Inc.Inpatient DRG ReviewerSt. Petersburg, FL$79,000–$99,750 / yearRN or LVN required • Inpatient Coding Certification required (CCS, CIC) within 4 - 6 months of hire date • 1 -3 years reviewing and or auditing ICD-10 CM, MS-DRG and APPR-DRG claims preferred • Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs • Experience performing readmission reviews, including evaluating relatedness, preventability, and compliance with readmission policies • Understanding of hospital coding and billing rules • Clinical skills to evaluate appropriate Medical Record Coding • Experience conducting root cause analysis and identifying solutions • Strong organization skills with attention to detail • Outstanding verbal and written communication skills. • Using the revised codes, regroup the claim using provided software to determine the 'new DRG' • Where the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review • Document all aspects of audits including uploading all provider communications, clinical rationale, and/or financial research • Identify new DRG coding concepts to expand the DRG product.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistFL$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Clinical Budgeting Specialist Paradigm Management Services LLCClinical Budgeting SpecialistTampa, FLRemoteUpdate each forecast with findings/changes to include; update and confirmation of known/future service dates and expense using reference data and/or direct contract with the providers, true-up of forecast for completed services to paid claims, adjustment for future services based on changes in the clinical course of treatment. Demonstrates a customer-first mindset through a commitment to delivering the best possible outcomes for our customers, including injured workers, payors, clients, providers, stakeholders, and internal teams.
Medical Records Coder III Outpatient (PRN/ REMOTE) BayCare Health SystemMedical Records Coder III Outpatient (PRN/ REMOTE)Tampa, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Coder III Outpatient BayCare Health SystemMedical Records Coder III OutpatientTampa, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Coder III Outpatient (REMOTE) BayCare Health SystemMedical Records Coder III Outpatient (REMOTE)Tampa, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Outpatient Coder III BayCare Health SystemMedical Records Outpatient Coder IIIClearwater, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Inpatient DRG Sr. Reviewer Zelis Healthcare, Inc.Inpatient DRG Sr. ReviewerSt. Petersburg, FL$95,000–$120,650 / yearWhat You'll Bring to Zelis: Registered Nurse licensure preferred Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT) 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG, and APR-DRG claims preferred Solid understanding of audit techniques, identification of revenue opportunities, and financial negotiation with providers Experience and working knowledge of Health Insurance, Medicare guidelines, and various healthcare programs Strong understanding of hospital coding and billing rules Clinical and critical thinking skills to evaluate appropriate coding Strong organization skills with attention to detail Excellent communication skills both verbal and written, and skilled at developing and maintaining effective working relationships Demonstrated thought leadership and motivation skills, a self-starter with an ability to research and resolve issues. As part of the Price Optimization division, this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved for Zelis clients.
Credentialing Specialist RadX Inc.Credentialing SpecialistTampa, FLFull timeTo thrive as a Full Time Credentialing Specialist at RadX Inc., you will need a unique blend of skills and attributes that will empower you to succeed in this critical role. Additionally, empathy is vital in our patient-centered environment, allowing you to understand the needs of both patients and staff.
RCM Specialist I - Medical Biller JAG Physical TherapyRCM Specialist I - Medical BillerTampa, FloridaJAG Physical Therapy, a comprehensive outpatient, orthopedic physical therapy company with 100 facilities throughout Pennsylvania, New Jersey, and New York, is seeking compassionate and motivated individuals to join our winning team! Important Disclaimer Notice: The above statements are only intended to represent the essential job functions and general nature of the work being performed and are not exhaustive of the tasks that an Employee may be required to perform.
Medical Scribe - Full-time - Pasadena / Largo ENT and Allergy of FL.Medical Scribe - Full-time - Pasadena / LargoSt. Petersburg, FLFull timeThis is an excellent opportunity for a Medical Scribe who is comfortable with medical terminology, strong typing skills, multitask oriented, motivated, able to handle a high volume of incoming patients, must be a self-starter and willing to learn all aspects of the ENT, Allergy, and Audiology field. Physical Demands: Coordination, manual, and physical dexterity sufficient to properly and adequately use various items of medical equipment and office equipment as required of the position or directed by the Manager.
Director, Itemized Bill Review Zelis Healthcare, Inc.Director, Itemized Bill ReviewSt. Petersburg, FLAs the senior business owner for the IBR solution, the Director is responsible for advancing automation, artificial intelligence, machine learning, workflow modernization, and new savings opportunities that improve scalability, coding accuracy, operational efficiency, and client outcomes. Establish, monitor, and report on key performance indicators (KPIs) and operational, financial, quality, and client performance metrics, utilizing data-driven insights to identify opportunities, mitigate risks, and drive achievement of strategic and operational goals.
Optometric Technician West Point Optical GroupOptometric TechnicianBrandon, FloridaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorFL$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Manager, Revenue Cycle Johns Hopkins HospitalManager, Revenue CycleSt. Petersburg, FLYou can explore the details of our benefits offering by visiting the following link: Johns Hopkins All Childrens Hospital | Your benefits virtually (mybenefitsjhhs.com) Position Summary: The Revenue Integrity Manager - Professional Billing is responsible for leading and overseeing professional billing revenue integrity operations across Johns Hopkins Hospital. Apply Save Job Refer a Friend Back Remote Work from Home Share This Page Share on Facebook Share on Twitter Share on LinkedIn Share via Email Job Details Requisition #:662759 Location:Johns Hopkins All Childrens Hospital, St. Petersburg, FL 33701 Category:Finance Schedule:Day Shift Employment Type:Full Time You were meant for Hopkins!
Medical Management Clinician Senior Elevance Health IncMedical Management Clinician SeniorTampa, FLConducts and may approve pre-certification, concurrent, retrospective, out of network and/or appropriateness of treatment setting reviews by utilizing appropriate medical policies and clinical guidelines in compliance with department guidelines and consistent with the members eligibility, benefits and contract. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Medical Biller Terlep ChiropracticMedical BillerSpring Hill, FloridaAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Medical Biller Bay Area Advance Gastroenterology CareMedical BillerBrandon, FLAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Anesthesia Specialty Coder II (REMOTE) BayCare Health SystemAnesthesia Specialty Coder II (REMOTE)Tampa, FLRemoteThe Anesthesia Specialty Coder II audits physician documentation to assign appropriate anesthesia CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. Position Details: The Anesthesia Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-9 CM and CPT-4 coding systems, and audits physician documentation.
Healthcare Appeals Specialist TempExpertsHealthcare Appeals SpecialistClearwater, FLThe ideal candidate will have experience with medical billing, insurance claims, appeals, or revenue cycle management and be comfortable researching claim issues, communicating with insurance providers, and managing multiple cases in a fast-paced healthcare environment. This role plays an important part in ensuring accurate and timely resolution of insurance claim denials while helping improve financial outcomes and support patient access to critical medical services.
Certified Coder HCA Healthcare IncCertified CoderTampa, FLEXPERIENCE: One year of coding and/or billing experience in a healthcare environment CERTIFICATION/LICENSE: Must be one of the following: Certification Certified Coding Specialist (CCS) Governing Body Certified Coding Specialist - Physician (CCS-P) AHIMA AHIMA Registered Health Information Technician - RHIT Registered Health Information Administrator - RHIA AHIMA AHIMA Certified Professional Coder - (CPC) Certified Professional Coder - Hospital (CPC-H) AAPC AAPC Governing Body Full Name - - AHIMA (American Health Information Management Association) AAPC (American Academy of Professional Coders) Benefits HCA FL Endocrine Institute, offers a total rewards package that supports the health, life, career and retirement of our colleagues. Works in conjunction with A/R team on follow up and resolution of coding related denials and rejections Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-9/ICDD-10 materials, the Federal Register, and other pertinent materials.
Medical Records Coder II (REMOTE) BayCare Health SystemMedical Records Coder II (REMOTE)Tampa, FLRemoteOur network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. Responsibilities: The Medical Records Coder II assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports.
AR Specialist / Healthcare Billing / Pharmacy Prosper InfusionAR Specialist / Healthcare Billing / PharmacyTampa, FloridaThe home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Prosper Infusion. A minimum of one (2) year of experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus.
Specialty Coder II (REMOTE) BayCare Health SystemSpecialty Coder II (REMOTE)Tampa, FLRemoteThe Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Specialty Coder II - Anesthesia (REMOTE) BayCare Health SystemSpecialty Coder II - Anesthesia (REMOTE)Tampa, FLRemoteThe Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Clinical Nurse Reviewer Zelis Healthcare, Inc.Clinical Nurse ReviewerSt. Petersburg, FL$59,000–$75,050 / yearThe Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Billing Specialist Pinnacle Home CareBilling SpecialistOldsmar, FLRemotePinnacle Home Care, Florida’s largest independent Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for a Reimbursement Analyst to join our award-winning team. Partner with Clinical Intake, Coding, QA, and Clinical Ops to ensure billable readiness: signed orders, OASIS locked, visit notes complete, therapy thresholds if applicable, homebound and medical necessity documentation.
Revenue Integrity Charge Capture Analyst Johns Hopkins HospitalRevenue Integrity Charge Capture AnalystSt. Petersburg, FLRemoteRequirements: • Bachelor's degree required, preferably in business or healthcare • Coding certification (CPC, CCS, CCS-P, COC), or certification in auditing/healthcare compliance required • Minimum five years of experience in hospital and professional billing healthcare, revenue integrity or billing operations • Experience leading projects or process improvements around revenue cycle functions • Experience with clinical documentation and coding, including strong knowledge around CPT, HCPCS, ICD10-CM/PCS, revenue codes and code assignment. The Revenue Integrity Charge Capture Analyst serves as subject matter expert of revenue integrity and revenue cycle functions, including registration, eligibility verification, coding, billing, and charge reconciliation for assigned service line areas.