NewDirector, Actuarial Services Avalon Administrative Services LLCDirector, Actuarial ServicesTampa, FLThe Director, Actuarial Services partners closely with executive leadership and cross-functional stakeholders, including Finance, Health Analytics, Network Management, and Product teams, to support pricing strategies, financial forecasting, risk adjustment initiatives, and regulatory compliance. Our proprietary Diagnostic Insights Platform delivers evidence-based policies, curated lab networks, and real-time analytics that simplify complex diagnostics, accelerate innovation adoption, and optimize diagnostic investments.
NewLead VistA MUMPS Developer Remote Opportunity Veterans EZ Info IncLead VistA MUMPS Developer Remote OpportunityTampa, FLRemoteThe role will provide technical leadership throughout the software development lifecycle while supporting multiple VistA packages, including Admission, Discharge, Transfer (ADT), Patient Care Encounter (PCE), Automated Information Collection System (AICS), Record Tracking, and VistA Audit Solutions. This role will provide technical leadership for a Department of Veterans Affairs (VA) initiative focused on reducing and ultimately eliminating the use of Social Security Numbers (SSNs) across critical VistA applications, workflows, reports, interfaces, audit records, and data-handling processes.
NewLead VistA MUMPS Developer (Remote Opportunity) (Remote) VetsEZLead VistA MUMPS Developer (Remote Opportunity) (Remote)Tampa, FLRemoteThe role will provide technical leadership throughout the software development lifecycle while supporting multiple VistA packages, including Admission, Discharge, Transfer (ADT), Patient Care Encounter (PCE), Automated Information Collection System (AICS), Record Tracking, and VistA Audit Solutions. This role will provide technical leadership for a Department of Veterans Affairs (VA) initiative focused on reducing and ultimately eliminating the use of Social Security Numbers (SSNs) across critical VistA applications, workflows, reports, interfaces, audit records, and data-handling processes.
NewLead VistA MUMPS Developer (Remote Opportunity) VetsEZLead VistA MUMPS Developer (Remote Opportunity)Tampa, FLRemoteThe role will provide technical leadership throughout the software development lifecycle while supporting multiple VistA packages, including Admission, Discharge, Transfer (ADT), Patient Care Encounter (PCE), Automated Information Collection System (AICS), Record Tracking, and VistA Audit Solutions. This role will provide technical leadership for a Department of Veterans Affairs (VA) initiative focused on reducing and ultimately eliminating the use of Social Security Numbers (SSNs) across critical VistA applications, workflows, reports, interfaces, audit records, and data-handling processes.
Medical Coder Certified - Usftgp Umsa RCO Coding The Tampa General Hospital Foundation IncMedical Coder Certified - Usftgp Umsa RCO CodingTampa, FLThe Medical Coder Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings. Classification systems include ICD-10, CPT, HCPCS, as well as other specialty systems as required by diagnostic category.
NewCoding Specialist I Yakima Valley Farm Workers ClinicCoding Specialist IFL$21.44–$26.27 / hourOur holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. We invite you to explore our short clips, "WE are Yakima - WE are Family" and "YVFWC - And then we grew," for a glimpse into our dedication to our communities, health, and families!
NewManager Clinical Performance & Quality Coding (Nurse Practitioner Or PA) Elevance HealthManager Clinical Performance & Quality Coding (Nurse Practitioner Or PA)Tampa, FLDevelop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures. Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.
Manager Clinical Performance & Quality Coding (Nurse Practitioner or PA) Elevance Health IncManager Clinical Performance & Quality Coding (Nurse Practitioner or PA)Tampa, FLDevelop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures. Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.
Physician Coding Ed Specialist- St Pete Orlando HealthPhysician Coding Ed Specialist- St PeteST. PETERSBURG, FloridaFull timeEffectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office. • Takes an active role in developing and presenting educational programs to Physician & Professional Services team, physicians, physician extenders, physician offices, and all members of the coding team and manager.
NewSenior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystTampa, FLRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
Entry Level Medical Billing Assistant Revel StaffingEntry Level Medical Billing AssistantTampa, FloridaThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
NewMedical Billing Representative CRISIS CENTER OF TAMPA BAY, INC., THEMedical Billing RepresentativeTampa, FLThe Crisis Center of Tampa Bay brings help, hope and healing to people facing serious life challenges or trauma resulting from sexual assault or abuse, domestic violence, financial distress, substance abuse, medical emergency, suicidal thoughts, emotional or situational problems. Valuing & Fostering Diversity - Demonstrates respect for individual differences and establishing a climate where all people can be comfortable and productive through sensitivity, empathy, and acceptance of cultural, racial, mental health, and socio-economic diversity.
Medical Billing & Claims Assistant – Entry Level Move VerticalMedical Billing & Claims Assistant – Entry LevelTampa, FloridaThis entry-level position assists with claims processing, patient account information, insurance verification, and general billing support. We are seeking detail-oriented candidates interested in beginning a career in medical billing, insurance, and healthcare revenue-cycle operations.
Coding Instructor Code NinjasCoding InstructorWesley Chapel, FloridaWe 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.
Medical Scribe - Part-time - Trinity / Westchase ENT and Allergy of FL.Medical Scribe - Part-time - Trinity / WestchaseNew Port Richey, FLPart timeMedical Scribe Responsibilities:Documenting patient encounters and maintaining accurate medical recordsCapturing patient information, including medical history, and symptomsRecording physician examination findings and treatment plansOrdering diagnostic tests and surgeriesAssisting with medical coding and billing processesInputting prescriptions and medication regimensFacilitating communication between healthcare providers and staff membersMedical Scribe Requirements:Working knowledge of Medical Terminology.>60 wpm typing speed. Medical Scribe Description:This 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.
Medical Coder Educator - Usftgp Umsa RCO Back End The Tampa General Hospital Foundation IncMedical Coder Educator - Usftgp Umsa RCO Back EndTampa, FLThis position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. These tools are integral for creating organized literacy plans, delivering engaging presentations, and visualization, ensuring a well-rounded and effective learning experience.
NewSupervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementTampa, FLRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
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.
Revenue Cycle Supervisor Suncoast Community Health Centers Inc.Revenue Cycle SupervisorRiverview, FLFull timeProficiency in billing software, EMR systems, and Microsoft Office (Excel, Word, Outlook and similar software) Familiarity with Medicare, Medicaid, private insurance reimbursement, and coding systems. Collaborate with other departments, such as but not limited to Clinic Administrators, Assistant Clinic Administrators and finance, to streamline revenue cycle processes and address issues.
Medical Coder - Usftgp Umsa RCO Back End The Tampa General Hospital Foundation IncMedical Coder - Usftgp Umsa RCO Back EndTampa, FLli" data-ccp-parastyle-defn="{"ObjectId":"8d7a56e0-a7b7-54f4-a484-015288fb6a82|1","ClassId":1073872969,"Properties":[268442635,"22",469777841,"Times New Roman",469777842,"Times New Roman",469777843,"Times New Roman",469777844,"Times New Roman",469769226,"Times New Roman",469775450,"ul > li",201340122,"2",134233614,"true",469778129,"ulli",335572020,"1",469778324,"Normal"]}">Strong working knowledge of: li">ICD‑ li">10‑ li">CM. The Medical Coder - Accounts Receivable is responsible for reviewing, correcting, and resolving coding‑related claim denials and underpayments to ensure accurate reimbursement.