Software Engineer - VL-60-Security Clearance Eligibility Required AVT SimulationSoftware Engineer - VL-60-Security Clearance Eligibility RequiredOrlando, FLQualifications Minimum Requirements Completion of a full course of study in an accredited college or university leading to a bachelor’s or higher degree in computer science, computer engineering, or a related field. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; talk or hear.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Orlando, FLRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Senior Software Developer AtkinsRealisSenior Software DeveloperOrlando, FL$80,000–$130,000 / yearNote to staffing and direct hire agencies: In the event a recruiter or agency who is not on our preferred supplier list submits a resume/candidate to anyone in the company, AtkinsRéalis family of companies, we explicitly reserve the right to recruit and hire the candidate(s) at our discretion and without any financial obligation to the recruiter or agency. Ability to integrate AI capabilities into software development workflows using tools such as GitHub Copilot to improve productivity, accelerate delivery, and maintain code quality.
Claim Assistant CCMSIClaim AssistantMaitland, Florida$18–$19 / hourAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.
Coding Specialist III - HIM Halifax HealthCoding Specialist III - HIMDaytona Beach, FloridaKnowledge of Local Coverage Determinations and National Coverage Determinations- Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments required- The ability to organize, prioritize, analyze, and implement daily tasks, must be a self starter and be able to work with minimal supervision- The ability to handle multiple responsibilities and tasks in stressful situations- Problem solving, analytical and critical thinking skills- The ability to maintain confidentiality, knowledge of HIPAA laws- ICD-10-CM and ICD-10 PCS trained with an accuracy rating of 95%. Day (United States of America)Coding Specialist III - HIMThe Coding Specialist III is responsible for the coding of all Inpatient accounts using ICD-9-CM and ICD-10-CM code sets.
NewSenior Payer Manager Managed Care AdventHealthSenior Payer Manager Managed CareAltamonte Springs, FLRemote$60,151.66–$111,886.39 / yearSupports Managed Care Contract Administration, Central Denials team, and Regional PFS departments in resolving operational, accounts receivable, billing, and related issues. Knowledge of governmental payer functions, regulations and payment methodologies and structure of Medicare, state Medicaid, Tricare and other government payers.
Staff Engineer ZayZoon IncStaff EngineerOrlando, FLRemoteFlexible Time Off: Whether its a longer vacation to explore new horizons, a series of short breaks for regular rejuvenation, or stepping away for a new level of mastery in a skillset - our "You-do-You" time off program caters to the diverse and evolving lifestyles of our team with a maximum of 6 weeks vacation. Our recent funding extension has raised our Series B funding round to nearly $50 million USD Join us in shaping the future of employee financial wellness and building services that address the immediate needs of todays employees.
Senior Software Developer AtkinsRealis Group IncSenior Software DeveloperOrlando, FL$80,000–$130,000 / yearNote to staffing and direct hire agencies: In the event a recruiter or agency who is not on our preferred supplier list submits a resume/candidate to anyone in the company, AtkinsRéalis family of companies, we explicitly reserve the right to recruit and hire the candidate(s) at our discretion and without any financial obligation to the recruiter or agency. Ability to integrate AI capabilities into software development workflows using tools such as GitHub Copilot to improve productivity, accelerate delivery, and maintain code quality.
NewEpic Denials Manager DeloitteEpic Denials ManagerLake Mary, FLRemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. 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.
Medical Front Office Receptionist The Doctors CenterMedical Front Office ReceptionistOrlando, FloridaKnowledge, Skills, and Abilities: Must be detail-oriented, possess the ability to multi-task/problem solve, and be open to cross-functional training. Job Summary: Our innovative and rapidly expanding company is seeking experienced candidates for the position of Clinic Receptionist.
Bilingual Medical Assistant Humana IncBilingual Medical AssistantOrlando, FL$43,000–$56,200 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
NewSr. Manager, Denials Management AdventHealthSr. Manager, Denials ManagementMaitland, FL$96,266.14–$179,045.63 / yearPartners with internal and external stakeholders, including revenue cycle leadership, Managed Care, payers, vendors, and operational teams, to resolve payer issues, support disputes, and deliver preeminent denial management performance. Ability to communicate clearly and professionally with diverse internal and external stakeholders, including senior leadership, Managed Care, payers, vendors, and revenue cycle partners [Required].
NewSenior Manager Denials Management AdventHealthSenior Manager Denials ManagementMaitland, FL$96,266.14–$179,045.63 / yearPartners with internal and external stakeholders, including revenue cycle leadership, Managed Care, payers, vendors, and operational teams, to resolve payer issues, support disputes, and deliver preeminent denial management performance. Ability to communicate clearly and professionally with diverse internal and external stakeholders, including senior leadership, Managed Care, payers, vendors, and revenue cycle partners [Required].
Part Time Certified Medical Assistant- CMA - Lake Mary Wound Care Center Healogics IncPart Time Certified Medical Assistant- CMA - Lake Mary Wound Care CenterLongwood, FL$17.96–$22.26 / hourEssential Functions/Responsibilities: Performs pre-certification duties such as receiving referral on new patients, verifying patient coverage and communicating with primary care provider and insurance company as needed to obtain authorization for initial visit. Assists the center's staff with clerical services handled by Front Office Coordinators as needed such as: Answering the phone, greeting patients and visitors, routing calls to appropriate staff, scheduling patient appointments.
Manager Coding Operations Parrish Medical CenterManager Coding OperationsTitusville, FloridaKey Responsibilities: Coordinates and manages the overall workflow to include leading accuracy and efficiency in coding and abstracting functions working in collaboration with the central business office acting as liaison between internal and external operations. Identifies, evaluates, and assigns diagnostic and procedural codes based on record documentation with a minimum departmental accuracy level and within the established time parameters utilizing established coding classification methodologies.
Coding & Documentation Educator AdventHealthCoding & Documentation EducatorMaitland, FL$49,718.59–$92,468.74 / yearLicenses and Certifications: Registered Health Information Technician (RHIT [Required] OR Certified Coding Specialist (CCS [Required] OR Certified Risk Adjustment Coder (CRC [Required] OR Certified Documentation Improvement Practitioner (CDIP [Required] OR Certified Clinical Documentation Specialist-Outpatient (CCDS-O [Required] OR Certified Clinical Documentation Specialist (CCDS [Required] OR Certified Professional Coder (CPC [Required]. Provides education to physicians, advanced practice providers, and other key healthcare providers regarding the need for accurate, specific, and complete clinical documentation in the patient's medical record.
Assistant Physical Coding and Charge Record Specialist - Digestive Health Institute Orlando Health Ventures l LLCAssistant Physical Coding and Charge Record Specialist - Digestive Health InstituteOrlando, FLPosition Summary Assistant Physical Coding and Charge Record Specialist - Digestive Health Institute - Downtown ORLANDO HEALTH DIGESTIVE HEALTH INSTITUTE Orlando Health Digestive Health Institute is an international destination for care, offering comprehensive and coordinated services to evaluate, diagnose and treat a wide range of conditions affecting the digestive tract and gastrointestinal organs. Experience • One (1) year of physician practice or hospital-based coding experience required; or In lieu of experience, must have completed a coding certificate program and hold one of the following certifications: • Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC), renewed every year.
Physician Coding Auditor Orlando Health Ventures l LLCPhysician Coding AuditorOrlando, FLSkills Knowledge: • Strong research, organizational, multi-tasking, planning, problem-solving and critical thinking skills • Excellent collaboration, verbal, and written communication skills with providers, leadership, and team members • Excellent knowledge of medical terminology, CPT, ICD-10-CM/PCS and HCPCS coding principles, governmental regulations, protocols, and third-party payer requirements pertaining to billing, coding, and documentation • Expert Coding (CPT and ICD-10-CM) and auditing • Experience working with Electronic Medical Records, EPIC experience preferred • Excellent communication (written and oral) and interpersonal skills. Position Summary Department: Patient Accounting- Physicians Status: Full Time Shift:Remote Location: Orlando, FL Title: Physician Coding Auditor Summary: The Physician Coding Auditor performs coding related audits to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers.
Physician Coding Ed Specialist Orlando HealthPhysician Coding Ed SpecialistOrlando, 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.
Hospital Coding Liaison-Outpatient Orlando Health Ventures l LLCHospital Coding Liaison-OutpatientOrlando, FLRemoteComputer literacy, knowledge of Anatomy, Physiology and Medical Terminology required • Liaison coding skills test of 90% or better • Advanced level knowledge of anatomy, physiology, pathophysiology, pharmacology, and medical terminology to accurately translate medical record documentation into the appropriate classification system for reporting Purposes Licensure/Certification One of the following national certifications: • Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) through AHIMA • Certified Professional Coder (CPC) through the American Academy of Professional Coders • Certified Outpatient Coder (COC) Experience • Inpatient and Outpatient Liaisons: o Seven (7) years of relevant hospital inpatient and/or outpatient coding experience required. Employee-centric Orlando Health has been selected as one of the "Best Places to Work in Healthcare" by Modern Healthcare Position Overview Multifacility responsibility for ensuring all aspects of coding is carried out accurately and efficiently through chart reviews, problem account resolution, and coding education according to established rules and regulatory guidelines across Orlando Health System.