Development Security & Operations Engineer Kforce Inc.Development Security & Operations EngineerMedley, FL$102,000–$138,000Awareness of legal and regulatory requirements related to information security, such as GDPR, HIPAA, and SOC 2. Strong communication skills to effectively collaborate with development, operations, and business teams, and to promote a culture of security awareness. Skills in securing cloud environments, including experience with cloud service providers like Azure and AWS and understanding of cloud-native security tools and practices.
Senior Manager, Clinical and Coding Health Business Solutions LLCSenior Manager, Clinical and CodingCooper City, FLRemoteThe Senior Manager will provide leadership to multidisciplinary audit teams, support complex audit responses, analyze trends, and partner with internal and external stakeholders to mitigate risk and improve documentation, coding, and reimbursement practices. Health Business Solutions (HBiz) is seeking an experienced and strategic Senior Manager, Clinical & Coding to lead and oversee clinical and coding operations across government and commercial payers, including post-pay audit.
Coding Quality Auditor Houston Methodist HospitalCoding Quality AuditorFLHouston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area.
Coding Compliance Auditor 1, HIM Jackson Health SystemCoding Compliance Auditor 1, HIMMiami, FLprioritizes and supports develops training/education protocols for UHS hospital coders in ICD-9-CM, CPT-4, APCs, Emergency Room Evaluation and Management Coding, Level II coding guidelines, modifier guidelines, proper diagnosis and procedure code selection. The HIM Coding Compliance Auditor 1 analyzes abstracted/coded data for the purpose of ensuring accuracy and timeliness as it relates to DNFB management, quarterly AHCA data submissions and PFS communication.
Coding Analyst Sr. Elevance HealthCoding Analyst Sr.Miami, FloridaWe 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. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
ML Engineer - AI Coding Expert - AI Trainer MercorML Engineer - AI Coding Expert - AI TrainerMiami, FloridaRemoteUse frontier AI coding agents to complete and evaluate complex machine learning and AI engineering tasks. Regular use of AI coding agents such as Cursor , Claude Code , Codex , Windsurf , Gemini CLI , or similar tools.
Medical Billing and Coding Specialist P1 Dental PartnersMedical Billing and Coding SpecialistMiami, FloridaAs a remote Medical Billing and Coding Specialist, you will be responsible for accurately assigning appropriate medical codes to patient records, ensuring timely reimbursement from insurance companies, and maintaining compliance with all relevant regulations and guidelines. To be successful in this role, candidates must possess the following qualifications: - Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification.
NewCoding Analyst Unified Women's Healthcare LLCCoding AnalystFLThis position will be directly involved in analyzing pre-bill claim edits, claim denials and AR management, and working alongside the Revenue Specialists, will review and amend denied claims to ensure accurate coding and adherence to payor policy requirements. Audit medical record documentation to identify under-coded and over-coded services; prepare reports of findings and meet with providers to provide education and training on accurate coding practices and compliance issues.
Medical Billing and Coding Expert MEDSURITY EXPERTSMedical Billing and Coding ExpertWESTON, FLRemoteFull timeIn this role, you will provide detailed analysis of reviewing medical records, confirming the CPT Codes, and providing your opinion on whether or not the medical bills are being overcharged. Strong Microsoft Excel skills, especially with the V-Lookup formula.
Compliance Consultant IV - Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV - Medical Coding - Risk AdjustmentFlorida, FLCompletes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
Compliance Consultant IV, Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV, Medical Coding - Risk AdjustmentMiami, FLCompletes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
Medical Record Audit / Coding Auditor CRD CareersMedical Record Audit / Coding AuditorMiami, FloridaIN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity. Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantMiami, FLIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Clinical Coding Audit Specialist, HIM Jackson Health SystemClinical Coding Audit Specialist, HIMMiami, FLThis role oversees the review, analysis, and appeal of DRG downgrades and payer denials, working closely with Clinical Documentation Improvement (CDI), coding, billing, and clinical teams to promote appropriate reimbursement and maintain compliance with regulatory requirements. Track appeals through all levels (first level, second level, external review) and ensure compliance with Medicare regulations, OCE/MCE edits, and LCD/NCD requirements.
NewMEDICAL CODING SPECIALIST FLORIDA DOCTORS GROUP CORPMEDICAL CODING SPECIALISTcoral gables, FLFull timeThis role requires a detail-oriented professional who understands medical coding guidelines, managed care workflows, and the importance of accuracy in a fast-paced healthcare environment. Florida Doctors Group is seeking an experienced Medical Coding Specialist with a strong background in managed care to join our team.
Operatory Surgical Coding Specialist OrthoVirginiaOperatory Surgical Coding SpecialistWestchester, FloridaWith more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. In this role, you will ensure accurate posting of surgical cases, proper billing of supplies and implants, and correct CPT/HCPCS coding in collaboration with surgeons, clinical staff, and the Operatory Director.
Certified Inpatient Coding Specialist CCS Mount Sinai Medical Center of FloridaCertified Inpatient Coding Specialist CCSMiami Beach, FloridaRemoteWe offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Experienced Inpatient Coding Specialist responsible for accurately coding and abstracting inpatient medical records using ICD‑10‑CM and ICD‑10‑PCS with a minimum 95% accuracy rate.
Regional Coding Operations Manager WFH HCA HealthcareRegional Coding Operations Manager WFHFort Lauderdale, FLMust be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC®) credential or Certified Professional Coder - Hospital (CPC-H®) or Certified Risk Adjustment Coder (CRC). Assists the coding process in serving as a liaison between the CCU team and practice management, including the providers and division leadership while building and maintaining strategic working relationships with the practice and division leadership (working through specific issues, committee meetings, monthly updates, etc.).
STEM Instructor (Robotics, Coding, Minecraft, Math) Hive of ThinkrsSTEM Instructor (Robotics, Coding, Minecraft, Math)Key Biscayne, FLPart timeKey Responsibilities: • Deliver engaging and hands-on STEM lessons in one of the following areas: Robotics (Robotics Instructor), Coding (Coding Tutor), Minecraft (Minecraft Educator), or Math (Math Instructor). As a Hive of Thinkrs STEM Instructor, you will have the opportunity to work with students from kindergarten to 12th grade, fostering their curiosity and love for learning through our exciting programs.
QC Multi-Disciplined Code Inspector C A P EngineeringQC Multi-Disciplined Code InspectorCoral Gables, Floridaper week, performing the following minimum tasks: Reviewing, observing, and verifying that construction conforms to the scope of work identified by the approved construction documents. The work involves interpreting and applying these regulations to customer relations, reviewing building construction blueprints, product approvals, shop drawings, and other project documents.