NewCoding Inpatient Auditor AdventHealthCoding Inpatient AuditorMaitland, FL$26.29–$48.91 / hourAssists 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. Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist, and effectively communicates with physicians and allied health personnel.
RN Coding Liaison AdventHealthRN Coding LiaisonAltamonte Springs, FL$33.99–$63.22 / hourEvaluates Coding/CDI discrepancies concurrently and retrospectively, collaborating with Coding and CDI staff to resolve issues and ensure compliant, accurate, and optimal reimbursement. Applies knowledge of clinical practice, coding guidelines and regularity requirements (IPPS, CMS, OIG to support compliance coding practices.
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.
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 Auditor Orlando HealthPhysician Coding AuditorOrlando, FloridaFull timeProvides feedback to physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office regarding best practices to ensure physician coding compliance. 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.
NewRegional Coding Operations Manager WFH HCA Healthcare IncRegional Coding Operations Manager WFHOrlando, 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) EXPERIENCE: Experience with Cerner and eClinicalWorks (eCW) is strongly preferred. 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.).Assumes a lead role for innovation, knowledge sharing and leading best practice identification.
Software Developer - Security Code Review ThreatLockerSoftware Developer - Security Code ReviewOrlando, FLThe ThreatLocker platform with Application Allowlisting, Ringfencing, Storage Control, Elevation Control, Endpoint Network Control, Configuration Management, and Operational Alert solutions are leading the cybersecurity market toward a more secure approach of blocking the exploits of application vulnerabilities. While performing duties of this job, would occasionally require to stand, walk, sit, reach with hands and arms, climb or balance, stoop or kneel, talk and hear, and use fingers and hands to feel objects and tools.
Senior Data Engineer-Infrastructure as Code, Docker, AWS INSPYR SolutionsSenior Data Engineer-Infrastructure as Code, Docker, AWSLake Buena Vista, FLBachelor's degree (Computer Science, Mathematics, Software Engineering or related field, or equivalent experience) 5+ years of experience with ELT/ETL development using SQL and Python 2+ years of experience developing and maintaining data pipeline processing with a framework such as Apache Flink, Beam or Kafka Streams Experience and understanding of one or more business domains to assist in gathering/refining data requirements and data design solutions Experience with developing in a multi environment (Dev, QA, Prod, etc.) and DevOps procedures for code deployment/promotion Strong understanding of database design and proficiency utilizing various database platforms, such as PostgreSQL or Snowflake Experience managing and deploying code using a source control product such as GitLab/GitHub Able to effectively formulate solutions and communicate complex technical concepts to non-technical team members. Experience working with large datasets and big data technologies, preferably cloud-based, such as Snowflake, Databricks, or similar Demonstrated proficiency with API development Knowledgeable on cloud architecture and product offerings, preferably AWS.
Multiple Code Building Inspector City of ApopkaMultiple Code Building InspectorApopka, FLFull timeMultiple trade inspector provisional license for the following trades within 3 years for: Building, Plumbing or Mechanical Inspector from the Florida Department of Business and Professional Regulation (DBPR). Applicants should expect a starting salary at the minimum of the pay grade range; applicants with exceptional qualifications and/or experience may be eligible for a rate of pay which is higher than the range minimum upon approval by Administration.
Emergency Care - Associate Veterinarian - Mt Dora , {State_Code UsvtaEmergency Care - Associate Veterinarian - Mt Dora , {State_CodeMt Dora, FloridaAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. This hospital is open to considering veterinarians who are experienced, as well as new graduates who are looking to begin their career in emergency medicine.
General Practice Care - Associate Veterinarian - Kissimmee , {State_Code UsvtaGeneral Practice Care - Associate Veterinarian - Kissimmee , {State_CodeKissimmee, FloridaAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. of rewards and benefits that our partners may offer, but the specific details surrounding each hospital’s total rewards package will be provided by the hiring manager during each interview process.
NewPlans Examiner I - Code Reviews & Inspections University of Central FloridaPlans Examiner I - Code Reviews & InspectionsOrlando, FLUniversity of Central Florida's Building Department is seeking a Plans Examiner I to perform code reviews and inspections across university facilities in compliance with the Florida Building Code. A license pathway is required within 6 months and full licensure within one year.#J-18808-Ljbffr.
Building Code Inspector Tew & TaylorBuilding Code InspectorOrlando, 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." This position plays a vital role in ensuring compliance with the Florida Building Code and local regulations by reviewing construction plans and performing on-site inspections of commercial and residential properties.
Freelance Medical & Billing Coder Dane Street, LLCFreelance Medical & Billing CoderOrlando, FLYou will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct.
Freelance Medical & Billing Coder Dane StreetFreelance Medical & Billing CoderOrlando, FLYou will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct.
Medical Risk Adjustment Coder- VBC Orlando HealthMedical Risk Adjustment Coder- VBCWINTER PARK, FloridaFull timeThrough our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond. • Collaborates with a variety of internal and external clients, including health care executives, physicians, provider office personnel, and payer representatives from various health plans to streamline and optimize accurate diagnosis code capture.
Remote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistWinter Park, FLRemote$18–$22 / hourTemporaryIf you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services.
NewTrauma Surgical Profee Coder HCA HealthcareTrauma Surgical Profee CoderOrlando, FLYou will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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 Economics Analyst Senior AdventHealthMedical Economics Analyst SeniorMaitland, FL$66,170.74–$123,073.07 / yearKnowledge, Skills, and Abilities:** • Working knowledge of value-based arrangements, including shared savings, bundled payments, pay-for-performance, and capitation [Preferred] • Working knowledge of population health, utilization measurement, and claims analytics [Preferred] • Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics [Required] • Proficiency in understanding professional and facility claims and managed care concepts such as risk adjustment, capitation, FFS, DRG, APG, APCs and other payment mechanisms [Required] • Experience in modeling financial impact of changes [Required] • Strong ability to handle multiple projects including problem solving, research, analysis, and communication in a fast-paced environment [Required] • Intermediate level of proficiency working with MS Excel including Formulas, calculations, charts, and graphs [Required] • Strong skills in analytical/problem solving and presentations [Required] **Education:** • Bachelor's [Required] • Master's [Preferred] **Field of Study:** • in Finance, Health Care Administration, Accounting, Mathematics, or Health and Informatics or related field • in a related field **Work Experience:** • 4+ experience performing data, financial and/or risk analytics in a healthcare environment [Preferred] **Additional Information:** • N/A **Licenses and Certifications:** • EPIC-Hospital Billing Certification (EPIC HB) [Preferred] **Physical Requirements:** _(Please click the link below to view work requirements)_ Physical Requirements - https://tinyurl.com/23km2677 **Pay Range:** $66,170.74 **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 1051 WINDERLEY PL **City:** MAITLAND **State:** Florida **Postal Code:** 32751 **Job Description:** Researches and analyzes managed care data from various financial systems and interface tools.
Certified Billing Specialist Dermatology DepartmentCertified Billing SpecialistLeesburg, FLRemoteWe are seeking a Medical Billing Specialist to join our team, management experience is a plus. The ideal candidate is detail-oriented with strong people skills and computer skills.
Bill/Collect/Denials Account Rep II AdventHealthBill/Collect/Denials Account Rep IIAltamonte Springs, FLRemote$16.63–$26.60 / hourWork Experience: 2+ experience in patient financial services or related areas such as patient registration, finance, insurance collections, customer service, coding, medical, or contract management [Required]. Working knowledge of the Revenue Cycle and the links between departments: Charge Capture, Consumer Access, PreAccess, HIM, Coding, and Patient Financial Services.
Certified Coder North Florida SurgeonsCertified CoderOrlando, Florida$24–$30 / hourRequired Education, Credential(s) and Experience: Education: High School Diploma or greater Certificate Program Medical Coding & Billing Credential(s): Certified Professional Coder, CPMA – Certified Professional Medical Auditor, CGSC – Certified General Surgery Coder Experience: Required: at least 2 years experience in general surgery coding and medical records using ICD and CPT coding systems. Responsibilities: Codes data from patient records utilizing coding systems to ensure optimal reimbursement of the office visits and hospital surgery for all surgeons and mid-levels of the practice.
Regional Health Information Manager(HIM) (Solaris) Solaris LicensingRegional Health Information Manager(HIM) (Solaris)Orlando, FloridaSolaris HealthCare is seeking a highly motivated and experienced Regional Health Information Manager to support and optimize health information management (HIM) practices across our network of skilled nursing facilities in Florida. Position Summary: The Regional Health Information Manager will provide leadership and guidance to facility-level HIM staff, ensuring consistent implementation of company policies and procedures related to medical record documentation, coding, billing, privacy, security, and release of information.
Part Time Ophthalmic Technician Winter ParkPart Time Ophthalmic TechnicianWinter Park, FloridaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. Ability to provide enthusiastic and concise communication to meet/exceed customer expectations as well as foster positive and results-oriented associate, doctor and host relationships.
Director of Revenue Cycle Integrative Physical Medicine ServDirector of Revenue CycleMaitland, FLPart timeThe right candidate has 7+ years of healthcare revenue cycle experience across the full cycle, has managed a billing team at a multi-site provider, has driven measurable improvement in days in AR and net collection rate, and understands how to build a revenue cycle function that scales with the business through the $150M revenue threshold. Manage the collections allowances methodology in coordination with the Controller: reconcile billed gross charges to contractual adjustments and bad debt write-offs, validate reserve adequacy, and explain monthly variances against historical collection patterns.
Coder In-Patient | Health Information & Record Management UF HealthCoder In-Patient | Health Information & Record ManagementLeesburg, FloridaFull timeParticipates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement and enhance departmental performance. Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes.
Medical Biller PURE RENEWAL REGENERATIVE CONCIERGE MEDICMedical BillerOrlando, FLAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for personal injury 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 to obtain records, and accurately record patient information.
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.
Sr Mgr, Compliance AdventHealthSr Mgr, ComplianceMaitland, FL$83,699.48–$155,693.55 / yearPreferred] • Basic knowledge of HIPAA/Privacy [Preferred] **Education:** • Bachelor’s [Required] • Master’s [Preferred] **Field of Study:** • In related field **Work Experience:** • 5+ years of health care experience [Required] • 3+ years of health care compliance experience [Required] • 1+ year experience working in a large healthcare system [Preferred] • 2+ years of experience in management [Preferred] **Licenses and Certifications:** • Certified in Healthcare Compliance (CHC) [Preferred] • Certified Healthcare Privacy Compliance (CHPC) [Preferred] **Physical Requirements:** _(Please click the link below to view work requirements)_ Physical Requirements - https://tinyurl.com/23km2677 **Pay Range:** $83,699.48 **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 2600 WESTHALL LN **City:** MAITLAND **State:** Florida **Postal Code:** 32751 **Job Description:** • Responsible for managing assigned aspects of the ongoing implementation of the Compliance program within the assigned Division/Region.
Compliance Manager AdventHealthCompliance ManagerMaitland, FL$72,786.83–$135,385.27 / yearPreferred] **Education:** • Bachelor's [Required] **Work Experience:** • 3+ years of experience in healthcare, compliance, physician practice operations, ethics, patient privacy, auditing, regulatory affairs, law, or a combination thereof [Required] • Experience developing compliance/privacy programs [Preferred] • Experience handling complex compliance/privacy investigations [Preferred] **Licenses and Certifications:** • Certified in Healthcare Compliance (CHC) [Preferred] **Physical Requirements:** _(Please click the link below to view work requirements)_ Physical Requirements - https://tinyurl.com/23km2677 **Pay Range:** $72,786.83 **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 2600 WESTHALL LN **City:** MAITLAND **State:** Florida **Postal Code:** 32751 **Job Description:** + Maintains compliance with state and federal laws by ensuring appropriate forms, information notices, and materials.
Bill Collect Denials Account Rep I AdventHealthBill Collect Denials Account Rep IMaitland, FL$16.63–$26.60 / hourExperience in healthcare claims processing and proficiency with medical billing and remittance forms and processes, including 835 and 837 files, and UB04 and CMS‐1500 (HCFA forms [Preferred]. Knowledge of the Revenue Cycle and the links between departments: Charge Capture, Consumer Access, HIM, Coding, and Patient Financial Services [Required].
Medical Risk Adjustment Coder- VBC Orlando Health Ventures l LLCMedical Risk Adjustment Coder- VBCWinter Park, FLLicensure/Certification • Must maintain current one of the following: Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Experience • Prior HCC/HHS experience with Medicare Risk Adjustment with two (2) years' experience in medical coding. Responsibilities Essential Functions • Collaborates with a variety of internal and external clients, including health care executives, physicians, provider office personnel, and payer representatives from various health plans to streamline and optimize accurate diagnosis code capture.
Executive Case Manager (Remote) ValerisExecutive Case Manager (Remote)Orlando, FloridaRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Personalized Case Management Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine.
NewFront Office Coordinator - Medical Office Experience Required HealogicsFront Office Coordinator - Medical Office Experience RequiredSaint Cloud, FloridaLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
NewFront Office Coordinator - Medical Office Experience Required Healogics IncFront Office Coordinator - Medical Office Experience RequiredSaint Cloud, FL$16.88–$20.75 / hourLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Customer Service - Patient DME - Leesburg FL J & B Medical Supply Co IncCustomer Service - Patient DME - Leesburg FLLeesburg, FLUltimately, the goal is to ensure the timely release of held patient orders to foster a customer-centric culture that drives loyalty and supports the overall customer satisfaction. 2+ years of experience in a fast-paced customer service role requiring good judgement and proven problem-solving skills in healthcare, Medical and or Insurance.
Practice Manager Palliative Medicine and Supportive Care AdventHealthPractice Manager Palliative Medicine and Supportive CareOrlando, FL$54,680.66–$101,717.57 / yearKnowledge, Skills, and Abilities:** + Knowledge of medical technology and terminology [Required] + Knowledge of front office tasks and systems [Required] + Knowledge of organization policies and procedures [Required] + Skilled in customer service [Required] + Skilled in interpersonal, oral, and written communication [Required] + Proficiency in Microsoft Office programs (Excel, Word, Outlook, PowerPoint, etc.) [Required] + Skilled in organization as demonstrated by the ability to manage multiple tasks/deadlines [Required] + Ability to develop and maintain positive working relationships with team members and other stakeholders/customers [Required] + Ability to develop and implement strategic planning and management [Required] + Some experience in finance and accounting skills with regards to the oversight of a departmental budget [Required] + Knowledge of accounting systems, hospital and physician insurance billing and collecting [Required] + Knowledge of Physician Coding and billing, TJC requirements and local, state, and federal regulations [Required] + Skills in planning, organizing, and supervising; demonstrated ability in initiative, judgment, problem-solving, and decision-making [Required] + Management of multiple practices and effective revenue cycle management [Required] + Limited proficiency in data analytics [Required] + Electronic Health Record (EHR) superuser [Required] + Ability to have or gain knowledge of population health management strategies [Required] + Supervisory experience in a hospital or medical practice setting [Required] + Ability to manage staff and operations to ensure delivery of optimal patient care [Required] **Education:** + Bachelor's [Required] **Work Experience:** + 2+ years of supervisory experience in a physician practice [Preferred] + Billing and coding experience in a physician practice [Preferred] + Patient care experience in a physician practice [Preferred] **Additional Information:** + An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement: + Bachelors degree **AND** no experience **OR** + Associates degree **AND** 2+ years of experience **OR** + High School Grad or Equivalent **AND** 4+ years of experience. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 2501 N ORANGE AVE **City:** ORLANDO **State:** Florida **Postal Code:** 32804 **Job Description:** + Manages offices in a cost-effective, efficient manner assuring that staff provides high quality care in a courteous and friendly atmosphere.
Patient Registration Coordinator AdventHealthPatient Registration CoordinatorOrlando, FL$15.69–$25.10 / hourApplicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse : https://info.flclearinghouse.com/. • Demonstrated ability to communicate by reading, writing legibly, speaking, and comprehending English effectively in order to carry out job requirements.
NewDirector of Clinical Quality Programs AdventHealthDirector of Clinical Quality ProgramsOrlando, FL$110,702.15–$205,911.28 / yearKnowledge, Skills, and Abilities: Detailed knowledge of clinical quality regulatory programs, measurement, and analytics including, but not limited to CMS quality programs, Value Based Purchasing, Bundle Payment models, NHSN outcomes, and Leapfrog [Required]. Current knowledge of issues in the healthcare environment, particularly regarding quality measurement (electronic and abstracted, clinical outcomes, Promoting Interoperability, patient experience, high reliability, and healthcare coding/billing [Required].
Palliative Nurse Practitioner Part Time Amedisys IncPalliative Nurse Practitioner Part TimeThe Villages, FL$57–$60 / hourMeet physician-nurse practitioner collaborative requirements specific to the state assigned to work by the Company including, if required by applicable state law, entering into a collaborative agreement and supply a copy of all active collaborating physician agreements and any required guidelines and protocols established with or by the collaborating physician within which the NP must practice. The NP orders treatments, laboratory, and diagnostic services, works closely with health care agencies to coordinate palliative medical care, and approaches all patients and referral sources with a customer service manner.
NewAccounts Receivable Analyst Deloitte Touche Tohmatsu LtdAccounts Receivable AnalystLake Mary, FL$70,000–$90,000 / yearAs an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. 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.
NewAccounts Receivable Coordinator Deloitte Touche Tohmatsu LtdAccounts Receivable CoordinatorLake Mary, FL$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. The 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.
NewEmployee Benefits Customer Service Representative Corporate SynergiesEmployee Benefits Customer Service RepresentativeOrlando, New JerseyJob Summary: The Employee Benefits Customer Service Representative handles claims resolution, benefits inquiries, coverage eligibility concerns, and other related issues for our clients' administrators and employees. Essential Functions: • Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution, patient advocacy, and pre-certifications.
Director Clinical Denials AdventHealthDirector Clinical DenialsAltamonte Springs, FL$110,702.15–$205,911.28 / yearHave a good understanding of payer requirements related to authorization and denial functions as well as reimbursement of all payers including but not limited to Government, Medicaid, Medicaid HMO products (i.e. VA, Tricare, Crimes Comp, Prisoners, etc. and Managed Care / Commercial products [Required]. Field of Study: (in Nursing, Business, Healthcare or Health Services Administration, Health Information Management, Communications, Finance, Accounting, Public Administration, Human Resources, Management, or Marketing.
Trauma Registrar I-Orlando Regional Medical Center Orlando HealthTrauma Registrar I-Orlando Regional Medical CenterOrlando, FloridaFull timeThe Trauma Registrar I supports trauma and burn performance improvement, research, community outreach and prevention, benchmarking, and regulatory initiatives by maintaining high-quality registry data and generating reports for healthcare leaders and multidisciplinary teams. This role performs detailed medical record reviews and applies ICD-10-CM, Abbreviated Injury Scale (AIS) coding, Injury Severity Score (ISS), and burn-specific coding methodologies to capture comprehensive patient information across the continuum of care.
NewEmployee Benefits Customer Service Representative Foundation Risk Partners CorpEmployee Benefits Customer Service RepresentativeOrlando, FL$22–$25 / hourJob Summary: The Employee Benefits Customer Service Representative handles claims resolution, benefits inquiries, coverage eligibility concerns, and other related issues for our clients'' administrators and employees. Essential Functions: Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution, patient advocacy, and pre-certifications.
Research Budget Analyst Actalent IncResearch Budget AnalystOrlando, FL$32–$42 / hourWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. This role requires strong analytical expertise, the ability to interpret clinical protocols, and experience negotiating budgets with pharmaceutical sponsors and funding agencies.
NewTrauma Registrar I-Orlando Regional Medical Center Orlando Health Ventures l LLCTrauma Registrar I-Orlando Regional Medical CenterOrlando, FLThe Trauma Registrar I supports trauma and burn performance improvement, research, community outreach and prevention, benchmarking, and regulatory initiatives by maintaining high-quality registry data and generating reports for healthcare leaders and multidisciplinary teams. Other Related Functions: • Maintains open communication with Manager, Clinical Specialty Data, and Clinical Practice Improvement Consultant assigned to trauma regarding any concerning system or patient care issues noted during abstraction or data entry phase.
Registration Representative AdventHealthRegistration RepresentativeOrlando, FL$15.46–$24.73 / hourRegisters patients for all services, ensuring accurate patient demographics and account information and clearly explains authorizations, pre-certifications, benefit limitations and patient financial responsibility and collects patient payments. Acts as patient liaison and collaborates with clinical teams and physician offices to ensure timely completion and submission of documents such as plan of cares, status reports and authorization forms, as required by insurance.