Software Architect Kforce Inc.Software ArchitectMiramar, FL$153,830–$162,91710+ years of experience in software engineering with 5+ years of experience in a senior technical leadership role (Software Architect, Lead Engineer, or Principal Engineer) designing and delivering production systems. Track record of influencing technical direction through architecture artifacts (diagrams, ADRs, reference architectures), and driving measurable improvements in quality, delivery speed, and operational outcomes.
Newstaff - Registered Nurse (RN) - Home Health - $24-46 per hour Perm Staff Jobsstaff - Registered Nurse (RN) - Home Health - $24-46 per hourLake Worth, FL$24–$46 / hourWhat you will do in this role : Assesses home care patients identifying physical, psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site evaluations. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dGraduate of an accredited school of professional nursing Minimum of one or more years of home health, public nursing or acute hospital nursing experience.
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.
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.
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.
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.
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.
Senior Coding Associate - Customer Insights athenahealth IncSenior Coding Associate - Customer InsightsFL$77,000–$131,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
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.
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.
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, Full Time, Days Jackson Health SystemClinical Coding Audit Specialist, HIM, Full Time, DaysMiami, 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.
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.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Miami, 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.
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. FLORIDA RESIDENCY REQUIRED (REMOTE)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.
Coding Coordinator II - Boynton Beach, Florida NYU Langone HealthCoding Coordinator II - Boynton Beach, FloridaBoynton Beach, FLFull timeCertified Coding Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC), or Certified Outpatient Coding (COC) preferred. Collaborate with the corporate Revenue Integrity Analysts to understand CPT and ICD-10 guidelines, payer policy and procedure manuals, updates, and CMS publications to ensure practices are compliant with current policies and procedures.
Inpatient Coding Specialist, HIM BRRH, $5000 Bonus, FT, 8A-4:30P Baptist Health South Florida IncInpatient Coding Specialist, HIM BRRH, $5000 Bonus, FT, 8A-4:30PBoca Raton, FL$29.41–$38.23 / hourBaptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support.
Coding Integrity Specialist - Boynton Beach, Florida NYU Langone HealthCoding Integrity Specialist - Boynton Beach, FloridaBoynton Beach, FLFull timeRequired Licensure/Certification skills: Certified Coding Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC), Certified Outpatient Coding (COC). Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care.
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 Coordinator II - Boynton Beach, Florida New York University School of MedicineCoding Coordinator II - Boynton Beach, FloridaBoynton Beach, FLPreferred Qualifications: Certified Coding Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC), or Certified Outpatient Coding (COC) preferred. Collaborate with the corporate Revenue Integrity Analysts to understand CPT and ICD-10 guidelines, payer policy and procedure manuals, updates, and CMS publications to ensure practices are compliant with current policies and procedures.