On-site Medical Claims Examiner AliviOn-site Medical Claims ExaminerMiami, FLMaintains the department's claim edit rules and processing claims according to client specific verification of eligibility, interpretation of program benefits and provider contracts to include manual pricing. SUMMARYThis position is intended to provide billing and claims management support to Alivi Specialty Networks and Business Process Outsourcing (BPO) Services.
Medical Review Nurse (RN) - UM/Appeals experience Molina Healthcare IncMedical Review Nurse (RN) - UM/Appeals experienceFlorida, FLREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Medical Review Nurse - CMS RAC (Government audits) Performant Healthcare IncMedical Review Nurse - CMS RAC (Government audits)Plantation, FLRemote$81,000–$90,000 / yearRegularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy.
Medical Review Nurse - CMS RAC (Government audits) PerformantMedical Review Nurse - CMS RAC (Government audits)Plantation, FloridaRemoteRegularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify’s AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy.
NewCompliance 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.
Health Information and Coding Specialist II Millennium Physician GroupHealth Information and Coding Specialist IIFort Myers, FLResponsibilities include responding to coding inquiries, performing post submission reviews, supporting denial management, and coordinating corrected claims or appeals with reimbursement teams to optimize revenue recovery. This role assigns ICD 10 CM and CPT codes to support timely and compliant reimbursement, ensuring adherence to federal, legal, and payer regulations.
Coding Specialist II Millennium Physician GroupCoding Specialist IIFort Myers, FLResponsibilities include responding to coding inquiries, performing post submission reviews, supporting denial management, and coordinating corrected claims or appeals with reimbursement teams to optimize revenue recovery. This role assigns ICD 10 CM and CPT codes to support timely and compliant reimbursement, ensuring adherence to federal, legal, and payer regulations.
Coding Specialist - Hybrid Family Health Centers of SouthWest FloridaCoding Specialist - HybridFort Myers, FLThe Coder reviews charts as assigned by the Coding Supervisor, scans them for errors and omissions, makes edits as necessary, and submits them for processing. Audits clinical documentation and coded data to validate documentation supports diagnoses, procedures and all services rendered for reimbursement and reporting purposes.
Investigator, Special Investigative Unit Coding Molina Healthcare IncInvestigator, Special Investigative Unit CodingFLWorking knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
HFMG Supervisor Coding - HFMG Coding Health First IncHFMG Supervisor Coding - HFMG CodingMelbourne, FLPlan, organize, and oversee coding educational activities for coding staff, including Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), Hierarchical Condition Categories (HCC) and current level of International Classification of Diseases (ICD). Demonstrate knowledge as a Super-user for coding programs that include but not limited to; 3M Encoder, CodeRyte, Athena, SCM, Ingenious Med, and First Access, and other system designated by the organization, and assist in coordinating upgrades, enhancements, education and service.
Risk Adj Coding Specialist, Remote, Baptist Health Integrated Care, FT, 08:30A-5P Baptist Health South Florida IncRisk Adj Coding Specialist, Remote, Baptist Health Integrated Care, FT, 08:30A-5PFLRemote$23.21–$29.48 / 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.
Accounts Payable/Receivable Specialist II University of Central FloridaAccounts Payable/Receivable Specialist IIOrlando, FL$17.64–$21.61 / hourThe Opportunity: The Accounts Payable/Receivable Specialist II is responsibilities for communicating with insurance companies to follow up on outstanding accounts receivable, insurance denial management, submitting and re-billing insurance claims, posting insurance and patient payments, and working with patients to resolve balances and billing challenges. As a next-generation public research university and Forbes-ranked top employer in Florida, we are a community of thinkers, doers, creators, innovators, healers, and leaders striving to create broader prosperity and help shape a better future.
PBO Risk Adjustment Coding - BHC - FT - Finance/Accounting - Days Broward HealthPBO Risk Adjustment Coding - BHC - FT - Finance/Accounting - DaysFort Lauderdale, FLReview and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness Visits, Medicare Risk HRA/HCC Assessment forms, Medicare Advantage plans suspect HCC condition forms prior to submission to the payer. Summary: Ensures procedures, E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM, CPT-4, and HCPCS, in an effort to maintain accurate coding and obtain reimbursement, all within the professional coding guidelines, Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies.
Auditor, Clinical Services Concentra Inc.Auditor, Clinical ServicesOrlando, FLOperating under the direction of the Compliance & Coding Audit Manager, the role supports Concentra's compliance framework by identifying risk, promoting billing integrity, and ensuring accurate and compliant documentation and billing practices. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees.
IPA Manager Consultative Coding CenterWellIPA Manager Consultative CodingFloridaRemoteWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. This includes monitoring coding staff workload and redistributing resources as needed to meet market operational demands, developing KPIs to monitor the performance of the consultative coding team, tracking and monitoring responses to provider questions for consistency, and analyzing trends to identify opportunities for improved documentation and coding.
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.
Hospital Coding Liaison-Outpatient Orlando HealthHospital Coding Liaison-OutpatientOrlando, FloridaRemoteFull 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. 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.
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.
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.
PBO Neurology Coding Specialist-BHC-REMOTE Broward HealthPBO Neurology Coding Specialist-BHC-REMOTEFort Lauderdale, FLRemoteSummary: Assigns procedures, E&M, and diagnoses codes as documented in the medical records all within the professional coding guidelines, Centers for Medicare and Medicaid (CMS) guidelines, and policies to obtain reimbursement. Meets deadlines to expedite the billing process and to facilitate data availability for providers to ensure timeliness of claim submissions.
PBO Cardiology Coding Specialist-PBO-REMOTE Broward HealthPBO Cardiology Coding Specialist-PBO-REMOTEFort Lauderdale, FLRemoteSummary: Assigns procedures, evaluation and management (E/M), and diagnoses codes as documented in the medical records all within the professional coding guidelines, centers for Medicare and Medicaid (CMS) guidelines, and policies to obtain reimbursement. Meets deadlines to expedite the billing process and to facilitate data availability for providers to ensure the timeliness of claim submissions.
CPC Part Time Work Comp and Auto Coding Orthopedic Specialist of SW FloridaCPC Part Time Work Comp and Auto CodingFort Myers, FloridaOrthopedic Specialists of SW Florida’s state-of-the-art, 60,000 square-foot facility incorporates the latest in leading-edge technology in order to provide optimal care for patients who have bone, joint, muscle and spine problems. Our office includes a full Physical Therapy and Occupational/Hand Therapy division, which work in close coordination with our physicians to provide non-operative, preoperative, post-operative and preventive care.
Manager, Professional Coding Trinity Health CorporationManager, Professional CodingFort Lauderdale, FLMust possess a comprehensive knowledge of CPT, ICD-10-CM (ICD-9-CM) and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery system or revenue cycle or consulting experience, as normally obtained through a bachelor's degree in related field and five (5) to seven (7) years of progressively responsible experience in revenue cycle operations or equivalent combination of education and progressive revenue cycle experience. Maintains professional development and growth through journals, professional affiliations, seminars, and workshops to keep abreast of trends in revenue cycle operations and healthcare in general: Participates as appropriate in continuing educational programs and activities that pertain to healthcare and revenue cycle management, as well as specific functional areas.
Hospital Coding Auditor Baptist Health CareHospital Coding AuditorPensacola, FloridaThe Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts.
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.
Coding Coordinator II - Boynton Beach, Florida NYU Langone Medical CenterCoding Coordinator II - Boynton Beach, FloridaBoynton Beach, FLCertified 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.
Health Information Management/Coding Specialist - Hospice Halifax HealthHealth Information Management/Coding Specialist - HospicePort Orange, FLLight physical efforts (lift/carry up to 20 lbs.), continuously sedentary work, standing/walking, lifting supplies/equipment, manual dexterity and mobility, reaching, stopping, bending, kneeling, crouching. The coder will verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered and assign appropriate modifiers.
Coding Specialist I Halifax HealthCoding Specialist IDaytona Beach, FloridaRHIT, CCS, CCSP, CPC or equivalent certifications required - Knowledge 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 IThe Coding Specialist I is responsible for the coding of ED, Recurring and Ancillary accounts using ICD-10-CM diagnosis and procedure codes and CPT-4 code sets.
Coding Supervisor TAMPA FAMILY HEALTH CENTERS, INC.Coding SupervisorTampa, FLMinimum 2 years EMR experience (Epic preferred) • Minimum of 3 years multi-specialty coding experience (5+ years preferred) • Experience using Microsoft Office suite with intermediate Excel skills • Excellent written and verbal communication skills, including grammar, punctuation, and style • Comfort presenting to large and small groups • Advanced knowledge of medical terminology, anatomy, physiology, disease processes, medications, and laboratory values • Ability to analyze data and apply insights to work-related situations. • Frequently required to sit; occasionally required to stand and walk • Frequently required to communicate both expressively and receptively • Occasionally required to lift and/or move up to 25 pounds • Occasionally required to bend, twist, climb, and reach • Moderate concentration and prolonged mental effort with limited breaks • Normal memory demands based on volume and type of information • Moderate complexity in decision-making • Ability to handle normal levels of intensity.
Coding Integrity Specialist - Boynton Beach, Florida New York University School of MedicineCoding Integrity Specialist - Boynton Beach, FloridaBoynton Beach, FLRequired 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 Integrity Specialist - Boynton Beach, Florida NYU Langone Medical CenterCoding Integrity Specialist - Boynton Beach, FloridaBoynton Beach, FLRequired 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.
IPA Manager Consultative Coding Humana IncIPA Manager Consultative CodingFLRemote$86,300–$118,700 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. This includes monitoring coding staff workload and redistributing resources as needed to meet market operational demands, developing KPIs to monitor the performance of the consultative coding team, tracking and monitoring responses to provider questions for consistency, and analyzing trends to identify opportunities for improved documentation and coding.
Senior Radiation Therapist GenesisCareSenior Radiation TherapistCrestview, FloridaParticipates in specialty areas such as instruction, new simulation procedures, IMRT, IGRT, Stereotactic Radiotherapy and Radiosurgery, Total Body Irradiation, HDR program and is responsible for the safe utilization of the Record and Verify System, including the ability to teach and assist others in the proper use of the system. The Senior Therapist is a role model in demonstrating outstanding clinical assessment, interpretive and treatment delivery skills; shares these skills with others to ensure the competency of the team and optimal patient outcomes.
NewManager, Revenue Cycle Management Centrum HealthManager, Revenue Cycle ManagementDoral, FloridaWorking in partnership with Finance, Operations, Medical Coding, and Medical Auditing, the Manager drives revenue integrity initiatives, supports clean-claim performance, improves reimbursement outcomes, oversees revenue cycle education for clinic leadership, and ensures effective collection of copays and point-of-service balances. The Manager of Revenue Cycle Management oversees revenue cycle operations across Centrum's medical centers, including Ponsol and Neighborhood Health, ensuring accurate reimbursement, regulatory compliance, and financial integrity across Medicare Advantage, ACA/Exchange, and Medicaid lines of business.
Manager, Client Coding Integration Ensemble Health PartnersManager, Client Coding IntegrationFLRemote$76,300–$114,450 / yearThe Manager is responsible for assisting with all client coding customer service operational processes and workflow, including but not limited to, new client onboarding, provider clinical documentation improvement, support of operational coding processes, and customer coding relationship management. As the Manager, this person serves as a key promoter of Ensemble PRC Coding Operations and is responsible for setting the tone of Coding Operations as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs.
Regional Coding Operations Manager WFH HCA Healthcare IncRegional Coding Operations Manager WFHMiami, 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.
NewRisk Adjustment Coding Specialist II Millennium Physician GroupRisk Adjustment Coding Specialist IIFloridaAbstract and assign ICD‑10‑CM diagnosis codes supported in encounter documentation and work independently with minimal oversight from leadership or higher‑level coders. Analyze Medicare Risk Adjustment (MRA) data to identify coding or documentation patterns and assist in developing interventions at the provider or regional level.
Supervisor, Quality Improvement Avalon Health Services LLCSupervisor, Quality ImprovementTampa, FLAbout the Supervisor, Quality Improvement position: The Supervisor, Quality Improvement is responsible for overseeing Avalon's quality improvement auditing and monitoring activities while leading a team of Quality Improvement Specialists. This position serves as a working leader, directly participating in quality audits, data analysis, reporting, and process improvement initiatives while ensuring the team consistently delivers accurate, timely, and actionable quality insights.
Advanced Coding Specialist II Sarasota Memorial Health Care SystemAdvanced Coding Specialist IISarasota, FLThe Advanced Coding Specialist is responsible for day-to-day tasks related to applying appropriate diagnostic and procedural codes for data retrieval, analysis, and claims processing for all inpatient and outpatient encounters while maintaining data integrity within the medical records and other facility systems, as well as the information exchanged between Sarasota Memorial Health Care System (SMHCS) and designated practice management facilities. Require one of the following certifications by American Health Information Management Association (AHIMA): - Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) -OR- - Certified Coding Specialist (CCS) certification.
Accounts Receivable Representative Jax Spine & Pain CentersAccounts Receivable RepresentativeJacksonville, FloridaPosition Summary: Jax Spine & Pain Centers is seeking a detail-oriented and motivated Accounts Receivable (AR) Representative to join our Revenue Cycle team. The ideal candidate is analytical, organized, and committed to maximizing collections while delivering exceptional customer service and supporting the overall financial health of the organization.
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.
Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu LtdSenior Consultant, Health Insurance - Risk Regulatory & ComplianceJacksonville, FLThe 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. 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.
Coding Specialist Business Office NCH Healthcare System IncCoding Specialist Business OfficeNaples, FLNCH is transforming into an Advanced Community Healthcare System(TM) and we're proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan. The Coding Specialist will understand ICD-10, CPT and HCPCS coding; have the ability to interpret insurance guidelines relative to medical coding; understand abbreviations and medical terminology; have the ability to read a medical chart; and be able to understand the basic components of medical and ancillary procedures.
Manager, Professional Coding Trinity HealthManager, Professional CodingFt. Lauderdale, FLMust possess a comprehensive knowledge of CPT, ICD-10-CM (ICD-9-CM) and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery system or revenue cycle or consulting experience, as normally obtained through a bachelor's degree in related field and five (5) to seven (7) years of progressively responsible experience in revenue cycle operations or equivalent combination of education and progressive revenue cycle experience. Maintains professional development and growth through journals, professional affiliations, seminars, and workshops to keep abreast of trends in revenue cycle operations and healthcare in general: Participates as appropriate in continuing educational programs and activities that pertain to healthcare and revenue cycle management, as well as specific functional areas.
Ambulatory Payment Classification Coordinator Houston Methodist HospitalAmbulatory Payment Classification CoordinatorFLMust have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA) • CCA - Certified Coding Associate (AHIMA) • CCS-P - Certified Coding Specialist Physician-Based (AHIMA) • CPC - Certified Professional Coder (AAPC) • CPC-H - Certified Professional Coder - Hospital (AAPC) • CPC-I - Certified Professional Coder Instructor (AAPC) • CPC-A - Certified Professional Coder Associate (AAPC) • CCC - Certified Cardiology Coder (AAPC) • COC - Certified Outpatient Coder (AAPC). Must have one of the following: •RHIT - Certified Health Information Technician (AHIMA) •RHIA - Registered Health Information Administrator (AHIMA) •CCS - Certified Coding Specialist (AHIMA) •CCA - Certified Coding Associate (AHIMA) •CCS-P - Certified Coding Specialist Physician-Based (AHIMA) •CPC - Certified Professional Coder (AAPC) •CPC-H - Certified Professional Coder - Hospital (AAPC) •CPC-I - Certified Professional Coder Instructor (AAPC) •CPC-A - Certified Professional Coder Associate (AAPC) •CCC - Certified Cardiology Coder (AAPC) •COC - Certified Outpatient Coder (AAPC).
Customer Service Supervisor - Boynton Beach, Florida NYU Langone HealthCustomer Service Supervisor - Boynton Beach, FloridaBoynton Beach, FLFull timeDemonstrate a significant level of expertise in subject matter to assist and mentor entry-level billing staff, support the operations lead/supervisor in managing day-to-day team activities against scope and timeline, and ensure timely reporting of activities. At least 1 year of direct experience in a supervisory/leadership role, preferably in a Call Center or Medical billing/Healthcare setting and/or has been a Team Lead for at least 6 months within the Central Billing Office.
Customer Service Team Supervisor - Boynton Beach, Florida NYU Langone HealthCustomer Service Team Supervisor - Boynton Beach, FloridaBoynton Beach, FLFull timeDemonstrate a significant level of expertise in subject matter to assist and mentor entry-level billing staff, support the operations lead/supervisor in managing day-to-day team activities against scope and timeline, and ensure timely reporting of activities. At least 1 year of direct experience in a supervisory/leadership role, preferably in a Call Center or Medical billing/Healthcare setting and/or has been a Team Lead for at least 6 months within the Central Billing Office.
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.
Director, Value Base-Admin-FT-BHP #31749 Broward HealthDirector, Value Base-Admin-FT-BHP #31749Fort Lauderdale, FLStrong understanding of value-based care models, including proven ability to lead projects, manage teams, and collaborate with diverse stakeholders including Care Coordination of Medicare Advantage, Commercial and Exchange lives to close gaps, pass quality gates and improve Star Rating, HCC level, Medical Loss Ratio. The position will support ambulatory division including Health Point in establishing Medicare Risk Adjustment, Medical Coding and Billing compliance, Healthcare auditing of documentation, revenue cycle management, risk adjustment coding for the ambulatory division.
Physician Practice E&M Auditor Educator, MCVI Administration, FT, 8A-4:30P (Hybrid) Baptist Health South Florida IncPhysician Practice E&M Auditor Educator, MCVI Administration, FT, 8A-4:30P (Hybrid)Coral Gables, FL$26.13–$33.97 / 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.