73 jobs found in Florida

Job Summary The Revenue Compliance Auditor is responsible for ensuring organizational adherence to regulatory, payer, and internal compliance requirements related to revenue cycle operations. This role conducts audits of billing, coding, and reimbursement processes to identify risks, prevent revenue leakage, and promote accurate and compliant financial practices. Responsibilities Compliance Auditing & Monitoring Perform routine and targeted audits of billing, coding, and revenue cycle processes Evaluate compliance with federal, state, and payer regulations (e.g., Medicare, Medicaid, commercial payers) Risk Identification & Mitigation Identify trends, errors, and missed revenue opportunities Identify potential compliance risks Recommend corrective actions and process improvements Regulatory & Policy Adherence Stay current with healthcare regulations, reimbursement policies, and coding updates Ensure adherence to internal policies and external requirements...

Our Promise To You Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. 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 900 HOPE WAY City ALTAMONTE SPRINGS State Florida Postal Code 32714...

A healthcare organization in New York is seeking a Revenue Compliance Auditor responsible for ensuring adherence to compliance requirements in revenue cycle operations. You will perform audits, identify trends, and provide education to staff. The role requires a Bachelor's degree in Healthcare Administration, a CPC certification, and at least 3 years of experience in healthcare revenue cycle or auditing. Strong analytical skills and attention to detail are essential. This position offers opportunities for collaboration with various teams. #J-18808-Ljbffr

A professional services firm is seeking an Auditor to perform account reconciliations, substantive audit procedures, and ensure compliance with US GAAP. This role allows remote work from anywhere in the U.S. and requires two years of auditing experience, specifically with ASC 606, ASC 842, and ERISA audits. The position offers an annual salary range of $55,000 - $85,000 along with standard employee benefits. #J-18808-Ljbffr

A leading healthcare recruitment agency is seeking an experienced ASC ProFee Coder to support a newly opened surgery center in Florida. This contract-to-hire opportunity requires ASC Professional Fee coding for various specialties and mandates a one-time onsite visit in Doral, FL for training. Candidates must have relevant experience and AAPC or AHIMA certification, with strong communication skills being essential. The position offers a pay rate of up to $32/hr and the chance for virtual interviews immediately. #J-18808-Ljbffr

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose Codes, abstracts and analyzes inpatient and/or outpatient medical records using the most current International Classification of Diseases, Tenth Revision (ICD-10) for CMS risk adjustment purposes. Responsibilities Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity. Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines. Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines. Understands the impact of ICD-10 codes on the CMS HCC risk...

*Candidate Must come onsite one week for training in Doral, FL Our Client is seeking an experienced ASC ProFee Coder to support a newly opened surgery center with a growing case volume and current backlog. This is a contract-to-hire opportunity with immediate interviews. Schedule Monday–Friday, 8:00 AM–5:00 PM EST Flexibility for appointments as needed Coding Scope ASC Professional Fee & Facility coding Specialties include: Anesthesiology General Surgery ENT Orthopedics Ophthalmology Gynecology Urgent Care Cardiology No GI coding required Systems Epic IMO EncoderPro Onsite Requirement One-time onsite visit in Doral, FL (5 days) for equipment pickup and orientation Client covers hotel and gas; candidate responsible for transportation Requirements Must reside in Florida Must have experience coding for an Ambulatory Surgical Center Ability to fully abstract from paper charts/books if needed AAPC or AHIMA certification required Strong communication skills for a...

About NeueHealth NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. Duties and Responsibilities This is an ONSITE position. The main duty of a Medical Coder is assigning codes to medical procedures and...

A national healthcare organization is seeking a medical coder to analyze and code inpatient and outpatient medical records using ICD-10. The ideal candidate will have at least 2 years of coding experience, a High School Diploma or GED, and a Certified Professional Coder (CPC) certification. This position offers a flexible work schedule, competitive pay ranging from $23.23 to $39.61 per hour, and a comprehensive benefits package, including health insurance and 401K. #J-18808-Ljbffr

A major healthcare provider is seeking a Remote Coding Supervisor to oversee technical coding and educational functions within health information management. The ideal candidate will have coding management skills and experience, along with a strong understanding of medical terminology. Responsibilities include training staff, ensuring coding compliance, and facilitating departmental workflow. This is a full-time position offering competitive pay and generous benefits in New York. #J-18808-Ljbffr

Remote Hospital-Based Inpatient Coder III Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed Responsibilities: Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators. Reviews appropriate inpatient...

A healthcare staffing company is seeking a Remote Inpatient Coder to support accurate coding operations for patient records. This contract role requires RHIA, RHIT, or CCS certification and at least 3 years of coding experience. You will assign diagnostic codes using ICD-10-CM-PCS or CPT-4 standards and ensure compliance with guidelines. Strong attention to detail and proficiency with coding software are essential. Successful candidates will work independently in a remote environment and have excellent communication skills. #J-18808-Ljbffr

Minimum to Midpoint Pay Rate: $20.50 - $27.85/ hour This is a remote position. Incumbents, who reside in Florida only, may work remotely. There may be occasional situations that require work to be performed on-site at an assigned Lee Health location. Summary Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments. Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary...

A well-established healthcare organization is seeking a Remote HB Outpatient Second Level Reviewer. The role requires at least 7 years of auditing experience in academic hospital settings, alongside a strong background in compliance and coding. Responsibilities include reviewing coding for inaccuracies, training staff, and maintaining high data integrity. Ideal candidates will possess excellent analytical and interpersonal communication skills, making this a rewarding opportunity for those passionate about patient care and operational excellence. #J-18808-Ljbffr

TalentFish is casting a line for a Remote Inpatient Coder . This is a contract role that plays a key part in supporting a large healthcare organization's medical coding operations. The position exists to ensure accurate and compliant coding of inpatient records, contributing directly to quality data reporting, reimbursement, and overall patient care documentation integrity. What You Bring to the Role RHIA, RHIT, and/or CCS Certification required. Minimum of 3 years of experience in medical record coding. Strong knowledge of medical terminology, anatomy, and physiology. Proficiency with Windows applications, Outlook, WebEx, and other relevant software. Excellent attention to detail and accuracy. Strong collaboration and communication skills. Ability to work independently and maintain focus in a remote, distraction-free environment. Familiarity with local, state, and federal coding guidelines. What You'll Do Assign ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient...

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Company Overview Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. Job Purpose The Audit Project Lead oversees a designated client’s audit, which is ongoing in nature and spans several hospital and/or clinic sites. This colleague coordinates project managing a designated client’s audit with a designated colleague(s) from the Audit...

A healthcare staffing agency in the United States seeks a medical coding specialist to analyze and code surgical records from Anesthesia departments. This position requires various coding certifications and at least 2 years of relevant experience. After a training period at the Sunrise, FL office, the role will be remote. Candidates should have strong analytical skills and communication abilities. The job also requires presenting verifiable employment history from the last seven years. #J-18808-Ljbffr

A healthcare organization is seeking a Hospital Based Inpatient Coder III to assign diagnosis and procedure codes. This role requires attention to detail, experience with electronic medical records, and certification. Responsibilities include reviewing medical records, ensuring accurate coding and attending educational meetings. Eligible applicants must possess a High School Diploma and Certified Coding Associate certification. #J-18808-Ljbffr

Hospital Based Inpatient Coder III - HIM - FT - Days - Remote Eligible Location: Miramar, Florida Memorial Healthcare System is dedicated to improving the health, well-being and quality of life for the people entrusted to our care. Overview Utilizing an electronic medical record and computerized encoder, the Inpatient Coder III assigns and sequences diagnosis and procedure codes and present-on-admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings and requests clinical validation queries for CDI review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and...

A prominent healthcare organization is seeking a Senior Professional Facility Auditor to perform comprehensive audits and ensure compliance with coding standards. This remote position involves analyzing documentation, leading educational initiatives, and collaborating with coding teams to enhance accuracy and compliance. Candidates should have relevant certifications and extensive coding knowledge. Join a supportive environment focused on improving healthcare quality and operational efficiency. #J-18808-Ljbffr