28 jobs found in Tallahassee

The Retirement Compliance Auditor, located in the Division of Retirement within the Florida Department of Management Services in Tallahassee, conducts audits of payroll and personnel records for participating agencies in the Florida Retirement System to verify accuracy and compliance with applicable laws and rules. The role involves developing audit scopes and methodologies, analyzing evidence, preparing documentation and reports, traveling statewide for on-site audits, and conducting follow-ups on inspector general findings. The position reports to the Retirement Compliance Audit Supervisor. Key qualifications Six years of professional experience in auditing, fiscal work, or statistics (or postsecondary degree substituted year-for-year) Minimum 1 year experience in a retirement program at the Florida Division of Retirement or 1 year auditing in an Office of Inspector General Knowledge of Generally Accepted Auditing Standards, Government Auditing Standards, and Internal Auditor...

MHM Medical Group Rockledge, located in Rockledge, FL, is seeking an experienced Medical Biller to join our team. You will handle claims submission, patient data verification, and discrepancy resolution to ensure timely payments and accurate records. The ideal candidate has 3 years of medical billing experience, strong knowledge of codes and insurance guidelines, and excellent attention to detail and communication skills. Join a practice focused on delivering quality patient care. #J-18808-Ljbffr

Join Our Team as a Medical Biller at MHM Medical Group Rockledge! Are you an experienced Medical Biller looking for a new opportunity? At MHM Medical Group Rockledge, we are committed to providing exceptional care to our patients, and we know that starts with having a dedicated and skilled team. Located in beautiful Rockledge, FL, we’re searching for a detail-oriented professional to join our growing practice. What You'll Be Doing As a Medical Biller, you’ll play a crucial role in ensuring the financial health of our practice. Your responsibilities will include: Preparing and submitting accurate medical claims to insurance companies. Reviewing and verifying patient information for billing accuracy. Resolving billing discrepancies and following up on unpaid claims. Maintaining compliance with billing regulations and standards. Communicating with patients and insurance providers to address billing inquiries. Keeping detailed and organized records of billing activities. Your work will...

Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG...

We're looking for a detail-oriented ABA Biller to join our revenue cycle team. You'll handle claim submissions for ABA therapy services, manage denials and appeals, verify authorizations, and ensure billing compliance across Medicaid and commercial payers. The ideal candidate has 2+ years of medical billing experience, including at least 2 year in an ABA setting, and is familiar with ABA-specific CPT codes and platforms like CentralReach. We offer competitive pay, full benefits, and a supportive, mission-driven team. Full time in office position Medical, Dental, and vision insurance. Supportive work environment and growth oppurtunities. Central Reach Experience Required #J-18808-Ljbffr

Supportive-Aba-Therapy is seeking a detail-oriented ABA Biller to join our revenue cycle team in-office in Florida. You will submit claims for ABA therapy services, handle denials and appeals, verify authorizations, and ensure billing compliance with Medicaid and commercial payers. The ideal candidate has 2+ years of medical billing experience, including at least 2 years in an ABA setting, and familiarity with ABA CPT codes and platforms like CentralReach. #J-18808-Ljbffr

Location: Providence Office 6701 Airport Blvd, Mobile, AL 36608 Our busy cardiology practice is seeking an experienced Insurance Analyst to join our team in Mobile, Alabama. The ideal candidate will have strong physician office billing and insurance collections experience and be comfortable working in a fast-paced healthcare environment. This position is responsible for analyzing insurance claims, interpreting explanation of benefits (EOBs), processing adjustments, filing appeals, and communicating with insurance carriers and patients regarding billing matters. This is a full-time, day shift position with no weekends and paid holidays off. Schedule & Benefits Monday–Friday Day shift only No weekends Paid holidays Health insurance Dental insurance Paid time off Paid sick leave 401(k) with company match Life insurance AD&D insurance Flexible spending account (FSA) Free parking Competitive compensation Responsibilities Review and analyze insurance claims and explanation of...

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...

The Florida Department of Environmental Protection is seeking a Government Operations Consultant I in Tallahassee to support the Division of State Lands, Revenue Section. You will conduct organizational studies, audit lease accounts, and manage revenue collection for the Board of Trustees of the Internal Improvement Trust Fund. You will educate leaseholders on reporting requirements, resolve fee disputes, initiate collections for delinquent accounts, and coordinate across divisions to ensure #J-18808-Ljbffr

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Become a part of our caring community The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and manipulates databases. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure correct...

Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education...

Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: RETIREMENT COMPLIANCE AUDITOR - 72002411 Date: Aug 10, 2026 The State Personnel System is an E-Verify employer. For more information click on ourE-Verify Website . Requisition No:881213 Agency: Management Services Working Title: RETIREMENT COMPLIANCE AUDITOR - 72002411 State of Florida Department of Management Services This is an on-site position located in Tallahassee, FL Position Overview and Responsibilities: Under the supervision of the Retirement Compliance Audit Supervisor, the employee in this position will perform the following functions in accordance with Chapter 121.193, F.S.: Conduct audits of the payroll and personnel records of participating agencies of the Florida Retirement System to determine the accuracy of reports submitted to the department and to assess the degree of compliance with applicable statutes, rules, and coverage agreements. Specifically, this employee’s...

DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development . Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role: Leads,...

Spectraforce Technologies seeks a Medical Billing Specialist for an onsite role at 1101 Greenwood Boulevard, Lake Mary, FL. Responsibilities include insurance verification, co-pay collection, and timely submission of claims to payers, with precise data entry and documentation controls. The role requires compliance with HIPAA regulations, front-end rejection handling, and proactive follow-up to resolve billing questions and payments, ensuring accurate cash posting and client satisfaction. #J-18808-Ljbffr

Redemption Orthodontics in Tallahassee, FL is seeking a Financial Team Member to support patients and families with the financial aspects of orthodontic care. This on-site role conducts patient financial meetings, processes payments, and assists with accounts receivable while maintaining clear, compassionate communication about balances, insurance, and financing options. You will use established reports and templates to ensure accurate financial processes, document interactions in the system, #J-18808-Ljbffr