75 jobs found in Florida

The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services. In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical professional who thrives in a fast-paced, remote environment and is passionate about accuracy, compliance, and continuous improvement in healthcare operations. Duties & Responsibilities Serve as a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding Perform DRG validation and retrospective medical claims reviews Analyze inpatient and outpatient claims for coding accuracy and reimbursement determinations Prepare clear, detailed determination letters and...

AdventHealth in Altamonte Springs, FL is seeking a skilled hospital coder to assign ICD-10-CM and ICD-10-PCS codes for inpatient surgery and other procedures. You will ensure accurate DRG assignments reflecting patient acuity and procedures, review documentation for compliance, and support revenue cycle performance. The ideal candidate has 4+ years acute care coding experience, knowledge of IPPS/CMS guidelines, and is able to identify documentation gaps and work with CDI for clarifications. #J-18808-Ljbffr

Houston Methodist is seeking an Inpatient Coder responsible for assigning ICD-10-CM/ICD-10-PCS codes for inpatient encounters based on documentation in the EMR, ensuring accuracy and compliance with rules and regulatory guidelines. The role requests RHIT/RHIA/CCS consideration, with one year of inpatient coding experience or completion of the Coding Apprentice Program, and strong knowledge of coding guidelines and EHR systems. #J-18808-Ljbffr

BayCare Health System is looking for an Advanced Inpatient Coding Specialist to work remotely from Florida, Georgia, North Carolina, or South Carolina. This full-time position requires expertise in coding with 5 years of Acute Care experience and 3 years of Inpatient Coding. Responsibilities include analyzing complex medical documentation, assigning codes, and mentoring fellow coders. BayCare offers a comprehensive benefits package including health, dental, vision, tuition reimbursement, and community discounts. #J-18808-Ljbffr

Become a part of our caring community Become a part of our caring community and help us put health first The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while collaborating...

Cano Health, LLC is seeking a Risk Adjustment Coder to join our hybrid team in New York. The coder will identify and document coding information crucial for Clinical Condition Categories and ensure diagnosis code accuracy. This role involves regular collaboration with healthcare providers, and candidates must have coding certifications and prior experience. This position emphasizes attention to detail and strong organizational skills, suitable for professionals passionate about healthcare. #J-18808-Ljbffr

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coding Specialist Full Time Miramar, FL, US 12 days ago Requisition ID: 1547 SUMMARY: Full Time Medical Coding Specialist performs diagnosis and procedural coding to individual patient medical records for data retrieval, analysis, and claims processing. This is a hybrid position initially required in office presence and the opportunity to work partially remote when workflow allows. DUTIES AND RESPONSIBILITIES: Reviews the patient 's medical record for accurate and complete documentation prior to coding. Works closely with the physician coordinator regarding discrepancies found in patient’s record prior to claim submission Codes forassigned physicians, locations, and/or departments from review of medical record documentation. Applies knowledge of current coding and billing requirements to assure claims are submitted...

Mount Sinai Medical Center of Florida, Inc. is seeking a Certified Risk Adjustment Coder to ensure accurate coding and documentation standards. The role involves reviewing medical records, providing feedback to physicians, and maintaining coding credentials. The ideal candidate will have at least five years of experience in coding and billing, with a strong knowledge of ICD-10-CM and CPT. Benefits include health insurance, paid time off, and tuition reimbursement. #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...

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

A leading healthcare staffing firm in New York is seeking a Coding Specialist to ensure accuracy in coding claims and maximize reimbursements. The ideal candidate will have a CPC certification and a solid understanding of claims processing. This position offers competitive pay at $25 per hour, along with excellent medical benefits including dental, vision, and a 401k plan. The role provides flexible working hours across different shifts from 7 AM to 5 PM. #J-18808-Ljbffr

About Us At PARTNER, success starts with the right mindset: connection, compassion, and curiosity. Whether consulting with clients or collaborating with colleagues, these principles guide how we work. We deliver engineering, environmental, and energy consulting, plus design services across the Americas, Europe, and beyond. As a leader in Commercial Real Estate (CRE), we’re 1,600+ professionals strong in 40+ offices. Our mission is simple: create the best home for talented professionals. If you value delivering exceptional experiences through problem-solving, coordination, and a mindset of care for clients and colleagues, you’ll feel right at home. That approach has earned us recognition on ENR’s Top 500 Design Firms, Inc. 5000’s Fastest-Growing Companies, and Zweig’s Best Firms to Work For. Here, your ideas matter, your impact is real, and your work helps shape the future. Check out this role and join our team of talented professionals. Learn more about Partner at...

Experis in Lake Mary, FL is seeking a Medical Billing Specialist to manage client information in compliance with HIPAA and process claims. This onsite role requires coordinating insurance verification, conveying co-pay responsibilities, and following up on unpaid or rejected claims. Candidates should have experience with medical billing rejections and DME billing, a strong understanding of HIPAA, and excellent attention to detail and communication with clients, insurers, and teammates. #J-18808-Ljbffr

Bridewell is seeking a Data Center Compliance Auditor to support regulatory and certification audits across SOX, SOC 2, ISO 27001, PCI, and related data center audits. The role focuses on ensuring audit-ready environments and coordinating with facilities, engineering, security, and finance teams. Ideal candidates have 5+ years in IT audit/compliance with 3LOD governance experience and professional certifications like CISA or CISSP. #J-18808-Ljbffr

One of the most exciting prospects in the cyber security sector today, Bridewell is a leading cyber security services company specializing in protecting and transforming critical business functions for some of the world's most trusted organizations. We are the trusted partner for operators of essential services and provide end-to-end cyber security capabilities that help our clients overcome their security challenges, allowing them to operate safely and securely. Having expanded into North America in 2022, Bridewell is quickly increasing its presence across the United States, showing our commitment to becoming a major player in the US cyber security market. Our US operations are focused on delivering cyber security solutions in the critical infrastructure sector, providing critical support to organisations navigating security challenges. Overview We are looking for a Data Center Compliance Auditor to support the delivery of Bridewell services to one of our most strategic clients....

AdventHealth in Maitland, FL is seeking a qualified coder/auditor to perform quality reviews of coded records, validate ICD-10 and DRG assignments, and provide ongoing education to coding staff. The role supports admission and reimbursement integrity across the Revenue Cycle. You will review clinical documentation, clarify discrepancies with physicians, and participate in DRG appeals with reference to national guidelines. A remote-ready, professional coder is preferred. #J-18808-Ljbffr

Capstone Logistics, LLC is seeking a Vendor Compliance Auditor to audit the quality of incoming loads, ensure compliance with standards, and identify deviations for our Plant City operations. Responsibilities include observing loads on arrival, reviewing for violations, documenting root causes, capturing up to 30 photographs from multiple angles, and validating information before reporting violations. On-site schedule from 6:00am; finish time to be determined at hire. #J-18808-Ljbffr

Pay: $700 - $950+/weekly Plant City, FL Pay: $700 - $950+/weekly 6:00am-Finish | Schedule set at time of hire Vendor Compliance Auditor Job Summary This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. Supervisory Responsibilities None Essential Functions Responsibilities: Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations #CB #J-18808-Ljbffr

Memorial Healthcare System is seeking an inpatient/outpatient coding auditor to verify ICD-10-CM/PCS and CPT coding accuracy. You will audit APC, MSDRG, and APRDRG groupings and provide education to coding staff. The role requires AHIMA-guideline knowledge and the ability to analyze denials with Revenue Cycle teams. The candidate will coordinate coder education, respond to external audits, and maintain confidentiality per MHS standards, working with inpatient and outpatient coding managers. #J-18808-Ljbffr

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. A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient’s medical records after a visit and translating the information...

Job Title: Medical Billing Specialist Location: Lake Mary, FL - 100% Onsite Pay Range: $25/hr on W2 Manage the processing of client information in compliance with HIPAA and other regulatory policies. Coordinate insurance verification and ensure clients understand their co-pay responsibilities. Follow up on unpaid or rejected claims to facilitate timely payments. Enter and verify client data accurately in the billing system. Prepare and submit claims electronically and via paper as needed, correcting and resubmitting rejected claims. What's Needed? Experience working with front-end rejections in medical billing. Previous experience with Durable Medical Equipment (DME) billing is preferred. Strong understanding of HIPAA and PHI regulations. Excellent attention to detail and organizational skills. Ability to communicate effectively with clients, insurance companies, and team members. Upon completion of waiting period, consultants are eligible for: Medical and Prescription Drug Plans...

Dane Street is seeking experienced coders, bill reviewers, and payment integrity reviewers to join our team. The role focuses on reviewing medical reports to ensure accurate coding and billing, with timely communication to clients. Ideal candidates hold CPC/APCC/CMBS or DRG coder certification, have remote work experience, and demonstrate strong attention to detail, excellent written and verbal communication, and the ability to meet deadlines in a fast-paced environment. #J-18808-Ljbffr

Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. 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. You 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. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched appropriately to the codes and if not, obtains...

Millennium Healthcare Management Serv LLC is seeking a Risk Adjustment Coding Specialist to review and validate provider documentation for accurate ICD-10-CM coding reflecting illness severity and care complexity. The role involves prospective, concurrent, and retrospective chart reviews, collaboration with providers, adherence to Medicare guidelines, and participation in coding education to sustain a high accuracy rate and productive coding output. #J-18808-Ljbffr