76 jobs found in Florida

Dane Street is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks with Florida-based expertise. The role may include litigation support such as depositions and testimony when needed, and requires strong knowledge of Florida Medicaid guidelines and payer policies. Ideal candidates have 5+ years of coding and audit experience, including Florida-based work, and excel at documenting findings with defensible reports. #J-18808-Ljbffr

## Certified Risk Adjustment CoderApplylocations: Hialeah, FLtime type: Full timeposted on: Posted Todayjob requisition id: JR102682**As Mount Sinai grows, so does our legacy in high-quality health care.**Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We 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. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.**Culture of Caring: The Sinai Way**Our hardworking,...

Position Summary MUST RESIDE IN ONE OF THESE STATES TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, KY, LA, MA, MI, NV, NM, NC, OH, PA, SC, TN, TX, VA, and WA. Position Summary: This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. Orlando Health is committed to providing you with benefits that go beyond the expected, with career‑growing FREE education programs and well‑being services to support...

Bayfront Health is seeking skilled professionals for various Physician coding roles including Coder I, Coder II, and Senior Coder. Candidates must demonstrate proficiency in ICD-10 and CPT coding, with experience varying by role. Responsibilities include reviewing medical records, verifying services, and collaborating with healthcare teams to ensure accurate coding practices. The ideal candidates will possess a high school diploma and relevant certifications, alongside strong communication skills. This position offers comprehensive benefits from day one, promoting growth and well-being. #J-18808-Ljbffr

The Senior Risk Adjustment Coder is responsible for accurate and compliant risk adjustment coding through retrospective documentation auditing, provider-facing education, and two-sided chart reviews. This role partners closely with physicians, practice staff, and operational teams to improve documentation specificity, support new PCP onboarding, reinforce ongoing education, and enhance RAF accuracy, compliance, and revenue integrity across targeted populations. Essential Duties and Responsibilities: Conduct retrospective documentation audits to validate diagnosis capture, coding accuracy, and compliance with CMS, ICD-10-CM, and organizational guidelines Perform two-sided chart reviews to identify documentation gaps, unsupported diagnoses, and opportunities for recapture and coding specificity Evaluate medical records for complete and compliant support of submitted diagnoses, including assessment of M.E.A.T. criteria where applicable Develop and deliver physician education...

Alina Community Center in Lauderdale Lakes, Florida is seeking a Certified Medical Coder to join our Family Medicine and Mental Health practice. This role requires meticulous coding, strong organizational skills, and the ability to work in a fast-paced clinical environment. Responsibilities include coding ICD-10-CM, CPT and HCPCS, reviewing documentation for accuracy, addressing denials, and collaborating with providers and billing staff while maintaining HIPAA compliance and up-to-date payer #J-18808-Ljbffr

Houston Methodist seeks a Senior Coding Specialist to apply correct coding conventions to patient encounters in a clinical setting. You will abstract and review diagnoses and procedures, correct claim edits, and mentor Coding Specialists while working remotely from Texas. Ideal candidates have five years of coding experience, CCS or CPC certification, and strong knowledge of ICD-9/10 and CPT coding. Excellent communication and confidentiality are essential for this role. #J-18808-Ljbffr

Optum, a UnitedHealth Group company, is seeking a Medical Coder to support IPA Providers with ICD-10 CM coding education and CMS documentation guidelines in Medicare Advantage. The role emphasizes training clinicians to improve accuracy and health outcomes. Position requires travel up to 50% for chart retrievals and collaboration with providers and clinics; location is Las Vegas, NV, with standard M-F daytime hours and HIPAA compliance as core responsibilities. #J-18808-Ljbffr

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

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...

A healthcare provider in New York is seeking a Coding Analyst or Medical Coder to join their team. The ideal candidates should have significant experience in billing and coding, preferably with OB/GYN knowledge. Responsibilities include auditing medical records, ensuring compliance with coding practices, and collaborating with healthcare providers. Comprehensive benefits are offered, including health coverage and professional development opportunities, fostering a supportive environment for career growth. #J-18808-Ljbffr

Millennium Physician Group in Jacksonville, FL, is seeking a Training Specialist to educate providers and staff on medical coding and documentation. You will deliver curriculum through interactive sessions, guides and presentations, coordinate with Millennium University, and support multi-state go-lives and ongoing education. The role requires strong communication, knowledge of CMS guidelines, and the ability to tailor content to audiences. #J-18808-Ljbffr

Baptist Health is seeking a Coding Specialist to provide primary support to the Coding Supervisor, oversee coding, abstracting, and reimbursement processes across Baptist Health facilities. You will ensure ICD-10-CM/PCS, CPT conventions, and regulatory compliance while aiding in training and workflow improvement. With five years of inpatient/outpatient coding experience in a large healthcare setting and AHIMA credentials, you will contribute to accurate billing and efficient operations in a #J-18808-Ljbffr

Medical Billing Specialist is responsible for the complete and accurate billing and collections of all hospice claims submitted for payment to third party payers including, but not limited to, Medicare, Medicaid, Managed Care, commercial carriers, and any other state and federal health care programs. Performs all follow up duties associated with rebilling, adjustments, corrected claim submissions and collections of all overdue accounts/claims in accordance with best business practices. Must be able to work on-site in the Corporate Miramar, Florida office Monday-Friday. Hybrid schedule. Meets established daily productivity standards. Schedule and download the daily bill job files and processes for transmittal. Research, correct, and re-submit rejected and denied claims. Responsible for timely billing whether by paper or electronic claim in the appropriate claim format. Monitor insurance claims by running appropriate reports and contacting insurance companies to resolve claims that...

Orthopedic-Health-Center in New York is seeking an experienced Medical Billing Supervisor to lead our billing team. The role combines medical billing/coding with limited front desk tasks in an in-office setting. The ideal candidate will hold a professional billing/coding certification, manage insurance claims, ensure HIPAA compliance, and improve workflow efficiency with strong communication across management and staff. #J-18808-Ljbffr

Vitas Healthcare Corporation is seeking a Medical Billing Specialist to oversee complete and accurate hospice billing for Medicare, Medicaid, managed care, and other payers. The role supports rebilling, adjustments, and collections, with on-site work in Miramar, Florida and a hybrid schedule. Candidates should have 3–4 years of billing experience in healthcare, knowledge of payer guidelines, and strong Excel/Outlook/Word skills. High school diploma required. EOE/AA M/F/D/V. #J-18808-Ljbffr

Certified Medical Coder Status: Non-Exempt Department: Coding Reports To: Coding Director Work Location: Remote Position Summary The Certified Coder is responsible for performing accurate and compliant coding of inpatient (IP) and outpatient (OP) medical records to support timely billing and maximize revenue integrity. This role ensures correct diagnostic and procedural coding in accordance with ICD-10-CM, CPT, HCPCS, CMS guidelines, and payer-specific requirements. The Certified Coder works closely with billing teams, clinical staff, and auditors to support clean claim submissions, reduce denials, and promote optimal reimbursement while maintaining the highest standards of coding compliance and data integrity. Key Responsibilities Review, analyze, and accurately assign ICD-10-CM, CPT, and HCPCS codes for inpatient and outpatient encounters, including surgeries, ancillary services, ER, observation, and clinic visits. Validate documentation to ensure it supports...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Schedule to be determined by supervisor upon hire. Location: 2716 North Tenaya Way, Las Vegas, NV 89128. Travel will be required up to 50% of the time for chart retrievals. The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM Coding Education...

International College of Health Sciences (ICHS) seeks a Medical-Surgical Nursing Clinical Instructor to lead clinical rotations in acute-care hospital units. The role involves supervising and evaluating nursing students, teaching evidence-based care, and promoting safe, patient-centered practices in a fast-paced environment. The instructor will guide students in clinical reasoning, bedside skills, and documentation while collaborating with faculty and clinical-site staff to ensure high-quality #J-18808-Ljbffr

Location:Miramar, FloridaAt Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.Summary:Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance.Responsibilities:Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews coding edits. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Research electronic medical record for any additional diagnoses documented to meet medical necessity. Codes various OP service lines for all MHS specialties that include encounters with high complexity of surgical procedures and assign...

Health Business Solutions LLC is seeking a Certified Medical Coder to perform accurate inpatient and outpatient coding to support timely billing and maximize revenue integrity. The coder will assign ICD-10-CM, CPT, and HCPCS codes and verify documentation to meet CMS guidelines and payer requirements. This remote role collaborates with billing teams, clinicians, and auditors to reduce denials and improve claim quality. #J-18808-Ljbffr

Memorial Healthcare System is seeking a skilled HIM coder to review outpatient records, assign ICD-10-CM and CPT codes, and ensure compliant, accurate billing. You will interpret diverse medical documents, verify coding edits, and collaborate with insurers to resolve discrepancies. The role requires AHIMA credentials (RHIA/RHIT/CCS) and at least two years of hospital outpatient coding experience or completion of MHS Coder Intern Program. #J-18808-Ljbffr

Parkland Community Health Plan, Inc. is seeking a Coding Specialist III to code and verify inpatient encounters, ensuring accurate DRG assignment and compliant billing. The role supports remote work for TX, AR, WI and FL and requires advanced ICD-10-CM/PCS coding knowledge, HCC, and CPT/HCPCS modifiers. The candidate must hold RHIT/RHIA/CCS or CIC certifications, with 3 years of acute care coding experience and a strong understanding of reimbursement principles. #J-18808-Ljbffr

Houston Methodist Careers seeks a qualified outpatient coder with a strong knowledge of ICD-10-CM/PCS and CPT coding. The role involves collaborating with the coding team and physicians to ensure accurate coding and timely reviews of coded accounts. Candidates should have an associate degree or higher in HIM/CAC, or equivalent experience, and one year of outpatient coding experience or completion of the Houston Methodist Coding Apprentice Program. AHIMA or AAPC certification is required. #J-18808-Ljbffr