52 jobs found in Florida

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 healthcare organization is looking for a Medical Coder to work remotely from Florida. The candidate will be responsible for abstracting data from medical records into system software and coding diagnoses and procedures according to standardized guidelines. A minimum of one year of relevant coding experience is required, along with certifications in medical coding preferred. This position may occasionally require on-site work at a designated location. #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 letters and...

Houston Methodist is looking for a Lead Outpatient Coder in New York, responsible for ensuring accurate coding of outpatient encounters and compliance with regulatory guidelines. This role includes mentoring staff, conducting quality audits, and collaborating with healthcare professionals. Candidates need an Associate's degree and five years of relevant experience, along with necessary certifications. The job promotes a positive work environment, prioritizes effective communication, and requires strong interpersonal skills. #J-18808-Ljbffr

At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based on documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. FLSA Status Non-exempt...

Job Summary The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations. Duties & Responsibilities Essential Duties & Responsibilities Review medical record information to identify all appropriate coding based on CMS HCC categories Prepare the medical charts and track patient information via Excel spreadsheets. Complete appropriate paperwork/documentation/system entry regarding claim/encounter information Provide coding support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established...

Overview Medical Billing Specialist – Part Time/Full Time position in Coral Springs, FL. This is an exciting time to join the FYZICAL family. If you have one year of billing experience and would enjoy being part of a champion team with a forward-thinking company that takes a unique approach to physical therapy, you are a great fit for our Medical Billing Specialist position in Coral Springs, FL. In this role, you will have the opportunity to grow under the guidance of a helpful, supportive practice leader in a fast-paced environment. With state-of-the-art technology at your fingertips, you will have the tools you need to be successful and access to continuing education to stay at the forefront of your profession. If you are ready to be part of an energetic atmosphere where you can achieve success and career satisfaction, apply for FYZICAL\'s Medical Billing Specialist job opening today. We are the world\'s fastest-growing healthcare franchise, leading the charge to transform the...

Overview BlueCross BlueShield of South Carolina is a leading national insurance company that has served the South Carolina community for more than seventy years. We are the largest insurance company in South Carolina, a leading administrator of government contracts, and operate one of the most sophisticated data processing centers in the Southeast. With a diverse family of subsidiary companies we deliver outstanding service to our customers and build on diverse business strengths. Position Purpose Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (serious, preventable medical errors) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. Location This is a remote position, Monday -...

Quest Diagnostics seeks a Lab Supervisor in New York. This role involves overseeing departmental activities, ensuring quality control, and conducting both technical and supervisory tasks. Candidates must have 4-6 years of medical technology experience, preferably with supervisory experience. Competitive salary starting from $66,400 per year, and benefits include comprehensive medical plans, retirement match, and education assistance. The position supports a safe and regulated laboratory environment, encouraging a diverse workforce including veterans. #J-18808-Ljbffr

BlueCross BlueShield of South Carolina seeks a Validation Review Specialist to perform reviews of medical records and coding issues. This remote role involves coordinating claims and providing reports on outcomes and savings impacting medical costs. Candidates must have an associate's degree and 3 years of experience in medical record management, along with strong communication and analytical skills. Enjoy benefits like health coverage, a 401(k) with matching, and paid time off. #J-18808-Ljbffr

Position Overview A growing multi-specialty medical practice specializing in podiatry and internal medicine is seeking an experienced and detail-oriented Medical Billing Specialist to support revenue cycle operations. Ideal candidate has strong knowledge of medical billing processes, insurance guidelines, and ability to ensure accurate, timely reimbursement. Experience in podiatry and internal medicine required. Compensation commensurate with experience. Work Schedule Monday – Friday, 8:00 AM – 5:00 PM 1-hour lunch break Key Responsibilities Submit accurate and timely insurance claims (electronic and paper). Review and resolve claim denials and rejections. Prepare and submit appeals with proper documentation. Perform claim scrubbing to ensure accuracy before submission. Post insurance and patient payments accurately and reconcile accounts. Verify patient insurance eligibility and benefits. Obtain and manage authorizations and pre-certifications as needed. Follow up...

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

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

A leading healthcare institution in New York is seeking a Billing Specialist to manage billing processes and ensure timely claims submissions. The successful candidate will have a minimum of two years in medical billing, excellent communication skills, and familiarity with EPIC software. Responsibilities include investigating claim denials, maintaining accurate billing records, and following up on unpaid accounts. This position offers a competitive salary and comprehensive benefits. #J-18808-Ljbffr

A growing healthcare company is seeking a Medical Billing Specialist for Behavioral Health to manage and resolve claims efficiently. This role involves communication with insurance companies, timely follow-up on outstanding claims, and documenting all collection activities. Candidates should have an Associate’s degree and at least 3 years of experience in behavioral health out-of-network billing. The company offers competitive benefits including paid time off, healthcare plans, and a 401(k) match. #J-18808-Ljbffr

Overview Location: Miramar, Florida At 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 Supervises Revenue Cycle for Memorial Physician Group (MPG), Memorial Primary Care (MPC), Memorial Cancer Institute (MCI), Memorial Cardiovascular Institute (MCVI) and Urgent Care Centers (UCC). Responsible for all aspects of employee productivity related to daily operations of the revenue cycle of the aforementioned entities. Reports directly to MPG Business Office Manager. Responsibilities Attend required meetings and participates in committees as requested. Supports special projects and business analysis as requested. Performs staff responsibilities as needed to meet departmental goals. Leads the handling and resolution of complex issues and complaints. Acts as backup to...

A healthcare provider in the Town of Florida is seeking a detail-oriented Medical Biller to manage billing processes and ensure compliance with healthcare regulations. Responsibilities include reviewing unbilled cases, monitoring billing accuracy, and following up on claims. Candidates should have 5 years of Surgical Center billing experience and strong knowledge of outpatient surgical procedures. This role offers essential benefits such as health and dental insurance, and paid time off. #J-18808-Ljbffr

A healthcare provider in New York seeks a Medical Office Supervisor to plan and coordinate daily practice operations. The ideal candidate will have at least two years of experience in healthcare management and strong interpersonal skills. Responsibilities include recruiting staff, ensuring compliance with regulations, and supporting physicians. This full-time position offers comprehensive benefits such as medical, dental, and a 401(K) plan after one year of employment. #J-18808-Ljbffr

Our client, a leading healthcare organization specializing in medical services, is seeking a dedicated Medical Billing Specialist to join their team. As a Medical Billing Specialist, you will be an essential part of the billing department supporting the organization’s financial operations. The ideal candidate will demonstrate attention to detail, strong communication skills, and a proactive approach to problem‑solving, which will align successfully within the organization. Job Title Medical Billing Specialist Location Lake Mary, FL Responsibilities Manage the entire billing process, including submission of claims and follow‑up on payment status. Coordinate insurance verification and ensure clients understand their co‑pay responsibilities. Handle front‑end rejections and resolve billing issues efficiently. Ensure compliance with HIPAA, PHI, and other regulatory policies. Maintain accurate and complete client information in the system, including gathering missing data and...

A healthcare staffing agency is seeking experienced Billing Coders for a Primary Care clinic in Sunrise, FL. The role requires expertise in medical coding and billing functions including diagnosis coding, claims submission, and ensuring timely reimbursements. Ideal candidates will have a strong background in medical coding processes and attention to detail. This in-office position offers a competitive pay rate of $23–$25/hour with a Monday–Friday schedule, ensuring a stable work environment. #J-18808-Ljbffr

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS : Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA) SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely...

Benefits 401(k) Dental insurance Health insurance Paid time off Vision insurance Overview We are seeking a detail-oriented and knowledgeable Medical Biller to join our company, and liaise with the outside billing department. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding and submission of claims and payment follow-up. This role is crucial in facilitating the financial operations of our centers while ensuring compliance with healthcare regulations. Responsibilities Review unbilled cases and identify missed revenue opportunities. Assist in reducing AR days related to coding or billing errors or lack of follow-up. Monitor billing accuracy and reimbursement reconciliation. Contact attorney offices for lien case payments after reductions been done Collections (Monitoring insurance claims by running appropriate reports and communicate with the appropriate people/departments resolve claims that are not paid in a timely manner). Handle...

Baptist Health in the Town of Florida, New York is seeking a Payroll Auditor to research, analyze, and manage payroll audits, ensuring compliance with regulations. This role requires a Bachelor's degree and at least 5 years of experience in payroll, particularly in large corporations. Strong analytical, problem-solving, and communication skills are essential. The estimated annual salary ranges from $58,494.88 to $76,043.34 depending on experience. #J-18808-Ljbffr