7 professional coding auditor jobs found in Florida

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 Auditor Full Time Staff South Florida Community Care Network, LLC, Sunrise, FL, US 3 days ago Requisition ID: 1202 Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through pre and post payment medical records review and appeal records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines, coverage policies and regulatory and contract requirements. Qualifications: Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required. Prior experience in...

Benefits 401(k) matching Competitive salary Dental insurance Health insurance Paid time off About Us We are a fast-growing, innovative medical billing company committed to transforming the healthcare revenue cycle through technology, transparency, and top-tier customer service. Our team is passionate about simplifying the complexities of medical billing so healthcare providers can focus on what matters most—patient care. We're seeking a highly motivated and experienced Charge Posting (Coder) Supervisor to join our leadership team and help us continue delivering exceptional results to our clients across the country. Job Overview As the Medical Coder Supervisor , you will lead a group of certified coders to accurately review and approve encounters using industry coding guidelines, optimize workflow efficiency, and oversee a high-performing medical coding team. You\'ll be responsible for the training, on-going development, quality assurance audits, and covering for coder when...

Millennium Physician Group seeks a Level II Risk Adjustment Coding Specialist to abstract ICD-10-CM codes from encounter documentation, conduct audits, and contribute to VBAT and MRA analyses in New York. The role requires 2+ years of coding experience, including 1 year of HCC coding, and strong knowledge of ICD-10-CM conventions, with proficiency in MS Office and EMR systems. You will collaborate with leadership to meet accuracy and productivity targets. #J-18808-Ljbffr

MUST RESIDE IN FLORIDA AND HAVE CODING AND AUDITING EXPERIENCE. Deposition as well as Testimony experience is preferred. We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Florida-based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Responsibilities: Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to determine medical necessity and documentation compliance Review and prepare demand packages and audit response materials Analyze records for payer disputes and recoupments Prepare written audit findings and defensible reports Provide expert support for depositions and testimony as needed Review E/M services under 2021+ guidelines Interpret...

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

Dane Street is seeking an experienced CPC-certified medical coder to perform coding audits, utilization reviews, and related tasks in Florida. The role emphasizes Florida-based coding expertise, understanding of medical necessity and payer policies, and readiness to support depositions and testimony as required. The candidate should have strong documentation skills, prior audit experience, and the ability to work independently to meet deadlines. #J-18808-Ljbffr

Position: Medical Billing & Reimbursement Specialist Location: Mount Dora, FL Remote Status: On-Site # of Openings: 1 Medical Billing & Reimbursement Specialist Reports to: Controller Status: Non-Exempt, hourly About the role The Medical Billing & Reimbursement Specialist manages billing and reimbursement activity related to healthcare services provided within Waterman Village. This role helps ensure that claims are submitted accurately, payments are posted correctly, denials are addressed promptly, and reimbursement requirements are met. The work requires both technical precision and steady follow-through. You will work with clinical, admissions, resident financial services, and accounting colleagues to support appropriate reimbursement while helping residents and families navigate financial questions with respect. What you will own Claims preparation and submission. Prepare, review, and submit claims to Medicare, Medicaid, managed care plans, commercial insurers, the...