37 coder senior jobs found

TEEMA Solutions Group is seeking a Senior Clinical Coder for a fully remote opportunity focused on inpatient facility coding and DRG validation. You will support clinical operations teams in complex medical claims reviews and ensure coding accuracy. The ideal candidate has over 5 years of clinical coding experience and a CCS certification. This role offers long-term potential for permanent employment. #J-18808-Ljbffr

AdventHealth in Orlando, Florida is seeking a Clinical Coder to ensure accurate clinical documentation and coding compliance. The ideal candidate will have over 5 years of inpatient coding experience and must be proficient in coding guidelines and Medicare reimbursement methodologies. Key responsibilities include reviewing documentation, optimizing diagnostic codes, and mentoring junior staff. Competitive pay and comprehensive benefits package is offered, including health insurance from day one. #J-18808-Ljbffr

Insight Global is seeking a professional coder to join a large regional health system in north Florida. Candidates should be well-versed in multispecialty areas including Pediatrics and Cardiology and must possess AAPC CPC certification. Most work will involve using Epic for E&M procedures, with a focus on productivity and quality metrics. A diversified and inclusive environment is essential, and candidates who can work independently in a collaborative remote team are preferred. #J-18808-Ljbffr

Job Description Job Description Porter is hiring a Risk Adjustment Coder to join our Team!   Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.    Position Overview We are seeking a certified coder with expertise in risk adjustment coding...

Description Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider-coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Specific Duties * Conducts audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. * Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Fl AHCA / Medicaid, and CMS regulatory requirements. * Monitors professional fee...

Become a part of our caring community The 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 Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Description Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider-coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Specific Duties * Conducts audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. * Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Fl AHCA / Medicaid, and CMS regulatory requirements. * Monitors professional fee...

Risk Adjustment Coder Porter is hiring a Risk Adjustment Coder to join our team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. Position Overview We are seeking a certified coder with expertise in risk adjustment coding and a specialization in...

Humana Inc is seeking a Senior Market Consultation / Partnership Professional (Nurse Medical Coder) in Tallahassee, Florida. This remote role focuses on improving coding practices and compliance across clinical support teams, making a significant impact on patient care. Qualifications include an active RN license, coding certifications, and expertise in ICD-10-CM guidelines. The position offers a competitive salary range of $86,300 - $118,700 per year, along with potential bonuses and comprehensive benefits. #J-18808-Ljbffr

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

NACBA is seeking a Senior Billing Compliance Auditor located in Miami, Florida. This role involves conducting audits of NCPS professional fee encounters, ensuring compliance with federal and state coding and documentation requirements. The ideal candidate will have at least 7-10 years of experience in coding and compliance, along with a Certified Professional Coder designation. Responsibilities include preparing audit trends, collaborating with administrators, and maintaining compliance standards. #J-18808-Ljbffr

Risk Adjustment Coder Porter is hiring a Risk Adjustment Coder to join our team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. Position Overview We are seeking a certified coder with expertise in risk adjustment coding and a specialization in...

Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. Position Overview We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health...

Physician Billing Coder (Surgical) | Revenue Cycle Admin | Days| PRN Pool | CERTIFIED | REMOTE University of Florida Jacksonville Physicians, Inc. is seeking an experienced Physician Billing Coder for a remote position. This role requires strong coding expertise and a commitment to maintaining compliance with all regulations. Overview FTE: 0.20 Shift Hours: Monday - Friday - VARIABLE Work Location: Remote (within approved states: FL, GA, MO, PA, SC, TN, and TX) Position Summary Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form....

Join The Team At PedIM Healthcare! Delivering exceptional care, together. Who We Are PedIM Healthcare is the first private medical office of its kind in Citrus County – offering top-quality care for children, adults, and seniors all under one roof. We provide pediatrics, adult internal medicine, family practice, geriatrics, women's care, medical weight-loss, sleep-medicine services and more. Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County. Why Work With Us? A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties. A values-driven environment: we listen, we help, we understand—and we care. Community-oriented and recognized: voted "best of the best" in the region. Opportunity to make a meaningful impact by supporting patients over their full life span—from children to seniors. A...

Description: Join the Team at PedIM Healthcare! Delivering exceptional care, together. Who We Are PedIM Healthcare is the first private medical office of its kind in Citrus County offering top-quality care for children, adults, and seniors all under one roof. We provide pediatric, adult internal medicine, family practice, geriatrics, womens care, medical weight-loss, sleep-medicine services and more. Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County. Why Work With Us? A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties. A values-driven environment: we listen, we help, we understandand we care. Community-oriented and recognized: voted best of the best in the region. Opportunity to make a meaningful impact by supporting patients over their full life spanfrom...

Location: Palm Beach, FL | Pay: $28 - $36/hr | Hours: 8 AM - 5 PM Responsibilities Manage full-cycle billing, charge entry, and coding validation via Nextech. Lead and mentor junior staff to clear daily backlogs (target: 20-30 claims/day). Handle complex out-of-network claims, authorizations, and payer escalations. Manage denials, execute appeals, and ensure compliance with the No Surprises Act. Requirements 5+ years of dedicated medical billing experience. Background in Plastic Surgery, Podiatry, Orthopedics, General Surgery, or Trauma billing . Active Certified Professional Coder (CPC) credential. Experience with Nextech, Trizeto, and Google Platform preferred. Skills CPC CPT Codes Medical Billing Medical Software Medical Terminology HIPAA Medical Billing – Denials Basic Medical Terminology Qualifications Years of experience: 1 year Experience level: Experienced Education High School Benefits Pay offered to a successful candidate will be based on several...

Description: Join the Team at PedIM Healthcare! Delivering exceptional care, together. Who We Are PedIM Healthcare is the first private medical office of its kind in Citrus County offering top-quality care for children, adults, and seniors all under one roof. We provide pediatric, adult internal medicine, family practice, geriatrics, womens care, medical weight-loss, sleep-medicine services and more. Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County. Why Work With Us? A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties. A values-driven environment: we listen, we help, we understandand we care. Community-oriented and recognized: voted best of the best in the region. Opportunity to make a meaningful impact by supporting patients over their full life spanfrom...

Job Description Job Description 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 mostpatient 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 group of certified coders to accurately review and approval 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...

Medical Clinic Biller/Coder Northwest Florida Community Hospital is seeking a detail-oriented and experienced Medical Clinic Biller/Coder to join our team. This position is responsible for accurate coding, billing, and claims processing for clinic services to ensure timely reimbursement and compliance with federal regulations and payer requirements. The ideal candidate will have strong knowledge of medical terminology, coding systems, and insurance billing procedures. Responsible for all activities in the Clinic accounts receivable function. Manages billing and collection activities such as sending follow-up inquiries, negotiating with past due accounts, and referring accounts to collection agencies. Codes and sequences all diagnoses and procedures using established ICD-10-CM coding rules for each patient encounter; coding will be subject to accuracy and productivity rates as determined by department manager. Maintains accurate records. Audits methods and procedures of accounts...

A major healthcare provider is seeking a Medical Records Outpatient Coder III to work remotely on a full-time basis. This role requires strong experience in ICD-10-CM and CPT-4 coding, as well as mentoring responsibilities for junior coders. The ideal candidate will have at least 5 years of outpatient coding experience and must hold a Certified Coding Specialist (CCS) certification. Excellent benefits including health, dental, and tuition reimbursement are offered. #J-18808-Ljbffr

Nurse Supervisor, SNF Jackson Memorial Perdue Medical Center is a long-term-care facility located on a beautiful 11-acre campus in South Dade. The medical center is a licensed, 163-bed skilled nursing and rehabilitation facility. We provide care for a diverse cultural population of younger and older adults. Nurse Supervisor, SNF oversees a team of staff in the absence of the Nurse Manager or department Director and acts independently to provide crisis management, interpret policy, make timely decisions that directly impact patient care, ensures effective communication and collaboration among departments. Key responsibilities are administrative in nature and include assigning coverage and on-call schedules, patient assignments to nurses on the team, overseeing the key operational functions of the center including the development of standard operating procedures, data collection/management, staff education and orientation. This role will promote professional habits through work...

Associate Director, Medical Science Liaison Cytokinetics is a specialty cardiovascular biopharmaceutical company, building on its over 25 years of pioneering scientific innovations in muscle biology, and advancing a pipeline of potential new medicines for patients suffering from diseases of cardiac muscle dysfunction. At Cytokinetics, each team member plays an integral part in advancing our mission to improve the lives of patients. We are seeking tenacious, compassionate, and collaborative individuals who are driven to make a positive impact. Reporting to the Field Director, the Associate Director, Medical Science Liaison (MSL), is a scientific professional who serves as a key field-based scientific resource for healthcare providers, patients, investigators, and internal colleagues. This role will come with high visibility in our company with critical cross-functional relationships across Medical Affairs, Clinical Development / Operations, and Commercial. This role will focus...

BayCare is hiring a Medical Records Coder II (Radiology) – Hybrid in Clearwater, FL! Join one of Tampa Bay’s largest employers and make an impact in healthcare. Position Highlights Status: Full-time (Non-Exempt) Schedule: Mon–Fri, 8:00 AM–4:30 PM Work Arrangement: Hybrid – 80% remote, 20% onsite (Florida residents only) What You’ll Do Assign diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, and CPT-4 Monitor bill hold reports Mentor Coder I team members and assist with training Qualifications High School diploma required; Associate’s in Health Information Management preferred 2+ years coding experience (Radiology highly preferred) CCS or RHIT certification preferred Why BayCare? 401k match + annual contribution Team award bonus and community discounts Location: Clearwater, FL | Hybrid Equal Opportunity Employer Veterans/Disabled Get notified about new Medical Coder jobs in Clearwater, FL . #J-18808-Ljbffr