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138 jobs found in Florida

MD Healthcare Network
Full Time
 
Insurance Verification, Denials Specialist
MD Healthcare Network Sunrise, FL, USA
We are seeking a full-time team member to handle daily insurance verification for scheduled appointments and walk-in patients. Responsibilities will also include working on insurance denials and reconciling claims on a weekly basis.  Preferably looking for a candidate bilingual in Spanish and English and has experience with the eClinicalWorks EHR system.

Jul 03, 2025
Nemours Children's Health
Full Time
 
Professional Fee Abstractor - 15763
Nemours Children's Health Pensacola, FL, USA
Nemours is seeking a Professional Fee Abstractor , Full-Time, to join our Nemours Children's Health team.     This is a REMOTE position.   Assesses each professional session (i.e. claim) for all documented conditions and application of M.E.A.T. criteria (i.e. monitoring, evaluation, assessment, treatment) to accurately apply ICD 10 CM codes to capture diagnoses, evaluation & management CPT codes, procedure codes, HCPCS codes and modifier application per payer specific guidelines.       * Ability to comprehend medical record documentation to assign codes for each active session, in multiple specialties.  (i.e. Codes assigned by provider are evaluated and modified with the approval of the provider)      * Codes a minimum of 60-100 sessions per shift.  The number of lines per session varies, therefore, “Coding Required” sessions are completed daily.      * Works collaboratively in a team setting with providers, allied health staff, business office staff throughout...

Jun 11, 2025
Adept Surgical Billing Solution, LLC
Full Time
 
Surgery and Anesthesia Coding and Billing Professional
Adept Surgical Billing Solution, LLC Remote (FL, USA)
Seeking experienced talent in the state of Florida for Surgery and/or Anesthesia Billing and Coding Note- we do not hire residence outside of the state of Florida. We have more than one opening at this time and looking to add to our RCM and Coding Teams. A Leadership role may be considered for the right candidate. Coding Certification: for Certified Coder Positions; preferrable CASC COC, CANPC Coding and Charge Capture Payment Posting Insurance Claims Billing/Resolve to rejections Coding reviews and denials appeal assistance Coding reviews of documentation in question by the coding team Management of payor chart audits/ Internal Audits Insurance overpayment reviews/issuance or disputes as needed. Ability to assist in aging follow through and unpaid claims Address physician documentation matters Month end closing/Utilization of reports Insurance Credentialing EDI/ERA/EFT Enrollments Seeking experienced billers with full knowledge of RCM and...

May 21, 2025
Watson Clinic
Full Time
 
Compliance Educator I
Watson Clinic Lakeland, FL, USA
Essential Functions Demonstrate a contribution to the department’s operation (Practice Assessments, retrospective &/or concurrent documentation reviews) and goals/targets for the year. Maintain monthly log of activity. Prioritize workload and maintain control over interruptions. Develops educational materials to conduct classroom and/or Individual training/education to all providers and staff on coding, documentation, and CMS/Federal guidelines. Researches, analyzes, and responds to inquiries regarding inappropriate coding, denials, and billable services in accordance with all CMS/Federal and state guidelines. Reviews Hospital and Clinic notes.  Conducts coding and documentation reviews: review documentation and coding for all services (including but not limited to; E & M level of service, Surgical procedures, modifier usage, diagnosis code supporting medical necessity, labs and radiologic examinations). Review all reimbursement tools for...

May 15, 2025
JU
Certified Medical Coder - Oncology Office
Jobleads-US Pensacola, FL, USA
We Are Hiring Department: Oncology Schedule: Full time days, Monday-Friday Facility: Ascension Sacred Heart Cancer Center Location: Pensacola, FL What You Will Do Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Abstract pertinent information from patient records. Assign the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments. Perform complex coding. Obtain acceptable productivity/quality rates as defined per coding policy. Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintain knowledge of, complies with and keep abreast of coding guidelines and reimbursement reporting...

Jul 08, 2025
TO
Medical Coding Specialist - CPC
THE ORTHOPEDIC CLINIC Daytona Beach, FL, USA
Job Description Job Description Description: The Orthopedic Clinic is a leader in the orthopedic community of East Central Florida. Our team is dedicated to providing compassionate and cutting-edge orthopedic care. We believe every patient should receive the best possible care, our practice offers an array of services specializing in general orthopedics, spine care, sports reconstruction, adult reconstruction and non-surgical treatments. The Orthopedic Clinic is a well-respected practice that was established in 1961 and has a rich history of providing exceptional Orthopedic care to the community. We currently have eleven Orthopedic Surgeons, Interventional Pain Management Physician, ten Mid-Level Providers, and a Physical Therapy team who serve patients at four locations within Volusia and Flagler counties. POSITION EXPECTATIONS: *This position is not remote and requires onsite work availability* The Medical Coding Specialist will be responsible for...

Jul 08, 2025
SH
Coder
Solaris Health Holdings Fort Lauderdale, FL, USA
The Coder is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement. The Coder will ensure quality and productivity standards are met. The Coder will ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. They work with the Coding Supervisor to escalate coding issues and prevent untimely claim submission and denials. Requirements : ESSENTIAL JOB FUNCTION / COMPETENCIES Responsibilities include but are not limited to : Reviews chart documentation for accuracy and completeness, identify inconsistencies in chart documentation, and work with appropriate staff and Coding Supervisor to resolve issues. Communicates with Claims Resolution Specialists and Business Office staff when necessary to resolve errors and clarify issues. Demonstrates and use in-depth knowledge of CPT, HCPCS, modifiers,...

Jul 08, 2025
Uo
Physician Billing Coder II - Patient Billing Coordinators - Days - Full-Time
University of Florida Jacksonville, FL, USA
Physician Billing Coder II - Patient Billing Coordinators - Days - Full-Time 2 weeks ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Overview Summary: Review, analyzes and assigns the final diagnoses and procedures as stated by the practicing provider's documentation following all compliance policies and guidelines. Accurately codes office and hospital procedures for providers to ensure reimbursement. Provides physician education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD 10 CDM, HCPCS and CPT codes, verbally, physically, and in written forms. Responsibilities Responsibilities: Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interacts with providers to provide feedback/education utilizing physical, verbal and written communication skills. Assign and sequence appropriate codes and modifiers using current procedure,...

Jul 08, 2025
UH
Coder I | Remote | GA, FL, NC, NH Residents ONLY
UF Health Jacksonville, FL, USA
OverviewFull Time - Remote PositionGA, FL, NC, NH Residents ONLY Monday - FridayUnder minimal technical or managerial supervision, this position assigns codes to diagnoses and/or procedures using ICD-10-CM and CPT-4 for observation, ambulatory surgeries, outpatient procedures, outpatient clinics and emergency room encounters. A Coder I will also research medical necessity needs if necessary and have a good working knowledge of Medicare Local Medical Review Policy (LMRPs). QualificationsRequired Education: High School Diploma or GED. Specific course work: Medical Terminology, Anatomy & Physiology, or other related course workPreferred Education: Associate's or Bachelor's Degree in Health Information Management/Medical Record Administration. Equivalent healthcare college degree may also be considered.Necessary Skills:1. PC knowledge2. Good written and oral communication and customer service skills3. Must be detail oriented, organized and flexible4. Able to demonstrate initiative...

Jul 08, 2025
WC
MEDICAL CODER II - FULL TIME
Watson Clinic Lakeland, FL, USA
Job Description Job Description Description: Summary/Objective: Obtain accurate reimbursement for healthcare claims. Essential Functions Reviews and resolves all assigned charges thoroughly based on coding guidelines, chart documentation and related charges in billing system. Audits task manager work files with charges reviewed by Claims Manager that were found to have coding errors/omissions. When appropriate communicates approved coding changes and/or questions to Physician’s and their office staff. Also alerts providers of missing or late charges. Alerts management to coding trends discovered while working daily charges/edits. Stays informed and up to date on coding issues by attending seminars. Possesses a comprehensive understanding of carrier specific State of Florida billing guidelines. Consistently stays within the department production goal set for your area Requirements: Required Education and Experience: High School Graduate or Equivalent. Must be a...

Jul 08, 2025
QN
Medical Billing Specialist
Quest National Services Orlando, FL, USA
Job Description Job Description A well-established and growing Medical Billing company based in Downtown Orlando and is currently looking for an experienced account manager to join its growing team. The Senior Biller Manager would directly report to the Director of Operations. The Senior Biller Manager would be responsible for managing client accounts to coordinate their overall functions of billing, maximizing cash flow while improving patient, physician, and other customer relations. Requires STRONG leadership and business office skills, including project management, critical thinking and analytical skills. · Preferred 4+ years’ experience in a medical office reimbursement department · Preferred 3+ years’ experience in a claim denial/AR management role · Experience with EMR Management software · Strong background in Accounts Receivable · Experience in CPT and ICD10 codes, HCFA 1500 and UB04 claim forms · Experience in billing and insurance regulations, medical terminology,...

Jul 08, 2025
IH
Medical Coder
Innovacare Health Orlando, FL, USA
InnovaCare Management Services Company, LLCInnovaCare Health is a dynamic physician lead healthcare provider pioneering change in value-based healthcare. We operate 40+ clinics with 1,100+ employees who share the mission, vision, and values that drive success in each of the communities we touch. Our goal isn't just healthcare; it's about promoting work-life balance and supporting the personal and professional goals of each employee to help them lead their best lives. We are an organization strengthened by our diversity and inclusion. We strive to make an impact in the community through public health education, outreach, and our philanthropic endeavors that span beyond the doors of our facilities.As we continue to grow, we want employees, like you, who value improving the lives of those they care for each day. #WeAreInnovaCareOur practices offer: Women's Health, Wellness, X-Ray/Ultrasound, Dental, Chiropractic, Urgent Care, Managed Care, and Workers Comp servicesJob Summary Medical...

Jul 08, 2025
TU
Medical Biller (H)
The University of Miami Miami, FL, USA
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.The University of Miami/UHealth Department of Central Business Office has an exciting opportunity for a full-time Medical Biller to work in Miami, FL. The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records.Assists patients, insurance companies, and laboratories with inquiries regarding billing issues.Reviews records for patient information, insurance information, service descriptors, diagnosis codes and managed care authorization requirements, and coordinates corrections.Prints daily appointment voucher report and reconciles all vouchers to report.Enters, reviews, and retrieves patient account information from system and ensures...

Jul 08, 2025
TU
Medical Biller - UHealth SoLé Mia
The University of Miami Miami, FL, USA
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.The University of Miami UHealth at SoLé Mia opening September 2025, will bring high-quality academic medicine to North Miami, Aventura, and surrounding communities. Our expert team of physicians and staff will represent a wide range of specialties, including NCI-designated Sylvester Comprehensive Cancer Center and Bascom Palmer Eye Institute, the number one eye hospital in the nation. UHealth at SoLé Mia will also deliver the latest in urologic treatments from the renowned Desai Sethi Urology Institute as well as top-notch care from UHealth's nationally ranked neurology and neurosurgery programs.The University of Miami UHealth - Central Business Office at SoLé Mia has an exciting opportunity...

Jul 08, 2025
GH
MRA Coder
Genuine Health Group Miami, FL, USA
Join to apply for the MRA Coder role at Genuine Health Group 1 week ago Be among the first 25 applicants Join to apply for the MRA Coder role at Genuine Health Group Summary The Medicare Risk Adjustment (MRA) Coder plays a critical role in driving risk adjustment accuracy and provider documentation quality across the Genuine Health Group network. Review and audit patient medical records— including histories and physicals, progress notes, diagnostic reports, pathology results, medication, labs results and discharge summaries— to ensure diagnoses are accurately captured, documented, and coded in compliance with CMS risk adjustment standards. Apply MEAT criteria to validate chronic conditions and ensure accurate HCC capture. Conduct comprehensive retrospective chart reviews for each assigned panel twice per year - every semester. Perform pre and post-visit chart audits to support real-time documentation improvement proactively identify coding opportunities. Submit validated HCC codes...

Jul 08, 2025
DS
Medical & Billing Coder - Texas
Dane Street, LLC West Palm Beach, FL, USA
Job Description Job Description 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...

Jul 08, 2025
SC
Adjunct Fully Remote--Medical Billing and Coding Specialist
Southeastern College Hialeah, FL, USA
Job Description Job Description OVERVIEW: The core mission of Southeastern Institute is to provide targeted educational services that meet community needs. The role of campus Faculty members is to engage students, foster learning, role model professionalism, and ultimately produce competently trained students prepared for professional careers. BUSINESS CONTRIBUTIONS: Faculty and instructional staff are responsible for leveraging their expertise to deliver education services to students through: Delivering course lectures Facilitating student engagement Working one-on-one with students Assessing students and providing developmental feedback ESSENTIAL FUNCTIONS: Prepare Course Plans and Materials: Review Course Control Document (CCD) Prepare syllabus Create lesson plans Create exams, quizzes, and projects/assignments Coordinate with librarian and bookstore for availability of materials Deliver Courses: Administer pre-test/post-test Deliver...

Jul 08, 2025
JH
Outpatient Coder 2 [Remote], Health Information Management, Full Time, Days
Jackson Health System Miami, FL, USA
Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote but open to applicants who reside in the state of Florida] Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine. Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do. Summary HIM Outpatient Coder 2 is responsible...

Jul 08, 2025
BM
Medical Billing Specialist
Behavioral Medicine & Psychotherapy llc FL, USA
Job Description Job Description From desk Receptionist Answering calls making appointments and collecting payments some filling will be necessary Company Description Mental health private office providing psychiatric services to our growing community Company Description Mental health private office providing psychiatric services to our growing community

Jul 07, 2025
YH
Inpatient Coder
Yes Him Consulting Inc FL, USA
Job Description Job Description Description: POSITION: Inpatient Coder STATUS: Full-Time LOCATION: Remote SCHEDULE: Monday through Friday Sunday through Thursday Tuesday through Saturday FLSA STATUS: Non-Exempt / Eligible for Overtime POSITION SUMMARY: Code inpatient records with appropriate ICD-10-CM diagnosis and ICD-10-PCS procedure codes while maintaining compliance with official coding guidelines and client guidelines. POSITION RESPONSIBILITIES: Analyze, evaluate, and review client medical records to ensure accuracy of code assignment. Prepare daily coding logs. Demonstrate proficiency in coding including ICD-10-CM and ICD-10-PCS coding while maintaining a 95% accuracy. Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client-specific policies. Maintain productivity based on national standards and/or client-specific standards. Work as a team player in a dynamic environment...

Jul 07, 2025
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