UNKNOWN

FEED

Assists with writing compelling appeals to all DRG denials from outside agencies, referencing Official Coding Guidelines and Coding Clinic advice as appropriate to defend the DRG assignment and protect the organization's reimbursement. Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist, and effectively communicates with physicians and allied health personnel.

HOUR

AdventHealth

Coding Inpatient Auditor

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Licenses and Certifications: Certified Coding Specialist (CCS [Required] OR Registered Health Information Administrator (RHIA [Required] OR Registered Health Information Technician (RHIT [Required] OR Certified Professional Coder (CPC [Required] OR Certified Interventional Radiology Cardiovascular Coder (CIRCC [Required]. Additional Information: An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement: Associates degree AND 6+ years of related work experience OR.

YEAR

Senior Coding Auditor

Licenses and Certifications: Certified Coding Specialist (CCS [Required] OR Registered Health Information Administrator (RHIA [Required] OR Registered Health Information Technician (RHIT [Required] OR Certified Professional Coder (CPC [Required] OR Certified Interventional Radiology Cardiovascular Coder (CIRCC [Required]. Applicants may review general information about Florida's background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/ .

Coding Auditor

RESPONSIBILTIES AND PERFORMANCE EXPECTATIONS include, but are not limited to, the following: Assesses adequacy of health record documentation in order to support accurate, complete and specific assignment of modifiers, International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Common Procedural Coding (HCPC) codes to maximize reimbursement. POSITION SUMMARY: Under general supervision the position is responsible for billing, coding, posting, assigning correct payer sources, submitting clean claims to insurances and follow up for on denial claims in order to maximize the revenue cycle through billing and coding expertise.

Central Florida Health Care, Inc.

Billing and Coding Specialist

Location: Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 5:00:00PM Minimum to Midpoint Pay Rate: $45.46 - $61.37 / hour Summary The Director of Outpatient Facility Coding is responsible for developing, implementing and maintaining the medical record coding and reimbursement compliance plan. The Director is ….

Lee Health System Inc

Director Outpatient Facility Coding

This role reviews clinical documentation for accurate ICD-10, CPT, and HCPCS code assignment; ensures compliance with regulatory and payer requirements; resolves patient and third-party account issues; and serves as a liaison between providers, payers, and patients to promote timely, accurate reimbursement. Day (United States of America)Physician Billing & Coding Specialist IThe Physician Billing & Coding Specialist I is responsible for supporting the professional billing lifecycle, including physician coding, charge review and reconciliation, billing, and A/R follow-up.

Halifax Health

Physician Billing & Coding Specialist I

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Knowledge of Local Coverage Determinations and National Coverage Determinations- Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments required- The ability to organize, prioritize, analyze, and implement daily tasks, must be a self starter and be able to work with minimal supervision- The ability to handle multiple responsibilities and tasks in stressful situations- Problem solving, analytical and critical thinking skills- The ability to maintain confidentiality, knowledge of HIPAA laws- ICD-10-CM and ICD-10 PCS trained with an accuracy rating of 95%. Day (United States of America)Coding Specialist III - HIMThe Coding Specialist III is responsible for the coding of all Inpatient accounts using ICD-9-CM and ICD-10-CM code sets.

Coding Specialist III - HIM

RHIT, CCS, CCSP, CPC or equivalent certifications required - Knowledge of Local Coverage Determinations and National Coverage Determinations - Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments required - The ability to organize, prioritize, analyze, and implement daily tasks, must be a self starter and be able to work with minimal supervision - The ability to handle multiple responsibilities and tasks in stressful situations - Problem solving, analytical and critical thinking skills - The ability to maintain confidentiality, knowledge of HIPAA laws - ICD-10-CM and ICD-10 PCS trained with an accuracy rating of 95%. Day (United States of America)Coding Specialist IThe Coding Specialist I is responsible for the coding of ED, Recurring and Ancillary accounts using ICD-10-CM diagnosis and procedure codes and CPT-4 code sets.

Coding Specialist I

The Senior Manager will provide leadership to multidisciplinary audit teams, support complex audit responses, analyze trends, and partner with internal and external stakeholders to mitigate risk and improve documentation, coding, and reimbursement practices. Health Business Solutions (HBiz) is seeking an experienced and strategic Senior Manager, Clinical & Coding to lead and oversee clinical and coding operations across government and commercial payers, including post-pay audit.

Health Business Solutions LLC

Senior Manager, Clinical and Coding

HiringThing

Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. We invite you to explore our short clips, "WE are Yakima - WE are Family" and "YVFWC - And then we grew," for a glimpse into our dedication to our communities, health, and families!

Yakima Valley Farm Workers Clinic serves over 120,000 people across 27 clinics and programs in two states. We have expanded medical care to include dental, orthodontia, nutritional counseling, autism screening, and behavioral health. We also offer community programs that offer assistance with employment and training, afterschool education, rental and shelter assistance, energy assistance, weatherization, HIV and AIDS counseling and testing, home visits, tobacco cessation, and three mobile medical/dental clinics.

 
 Our mission celebrates diversity. We are committed to equal opportunity employment.

Yakima Valley Farm Workers Clinic

Provides continuing education supporting medical coders to stay updated with evolving regulations, coding guidelines, and payer requirements, continuing education credits required for professional credentialing maintenance and industry topics for career development. Develop and provide educational programs to assist coders in updated regulatory requirements, coding guidelines, payer requirements, and updated coding topics in large group settings, individual settings, and/or focused groups.

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

<a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> 

Caring. Connecting. Growing together. 

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> 

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> 

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a>

UnitedHealth Group Inc

Senior Coding Educator

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.

Humana Inc

Consultative Coding Manager

Minimum Requirements: Requires a H.S. diploma or equivalent and minimum of 3 years of experience as coder of medical records in physician office, hospital, or insurance/coding office setting; or any combination of education and experience, which would provide an equivalent background. The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements.

Elevance Health Inc

Coding Auditor Senior

Minimum Requirements: Requires a BA/BS degree and a minimum of 5 years of related medical policy experience including prior experience leading large, multi-stakeholder regional or enterprise projects; or any combination of education and experience which would provide an equivalent background. Primary duties may include, but are not limited to: Conceptualizes implementation approaches that consider both broad business issues/objectives across regions and detailed considerations of adjudication systems, benefit design, and regulatory environments that vary by region.

Implement & Coding Consultant

Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to submission to the payer. Summary: Ensures procedures E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM CPT-4 and HCPCS in an effort to maintain accurate coding and obtain reimbursement all within the professional coding guidelines Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies.

Broward Health

PBO Risk Adjustment Coding

FULL_TIME

OTHER

Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia, Illinois, Maryland, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia. We deliver care across six states through two freestanding children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida - along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.

Nemours

Professional Fee Coding Abstractor

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The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts.

Baptist Health Care

Hospital Coding Auditor

Broadbean

Summary: Assigns procedures evaluation and management (E/M) coding and diagnoses codes as documented in the medical records all within the professional coding guidelines centers for Medicare and Medicaid (CMS) guidelines and policies to obtain reimbursement. Meets deadlines to expedite the billing process and to facilitate data availability for providers to ensure the timeliness of claim submissions.

PBO Multi-Specialty Coding Specialist

This role drives enterprise performance across throughput, timeliness, workflow management, productivity, and turnaround time while overseeing coding teams responsible for diagnosis-driven, procedural, interventional charge validation, Emergency Department, ancillary, and observation coding workflows. Job Description: The Manager, Coding Operations, leads inpatient and/or outpatient coding operations across assigned service lines, ensuring accurate and timely coding performance that supports appropriate representation of patient acuity and services provided.

Coding Operations Manager

PER_DIEM

Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement.

Coding Analyst Jobs in Florida

Coding Inpatient Auditor AdventHealth

Senior Coding Auditor AdventHealth

Coding Auditor AdventHealth

Billing and Coding Specialist Central Florida Health Care, Inc.

Director Outpatient Facility Coding Lee Health System Inc

Physician Billing & Coding Specialist I Halifax Health

Coding Specialist III - HIM Halifax Health

Coding Specialist I Halifax Health

Senior Manager, Clinical and Coding Health Business Solutions LLC

Coding Specialist I Yakima Valley Farm Workers Clinic

Senior Coding Educator UnitedHealth Group Inc

Consultative Coding Manager Humana Inc

Coding Auditor Senior Elevance Health Inc

Implement & Coding Consultant Elevance Health Inc

PBO Risk Adjustment Coding Broward Health

Professional Fee Coding Abstractor Nemours

Hospital Coding Auditor Baptist Health Care

PBO Multi-Specialty Coding Specialist Broward Health

Coding Operations Manager AdventHealth

Coder Physician Billing | PB Coding - Surgical - Certified UF Health

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