div>Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career.
Join the fun and follow us on social media to see what's happening at our company, and don't forget to connect with us on Lennar: Overview | LinkedIn<https://www.linkedin.com/company/lennar/> for the latest job opportunities.
The Manager is responsible for assisting with all client coding customer service operational processes and workflow, including but not limited to, new client onboarding, provider clinical documentation improvement, support of operational coding processes, and customer coding relationship management. As the Manager, this person serves as a key promoter of Ensemble PRC Coding Operations and is responsible for setting the tone of Coding Operations as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs.
p>PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
The Manager is responsible for assisting with all client coding customer service operational processes and workflow, including but not limited to, new client onboarding, provider clinical documentation improvement, support of operational coding processes, and customer coding relationship management. As the Manager, this person serves as a key promoter of Ensemble PRC Coding Operations and is responsible for setting the tone of Coding Operations as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs.
Fort Lauderdale, FL10 days ago
li>Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC®) credential or Certified Professional Coder - Hospital (CPC-H®) or Certified Risk Adjustment Coder (CRC). Assists the coding process in serving as a liaison between the CCU team and practice management, including the providers and division leadership while building and maintaining strategic working relationships with the practice and division leadership (working through specific issues, committee meetings, monthly updates, etc.).
p>Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear.
Boca Raton, FL30 days ago
li>Serve as the senior US-based SME on complex coding domains by staying current with CMS rule cycles (IPPS, OPPS, MPFS, MS/APR-DRG), AHA Coding Clinic, CPT Assistant, payer policy shifts, OIG work plans, and emerging audit/denial trends; translate these complex regulatory updates (including ICD-10, CPT, E&M MDM guidelines, and HCC v24/v28) into client-relevant talking points and unique proposal differentiators.
Identify tangible value levers - net revenue uplift, denial reduction, AR-days compression, CMI capture, audit recovery avoidance, FTE arbitrage - and intangible value levers - physician satisfaction, CDI maturity, compliance posture, audit defensibility, leadership bandwidth, scalability and time-to-staff.
Camp Nova Specialty Counselor: Archery, Arts & Crafts, Cheerleading, Coding, Cooking, Dance, Digital Photography, Innovation, Marine Science, Sports, Video Production. Nova Southeastern University
Camp Nova Specialty Counselor: Archery, Arts & Crafts, Cheerleading, Coding, Cooking, Dance, Digital Photography, Innovation, Marine Science, Sports, Video Production.FL30+ days ago
li>Ability to design daily activities (lesson plans) with an end product in mind for designated periods throughout the camp season for activities such as: • Archery • Arts and Crafts • Cheerleading • Coding • Cooking • Dance • Digital Photography • Innovation • Marine Science • Sports • Tennis • Video Game Design. Training or experience in Archery, Arts and Crafts, Cheerleading, Coding, Cooking, Dance, Digital Photography, Innovation, Marine Science, Sports, Tennis, Video Production.
Through 815+ clinics, 23 IVF labs, nationwide telehealth capabilities and targeted case management, our 2,700+ independent, affiliated providers deliver comprehensive women's health services and continuously work to implement methods and develop techniques or platforms that improve the healthcare experience. We remain focused on enabling the discovery of new ways for our affiliated providers to deliver the high-quality care experience women deserve, in the ways they most wish to receive it, and collaborate across our community to make our vision a reality.
li>Working knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
p>SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Knowledge of an electronic medical record and imaging systems Working knowledge of medical terminology, anatomy and physiology Proficiency with electronic encoder application AHIMA designated ICD-10 Approved Trainer preferred. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities.
li>Strong knowledge of Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and pre-bill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB).
Ministry/Facility Information:
A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-service, not-for-profit, Catholic, teaching hospital operating in the spirit of the Sisters of Mercy.
Miami Beach, Florida30+ days ago
div class="job-description-container">Snapology is one of the best Children's Enrichment franchises in the country!
Snapology is looking for enthusiastic instructors to guide youth through exciting experiences with:
Scratch & Python coding
Robotics competitions
Drones
3D printing
.
ul>Interpretation and application of building codes (IBC, local/state/provincial codes). Impact: Help organizations reduce risk, avoid penalties, and operate safely and legally.
p>Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy.
li>Managing development teams in building healthcare AI and GenAI solutions, including analytical modeling, prompt engineering, Python-based development, testing, communication of results to clinical and operational stakeholders, front-end and back-end integration, and iterative use case development with health system clients;
Documenting and analyzing healthcare business processes - across clinical operations, and population health programs - to identify AI and GenAI opportunities, gather requirements, define initial hypotheses, and develop solution approaches tailored to health system workflows;
Collaborating with health system client teams - including clinical informatics, population health, and IT leaders - to understand their business and clinical problems and select the appropriate models, LLMs, and approaches for AI/GenAI use cases;
Designing and solutioning AI/GenAI architectures for health system clients, including RAG-based clinical knowledge retrieval systems, agentic AI workflows for care management and revenue cycle automation, and custom LLM application builds with appropriate PHI safeguards;
Managing teams to process healthcare unstructured and structured data - including clinical notes, discharge summaries, claims records, EHR data, and ADT feeds - for use as LLM context, including embedding of large clinical text corpora, generative SQL query development, and building connectors to EHR back-end databases;
Managing daily operations of a global healthcare data science team on client engagements, reviewing developed models, providing feedback, and assisting in analysis of clinical and operational outcomes;
Directing data engineers and other data scientists to deliver efficient, HIPAA-compliant solutions that meet health system client requirements for clinical, financial, and operational AI use cases;
Leading and contributing to development of proof of concepts, pilots, and production use cases for health system clients - spanning clinical decision support, prior authorization automation, patient risk scoring, workforce optimization, and throughput modeling - while working in cross-functional teams;
Facilitating and conducting executive-level presentations to health system leadership showcasing GenAI and ML solution capabilities, use case development progress, model performance, and recommended next steps;
Structuring, writing, communicating, and facilitating client presentations that translate complex AI and ML concepts into clear clinical and business value narratives for health system audiences; and,
Managing associates and senior associates through coaching, providing feedback, and guiding work performance, with an emphasis on developing healthcare domain knowledge alongside technical AI and ML capabilities. You will architect and build production-grade RAG pipelines, MCP connections, agentic AI workflows, and MLOps frameworks, managing daily operations across global delivery teams while engaging health system leaders at the executive level to ensure measurable clinical and operational impact.
This individual will lead high-performing clinical teams in the development of clinically accurate, persuasive, and compliant appeal communications to payers, while ensuring operational excellence, clinical integrity, and alignment with financial goals. The ideal candidate is a strong communicator who can confidently engage with hospital executives, physicians, and clients to explain medical scenarios, discuss denial trends, and provide clear education on documentation improvements.
The ideal candidate WILL HAVE an active, unrestricted RN license (compact preferred), will be a strong communicator who can confidently engage with hospital executives, physicians, and clients to explain medical scenarios, discuss denial trends, and provide clear education on documentation improvements. This individual will lead high-performing clinical teams in the development of clinically accurate, persuasive, and compliant appeal communications to payers, while ensuring operational excellence, clinical integrity, and alignment with financial goals.
Fort Lauderdale, FL30+ days ago
p>Summary: Under the general direction of the Director of Physician Business Operations and Coding, the Manager of Revenue Integrity is responsible for monitoring and maintaining an efficient operational workflow for day-to-day operations in the areas of front-end revenue cycle and coding audits. Collaborates with operational leaders and clinical teams on compliance, education, accuracy in charge capture, documentation, coding, and improvement in the revenue cycle processes as identified through audits and root cause analysis.
Miami, Florida24 days ago
div class="content">About Iru
Iru is the AI-powered security & IT platform used by the world’s fastest-growing companies to secure their users, apps, and devices. #LI-Hybrid
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
The Manager, Risk Adjustment Data Science serves as a strategic and technical leader responsible for advancing the organization's Burden of Illness and risk adjustment capabilities across Medicare Advantage, MSSP, and Commercial ACO populations. The role requires deep expertise in healthcare data, strong technical leadership, and experience building production-grade data pipelines and ML/AI solutions.
ul>At least a Bachelors degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Program Management for each missing year of college is required. In this capacity, you will help lead and coordinate end-to-end execution of technology initiatives - driving disciplined project planning, proactive stakeholder communication, and consistent service delivery across cross-functional engineering teams.
li>Serve as an escalation point for production incidents and cross-team technical decisions; partner with Solution Architects on architecture reviews, API governance, and platform evolution strategy - including middleware integrations with Adobe Experience Platform (AEP). - Hands-on background in backend/API development with genuine fluency in AWS serverless architectures (Lambda, API Gateway, DynamoDB, SQS, SNS, EventBridge); Node.js/TypeScript strongly preferred.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Delivery Excellence - Tech Enablement - Senior Developer - Manager, you will play a pivotal role in driving software and product innovation within our organization.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. At PwC, our people in software and product innovation focus on developing cutting-edge software solutions and driving product innovation to meet the evolving needs of clients.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
• Craft and convey clear, impactful and engaging messages that tell a holistic story.
li>Proficient with Word, Excel, Access, PowerPoint, Publisher, Outlook, SharePoint; familiar with web-based files to make minor changes to content of webpages; able to access various types of data in the Colleague system and through Live Excel; ability to select appropriate technology with which to complete tasks and projects; knowledge of Super Coder website to facilitate billing. Ensure all equipment is maintained in working condition; call for maintenance as needed Work with billing company/Credentialing Coordinator/Operations Manager to maintain and update credentialing and proper licensure for all physicians with payers, hospitals, outpatient surgical centers, and other entities.
li>Hepatology ARMs are responsible for educating providers on payer coverage, coding and payment policies related to GSK specialty products and helping providers understand GSK Patient Support Programs intended to help appropriate patients access GSK hepatology medicines. 6+ years' experience in one or more of the areas including: Field Reimbursement or Specialty or Biologics Field Sales (HCP administered or Specialty Pharmacy provided) or Payer Marketing or Patient Support Programs.
Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. Leverage industry knowledge, market insights, trends, and proven approaches to help clients confirm priorities and develop strategies that drive measurable value to the business and customer experience.
The firm provides clients worldwide with customized service and a level of excellence that have become the firm's hallmark in several primary practice areas - ports and harbors; coastal, environmental and water resources; urban waterfronts and marinas; transportation, bridges and rail; inspection and rehabilitation; and energy. As part of the IT Group, the Development Manager / Technical Lead is a highly experienced technical leader and working manager responsible for leading and empowering the development team to deliver high-quality software solutions that align with the firm's objectives.
In addition to its current liver tumor indication, HistoSonics is pursuing future indications across multiple applications including kidney, pancreas, prostate, neuro, women's health, and other significant underserved human health areas, to realize the broader potential histotripsy across multiple disease states and medical specialties. Demonstrated field reimbursement management experience, including hospital capital equipment, Category III CPT codes, revenue cycle management, physician payment, and Medicare and private payer models; oncology experience a plus.
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
p>This role supports and assists the Community Manager in overseeing and managing the financial and operational facets of the community by completing accounting and bookkeeping tasks, preparing monthly close-out and financial reports, processing invoices for payment, collecting rent, fees, and other payments, completing bank deposits, dispositions, and account reconciliations, and using the property management software to record, track, and report on all financial workings of the community. 1-3 years minimum of relevant experience in residence life and/or property management that demonstrates the application of community management, sales, marketing, and customer service background sufficient to assist in managing the day-to-day operations of an apartment community, resolve customer complaints and issues, complete financial records, documents, and reports, increase sales revenues, and coordinate the work of a team.
This role supports and assists the Community Manager in overseeing and managing the financial and operational facets of the community by completing accounting and bookkeeping tasks, preparing monthly close-out and financial reports, processing invoices for payment, collecting rent, fees, and other payments, completing bank deposits, dispositions, and account reconciliations, and using the property management software to record, track, and report on all financial workings of the community. 1-3 years minimum of relevant experience in residence life and/or property management that demonstrates the application of community management, sales, marketing, and customer service background sufficient to assist in managing the day-to-day operations of an apartment community, resolve customer complaints and issues, complete financial records, documents, and reports, increase sales revenues, and coordinate the work of a team.
4-6 years minimum of relevant experience that demonstrates the application of property management, sales, marketing, and customer service background sufficient to manage the day-to-day operation of an apartment community, resolve customer complaints and issues, complete financial records, documents, and reports, increase sales revenues, and coordinate the work of a team. Approves invoices from vendors, contractors, and service providers for payment by reconciling work performed or products purchased, ensuring validity of certificates of insurance, coding charges to appropriate Chart of Account codes, and managing communication between the vendor/contractor, accounting, and the client/owner as needed.
p>PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
- Craft and convey clear, impactful and engaging messages that tell a holistic story.
li>Approves invoices from vendors, contractors, and service providers for payment by reconciling work performed or products purchased, ensuring validity of certificates of insurance, coding charges to appropriate Chart of Account codes, and managing communication between the vendor/contractor, accounting, and the client/owner as needed. Oversees the lease enforcement process by approving prospective resident applications, discounts and renewal leases, conducts periodic apartment inspections, follows proper notice requirements, evicts residents, and imposes and collects late fees and other charges as allowable and stated in the terms of the lease.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. At PwC, our people in software and product innovation focus on developing cutting-edge software solutions and driving product innovation to meet the evolving needs of clients.