**Our promise to you:**
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.
**All the benefits and perks you need for you and your family:**
+ Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
+ Paid Time Off from Day One
+ 403-B Retirement Plan
+ 4 Weeks 100% Paid Parental Leave
+ Career Development
+ Whole Person Well-being Resources
+ Mental Health Resources and Support
+ Pet Benefits
**Schedule:**
Full time
**Shift:**
Day (United States of America)
**Address:**
601 E ROLLINS ST
**City:**
ORLANDO
**State:**
Florida
**Postal Code:**
32803
**Job Description:**
**Schedule:** Full Time
**Shift** : Days
Queries physicians for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions as needed.
Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, understanding their impact on mortality rates, clinical quality, reimbursement, internal scorecards, and key performance indicators. Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations.
Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance.
Reviews encounters for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart coding screen.
Works with other Coding team members to keep coding within two days of discharge and hospital coding days within three days.
**The expertise and experiences you'll need to succeed:**
**QUALIFICATION REQUIREMENTS:**
High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Professional Coder (CPC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body
**Pay Range:**
$21.73 - $40.42
_This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._
**Category:** Health Information Management
**Organization:** AdventHealth Orlando Support
**Schedule:** Full time
**Shift:** Day
**Req ID:** 150658642
$21.7-40.4 hourly 2d ago
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Certified Medical Coder
Ann Grogan & Associates, Inc.
Medical coder job in Orlando, FL
Job Title: Certified MedicalCoder (AAPC) - On-Site, Downtown Orlando Are you a skilled and detail-oriented Certified MedicalCoder seeking an exciting opportunity to join Quest National Services, a thriving medical billing company? We are looking for a dedicated individual to join our dynamic team at our Downtown Orlando office. If you have a passion for accuracy, teamwork, and growth opportunities, we want to hear from you!
Job Description
Utilize your expertise as a Certified MedicalCoder to accurately assign appropriate medical codes to diagnoses, procedures, and services, ensuring compliance with all relevant coding guidelines and regulations.
Review medical documentation and superbills to extract essential information required for proper coding.
Work collaboratively with medical providers and billing specialists at Quest National Services to clarify coding questions, resolve discrepancies, and optimize claim accuracy.
Stay updated with the latest coding guidelines, industry changes, and regulations to maintain the highest level of coding proficiency.
Participate actively in team meetings at Quest National Services, offering insights and suggestions for process improvement and overall operational excellence.
Embrace our team-oriented environment at Quest National Services, contributing positively to the office culture and fostering a supportive atmosphere.
Qualifications
AAPC certification as a Certified Professional Coder (CPC), Certified Professional Coder - Apprentice (CPC-A), or equivalent.
Proven experience in medical coding and billing, with expertise in various healthcare specialties, including neurology, OB/GYN, urgent care, urology, podiatry, and nephrology.
Solid understanding of healthcare EMR solutions like Kareo "Tebra," AdvancedMD, eClinicalWorks, Athena, and NextGen.
Excellent knowledge of ICD-10, CPT, HCPCS Level II, and other relevant coding systems.
Strong attention to detail and accuracy, with a commitment to delivering error-free coding results.
Effective communication skills, both written and verbal, to collaborate with medical providers and the internal team at Quest National Services effectively.
Ability to thrive in a team-oriented environment at Quest National Services and contribute positively to a supportive and collaborative office culture.
Proactive attitude and willingness to adapt to changing industry standards and best practices.
Additional Information
At Quest National Services, we value our team members and strive to provide excellent benefits to ensure their well-being and job satisfaction. As a full-time Certified MedicalCoder, you'll enjoy the following perks:
Competitive salary and performance-based incentives.
Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy.
Optional AFLAC coverage for additional financial protection.
Life insurance coverage for peace of mind.
Employer-matched 401k plan to help you plan for the future.
Opportunities for professional growth and career advancement in our promote-from-within environment.
Join our close-knit team at Quest National Services, where your contributions are valued, and your skills are appreciated. We're excited to welcome a talented Certified MedicalCoder who shares our passion for excellence and teamwork.
To apply, please submit your resume and a cover letter detailing your relevant experience and why you'd be a great fit for our team at Quest National Services. We look forward to meeting you and discussing the potential of a mutually rewarding partnership.
Quest National Services is an equal opportunity employer and encourages candidates from diverse backgrounds to apply.
$38k-53k yearly est. 2d ago
Certified Medical Coder
Psynergy Health
Medical coder job in Orlando, FL
At PsynergyHealth, we are revolutionizing healthcare staffing through technology-driven solutions. Our innovative approach spans the United States and delivers tailored staffing support to optimize workforce management-from virtual safety observers to multi-state licensed physicians (and everything in between). We focus on right-sizing workforces, improving clinical outcomes, and enhancing operational efficiencies for healthcare organizations.
Job Summary
We are seeking a detail-oriented Certified MedicalCoder with strong experience in Revenue Cycle Management (RCM) to work with our RCM partners and physician leaders to ensure accurate medical coding, timely claim submission, and optimized reimbursement. The ideal candidate will play a key role across the full revenue cycle, from charge capture through payment posting and denial resolution, while maintaining compliance with all regulatory and payer requirements.
Key Responsibilities
Medical Coding & Documentation
Support clinical leadership in review of provider documentation for completeness, accuracy, and compliance
Ensure coding complies with federal regulations, payer guidelines, and industry standards
Revenue Cycle Management (RCM) Partnership
Work with our partners to manage end-to-end RCM processes including charge entry, claims submission, and follow-ups
Ensure that we submit clean claims to commercial, government, and managed care payers
Work with our partners to review and resolve claim rejections and denials in a timely manner
Work with our executive and clinical leadership to identify root causes of denials and implement corrective actions
Post payments, adjustments, and reconcile accounts as needed
Monitor accounts receivable (A/R) and follow up on unpaid or underpaid claims
Compliance & Quality
Stay current with coding updates, payer policies, and regulatory changes
Participate in coding audits and quality assurance reviews
Maintain HIPAA compliance and patient confidentiality at all times
Reporting & Collaboration
Generate and review RCM and coding reports to identify trends and improvement opportunities
Collaborate with providers, billing staff, and administrative teams to improve revenue performance
Support process improvements to increase accuracy, efficiency, and collections
Qualifications
Required
Certified MedicalCoder credential (CPC, CCS, or equivalent)
Strong knowledge of ICD-10-CM, CPT, and HCPCS coding
Experience with Revenue Cycle Management workflows
Familiarity with EHR and medical billing systems
Understanding of payer policies, denials management, and compliance standards
Preferred
2+ years of experience in medical coding and RCM
Experience with multiple specialties (e.g., primary care, specialty practices, hospital-based coding)
Knowledge of Medicare, Medicaid, and commercial payer guidelines
Skills & Competencies
High attention to detail and accuracy
Strong analytical and problem-solving skills
Effective written and verbal communication
Ability to manage multiple tasks and meet deadlines
Proficiency in Microsoft Office and billing/coding software
Compensation & Benefits
We offer a competitive compensation package including health benefits, paid time off, retirement plan, and professional development opportunities. Salary is commensurate with experience and ranges from $65,000 to $75,000 per year.
$65k-75k yearly 4d ago
Hospital Coding Specialist, Sr - Radiation Oncology
Orlando Health 4.8
Medical coder job in Orlando, FL
At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healingand hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida's east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you. This Sr Hospital Coding Specialist will facilitate improvement in medical record documentation for purposes of coding, billing and compliance. Responsibilities Essential Functions: • Communicates cooperatively and constructively with physicians, physicians' office personnel, guests, patients and members of the healthcare team. • Demonstrates strong verbal and written communication skills. • Works independently to coordinate information and workflow of corporate functional area. • Interacts with coding and other teams to ensure completion of corporate and departmental goals. • Accurately and optimally reviews and codes diagnoses and procedures from electronic medical records using ICD-9-CM, ICD-10-CM/PCS, and/or CPT-4 coding classification systems and the encoder, CAC, and other apps as instructed. • Properly sequences diagnoses and procedures according to UHDDS definitions for 837i billing. • Participates in the biannual quality audit and maintains 95% or better accuracy. • Accurately abstracts information into the hospital information system(s). • Demonstrates an understanding of all coding updates and changes in coding guidelines and provides expertise for team.. • Assists the coding management team in medical record reviews for third party audits, denied claims, medical necessity, pre-bill reviews, focused audits, etc. • Works with Patient Accounting and ancillary areas to assure appropriate and timely billing on all accounts. • Collects and provides data for statistical reports to coding management team as required. • Completes concurrent reviews for purposes of documentation enhancement, interim billing, etc. • Demonstrates exemplary customer service and critical thinking skills to include problem resolution and process improvement skills. • Tracks/trends opportunities for physician education. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Maintains established work production standards. • Works as a team member in facilitating efficient and effective problem solving to meet goals. • Establishes and maintains an environment of positive motivation through individual and group interaction. • Assumes responsibility for professional growth and development. • Attends department and other meetings as required. Qualifications Education/Training: • Associate degree in Health Information Management; or completion of American Health Information Management Association's Independent Study program (AHIMA). • Computer literacy required. • Score of 85% or better on Orlando Health coding skills test. Licensure/Certification: Must maintain one of the following: • Registered Health Information Administrator (RHIA) • Registered Health Information Technician (RHIT) • Certified Coding Specialist (CCS) • Coding Associate (CCA) by the American Information Management Association (AHIMA) - renewed every 2 years. • Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) - renewed every 2 years. Experience: • Two (2) years previous hospital coding experience required. • Thorough knowledge of both ICD-9-CM, ICD-10-CM/PCS, and CPT-4 coding classification systems required
Education/Training: • Associate degree in Health Information Management; or completion of American Health Information Management Association's Independent Study program (AHIMA). • Computer literacy required. • Score of 85% or better on Orlando Health coding skills test. Licensure/Certification: Must maintain one of the following: • Registered Health Information Administrator (RHIA) • Registered Health Information Technician (RHIT) • Certified Coding Specialist (CCS) • Coding Associate (CCA) by the American Information Management Association (AHIMA) - renewed every 2 years. • Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) - renewed every 2 years. Experience: • Two (2) years previous hospital coding experience required. • Thorough knowledge of both ICD-9-CM, ICD-10-CM/PCS, and CPT-4 coding classification systems required
Essential Functions: • Communicates cooperatively and constructively with physicians, physicians' office personnel, guests, patients and members of the healthcare team. • Demonstrates strong verbal and written communication skills. • Works independently to coordinate information and workflow of corporate functional area. • Interacts with coding and other teams to ensure completion of corporate and departmental goals. • Accurately and optimally reviews and codes diagnoses and procedures from electronic medical records using ICD-9-CM, ICD-10-CM/PCS, and/or CPT-4 coding classification systems and the encoder, CAC, and other apps as instructed. • Properly sequences diagnoses and procedures according to UHDDS definitions for 837i billing. • Participates in the biannual quality audit and maintains 95% or better accuracy. • Accurately abstracts information into the hospital information system(s). • Demonstrates an understanding of all coding updates and changes in coding guidelines and provides expertise for team.. • Assists the coding management team in medical record reviews for third party audits, denied claims, medical necessity, pre-bill reviews, focused audits, etc. • Works with Patient Accounting and ancillary areas to assure appropriate and timely billing on all accounts. • Collects and provides data for statistical reports to coding management team as required. • Completes concurrent reviews for purposes of documentation enhancement, interim billing, etc. • Demonstrates exemplary customer service and critical thinking skills to include problem resolution and process improvement skills. • Tracks/trends opportunities for physician education. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Maintains established work production standards. • Works as a team member in facilitating efficient and effective problem solving to meet goals. • Establishes and maintains an environment of positive motivation through individual and group interaction. • Assumes responsibility for professional growth and development. • Attends department and other meetings as required.
$50k-60k yearly est. Auto-Apply 8d ago
Clinical Documentation & Coding Specialist
Synapticure Inc.
Medical coder job in Orlando, FL
About SynapticureAs a patient and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. Partnering with providers and health plans, including CMS' new GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases such as Alzheimer's, Parkinson's, and ALS.Our clinical and operational teams rely on accurate, high-quality documentation to ensure exceptional patient care, regulatory compliance, and optimal performance in value-based care programs. This role sits at the intersection of clinical reasoning, coding expertise, and documentation excellence.
The RoleSynapticure is seeking an experienced Clinical Documentation & Coding Specialist with deep expertise in Hierarchical Condition Category (HCC) coding and strong clinical interpretation skills-particularly in neurology, dementia, psychiatry, and behavioral health.In this role, you will execute the full lifecycle of chart preparation, diagnosis identification, documentation review, and accurate coding both before and after patient encounters. Your work ensures that providers have comprehensive, clinically supported information during visits and that Synapticure captures all relevant chronic conditions to support high-quality care and value-based performance.The ideal candidate is meticulous, clinically fluent, and highly organized-able to synthesize complex documentation from multiple sources and apply CMS risk adjustment guidelines with precision. You must be comfortable working independently, applying feedback consistently, and operating in a fast-paced, highly regulated environment.
Job Duties - What you'll be doing
Perform comprehensive chart preparation for dementia-care patients by reviewing multi-year clinical histories, consult notes, diagnostics, medication lists, and hospital records.
Identify suspected, undocumented, or insufficiently supported chronic conditions and prepare findings for provider review.
Review medical records for documentation gaps, inconsistencies, or unclear diagnostic specificity and flag issues in advance of visits.
Accurately assign ICD-10-CM codes in compliance with CMS HCC guidelines and official coding rules.
Validate that all diagnoses meet MEAT documentation standards and are supported within the medical record.
Review post-visit documentation to reconcile diagnoses, address missed opportunities, and provide coding recommendations.
Query providers for clarification when documentation is incomplete, ambiguous, or inconsistent, ensuring compliant query practices.
Provide feedback and education to providers on documentation needs for accurate HCC capture.
Collaborate with revenue cycle, CDI, and auditing teams to close documentation gaps and improve workflows.
Maintain high accuracy and productivity benchmarks in both chart prep and coding.
Participate in internal and external audits and implement corrective actions as needed.
Stay current with CMS, HHS, and payer-specific risk adjustment updates, especially those impacting neurology and dementia care.
Ensure CPT/HCPCS/ICD-10 coding for encounter-based services is accurate, compliant, and ready for timely claim submission.
Requirements - What we look for in you
High school diploma required; Associate's or Bachelor's degree in a health-related field preferred.
Active CPC or CCS certification (AAPC or AHIMA).
CRC certification strongly preferred.
2-3+ years of medical coding experience, including 1-2 years in HCC/risk adjustment.
Demonstrated experience performing detailed pre-visit chart preparation.
Experience coding neurology, psychiatry, behavioral health, or dementia conditions (strongly preferred).
Strong understanding of ICD-10-CM, HCC models, MEAT criteria, and CMS/HHS risk adjustment principles.
Ability to analyze medical records, identify unsupported diagnoses, and detect coding gaps.
Excellent communication skills for provider interaction and compliant query writing.
Proficiency with coding software, EHR platforms, and technology tools.
Ability to work independently, maintain accuracy under volume, and meet tight deadlines.
Preferred Qualifications
Experience with multiple payer HCC methodologies (CMS RAF, ACA HHS, MA, etc.).
Knowledge of CPT and HCPCS coding rules.
Experience in managed care, value-based care programs, or large health systems.
Advanced clinical literacy in neurology and dementia-related documentation patterns.
Experience navigating multiple EHR systems and data workflows.
Strong critical thinking and pattern-recognition skills for identifying clinical clues and documentation opportunities.
We're founded by a patient and caregiver, and we're a remote-first company. This means our values are at the heart of everything we do, and while we're located all across the country, these principles tie us together around a common identity:
Relentless focus on patients and caregivers. We provide exceptional experiences for the patients we serve and put them first in all decisions.
Embody the spirit and humanity of those living with neurodegenerative disease. With empathy, compassion, kindness, and hope, we honor the seriousness of our patients' circumstances.
Seek to understand, and stay curious. We listen first-with authenticity, humility, and a commitment to continual learning.
Embrace the opportunity. We act with urgency and intention toward our mission.
Competitive salary based on experience Comprehensive medical, dental, and vision coverage 401(k) plan with employer match Remote-first work environment with home office stipend Generous paid time off and sick leave Professional development and career growth opportunities
$38k-53k yearly est. Auto-Apply 44d ago
Certified Physician Coder
Healthcare Support Staffing
Medical coder job in Orlando, FL
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Daily Responsibilities:
• Reviews medical records and codes physician services utilizing current
• ICD and CPT classifications systems.
• Verifies billable physician services by reviewing physician documentation for adherence to the “Physician At Teaching
Hospital” rules set forth by the federal government.
• Submits to their Senior Coder any issues or trends found within the documentation of a particular physician for evaluation and follow up.
• Assembles and inputs coding results into the current Practice
• Management billing system in order to expedite proper billing.
• Batches and balances daily charges checking provider, place of service, date of service, referring physician, diagnoses
and procedures
• Collaborates with members of the specialty team to monitor and satisfy corporate financial goals within their specialty.
• Interfaces with the Central Business Office to ensure appropriate and complete follow up of patient accounts in order to maximize reimbursement.
• Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and
manager.
• Utilizes resource material available in department to support accurate coding practices.
• Maintains patient confidentiality.
• Demonstrates good communication skills both verbal and written.
• Provides data for production reports
• Maintains 90% accuracy rate.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and otherfederal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
Qualifications
• Minimum of one year coding or billing experience in professional or physician practice coding. HS Diploma or equivalent.
• Completion of coding certificate program required
• Computer/typing literacy, working knowledge of Anatomy, Physiology and Medical terminology required.
• Thorough knowledge of CPT, ICD as evidenced by results of coding skills test.
• Must maintain one of the following national certifications:
• Certified Professional Coder-Apprentice (CPC-A) through the American Academy of
• Professional Coders renewed every year
• Certified Professional Coder (CPC) through the American Academy of Professional
• Coders renewed every year
• Certified Coding Specialist (CCS) through the American Health Information
• Management Association (AHIMA) renewed every year.
• Certified Coding Specialist-Physician (CCS-P) through the American Health Information
• Management Association (AHIMA) renewed every year.
• Certified Coding Associate (CCA) through the American Health Information
• Management Association (AHIMA) renewed every year.
Additional Information
Hours for this Position:
Monday-Friday, be flexible between 8-5
Advantages of this Opportunity:
• Competitive salary $33,280-$50,000 per year pending experience
• Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
• Growth potential
• Fun and positive work environment
$33.3k-50k yearly 60d+ ago
Cybersecurity Analyst II - Certified CMMC Professional - CCP
Alluvionic
Medical coder job in Melbourne, FL
Job Description
Secure the future of compliance-lead CMMC readiness with your CCP expertise and make an impact where cybersecurity meets strategy. Alluvionic is seeking a Cybersecurity Analyst II with active Certified CMMC Professional (CCP) certification to support clients in achieving Cybersecurity Maturity Model Certification (CMMC) readiness. The ideal candidate will play a critical role in delivering gap analysis, developing and implementing remediation plans, and supporting process documentation and incident response strategies. This is a client-facing role that requires excellent communication and documentation skills.
Responsibilities:
Deliver CMMC readiness services, including:
Gap analysis
Process remediation
Security documentation
Incident response planning and testing
Collaborate with stakeholders to ensure understanding and adoption of CMMC requirements
Contribute to development of policies, procedures, and system security plans (SSPs)
Support ongoing security assessments and readiness tracking
Communicate clearly and effectively with both technical and non-technical stakeholders
(Optional) Provide project management leadership if PMP-certified
Qualifications:
Active Certified CMMC Professional (CCP) certification
3-5+ years of experience in cybersecurity, compliance, or IT risk
Preferred Qualifications:
PMP certification is highly desirable, particularly for candidates interested in supporting program/project management of complex CMMC implementations
Experience with Organizational Change Management (OCM) in cybersecurity or compliance programs
Familiarity with GRC tools and compliance platforms
Demonstrated experience with CMMC gap assessments and remediation planning
Knowledge of NIST 800-171 and other relevant frameworks
Strong process documentation and technical writing skills
Who We are:
Alluvionic is a woman-owned, 8(a) certified solutions provider of project management and process improvement services. We offer a wide range of products and services including extensive enterprise Process Improvement, CMMI (Capability Maturity Model Integration), CMMC (Cybersecurity Maturity Model Certification), PMO (Project Management Office), and ERP (Enterprise Resource Planning) implementations for clients in various industries, providing Project Assurance for every project.
We pride ourselves in being a Registered Provider Organization (RPO) with the CMMC Accreditation Body.
What it's like to work at Alluvionic:
Working at Alluvionic means being surrounded by helpful and brilliant people who want to support your career growth. We are a company that puts people first and will help you get where you want to go. When we make mistakes, we own them, fix them, and improve our processes so we do better next time. We work hard and never forget to have fun, especially at happy hour.
We live by our company values of Family, Integrity, Professionalism, Innovation, Forward-Progress, Organization, and Communication. We invite you to apply if you share values even if your career path has been nontraditional.
Alluvionic is an authorized DoD SkillBridge Partner Organization. The DoD SkillBridge program is an opportunity for servicemen & servicewomen to complete an internship during the last 180 days of service to gain valuable civilian career experience.
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$44k-64k yearly est. 19d ago
Medical Records Specialist
Integrity Medical Group 4.6
Medical coder job in Winter Park, FL
Job DescriptionSalary: $17hr - $19hr
About us
Integrity Medical Group provides a full range of medical services. We diagnose, treat, and repair bones, joints, and connective tissue involved with muscle and tendons.
We provide care and treatment plans where our patients can enjoy an active lifestyle and be proactive for good health.
The Medical Records Specialist position assists the office with processing medical records. The Medical Records Specialist compiles, maintains, copies, retrieves, and tracks medical records with accuracy and close attention to detail. Our practice is high volume, so the ability to work in a fast-paced environment while multitasking is a must!
Experience
Preferred: 6 months of experience processing medical records working in a medical office setting.
Performance Indicators:
Demonstrate a strong attention to detail
Completes medical records requests thoroughly, efficiently, and with minimal errors
Demonstrates ownership of work and accountability
Critical problem-solving skills required; proactive in all aspects
Demonstrates skills in accuracy and multitasking while working to impact progress within the daily workload and adhere to internal deadlines.
Demonstrates a high comfort level in working with large volumes of data.
Maintains confidentiality when managing patient data (HIPAA Guidelines)
Professionally communicates with patients via phone or email.
Knowledge of medical terminology.
Must be a team player and able to demonstrate positive communication skills
Responsibilities
Compile and maintain medical files for individual patients.
Scan paper charts into the EMR system.
Review and process requests for medical record information.
Obtain medical records from other physicians offices or hospitals.
Release records to physicians offices, attorneys, patients, and insurance companies in accordance with state and HIPAA policies.
Benefits:
Dental insurance
Disability insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8-hour shift
Day shift
Monday to Friday
Ability to commute/relocate:
Winter Park 32879: Reliably commute or planning to relocate before starting work (Preferred)
Application Question(s):
Do you have experience in a medical office?
Do you have experience using eClinicalWorks?
Are you bilingual, and if so, which language do you speak fluently?
Education
Required: High school diploma/GED.
Preferred: Completion billing
Employment practices will not be influenced or affected by an applicants or employees race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status, or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
$17 hourly 21d ago
Medical Records & Referral Coordinator
Central Florida Family Health Center Inc. 3.9
Medical coder job in Sanford, FL
This person is responsible for assisting medical providers refer patients to secondary care providers as directed.
PRIMARY FUNCTIONS
Make medical records available to practitioners and clinical personnel upon request.
Help providers obtain appointments for consultations, procedures, etc., through any available means of communication.
Make requests for summaries of medical care given to our patients by private physicians or medical facilities, keep a record of all correspondence and provide follow-up.
Follow-up on patients who do not keep their appointments for specialists.
Track all patient referrals to insure report was received, scanned and imported in a timely manner.
Responsible for documenting all steps taken to properly process a referral.
Responsible for processing Orange County referrals in a timely manner.
Responsible for notifying the provider and patient if additional tests are needed before a referral can be completed.
Maintain at all times in the medical departments an adequate and constant supply of printed forms and materials in use, processing necessary authorizations and referrals, acknowledging receipt, and keeping adequate records of all authorizations and referrals.
Responsible for properly processing all assigned referrals within 24-48 hours unless specific circumstances prevent it.
Responsible for answering phone calls regarding patient questions related to referrals.
Other responsibilities as assigned
EDUCATION AND EXPERIENCE
High school diploma or equivalent
3 years medical experience
KNOWLEDGE, SKILLS, AND ABILITIES
Ability to work under pressure.
Computer literacy.
Ability to work well with people.
ADDITIONAL QUALIFICATIONS
Bilingual a plus.
RELATIONSHIP REPORTING
Reports to Medical Records and Referral Manager
PHYSICAL REQUIREMENTS
Ability to sit for extended periods of time.
Ability to view a computer screen for extended periods of time.
Ability to perform repetitive hand and wrist motions for extended periods of time.
Ability to hear and converse in a professional manner at all times
$25k-30k yearly est. Auto-Apply 60d+ ago
*Medical Records Coordinator needed for Full-Time position in Orlando, FL
Healthplus Staffing 4.6
Medical coder job in Orlando, FL
Medical Records Coordinator
Schedule: Mon-Fri from 8am - 5pm
Pay: $16-$17/HR (Commensurate on experience)
Benefits: Health, Dental, Vision, PTO, Paid Holidays, Life insurance, profit sharing, bonuses, and more
Bilingual preferred, but not required
If interested in this position please apply immediately and someone will be in touch with you within 24-48 hours.
$16-17 hourly 60d+ ago
Medical Records Clerk
Centerwell
Medical coder job in Orange City, FL
**Become a part of our caring community and help us put health first** The Medical Records Clerk assembles and maintains patients' health information in medical records and charts. The Medical Records Clerk 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.
The Medical Records Clerk ensures all forms are properly identified, completed, and signed. Enters all necessary information into the system. Communicates with physicians and staff to clarify diagnoses or get additional information. May also assign a code to each diagnosis and procedure. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.
**Use your skills to make an impact**
**Required Qualifications:**
+ **2+ years of experience in Medical Records at a Primary or Specialty Clinic**
+ Demonstrated organizational skills
+ Proficiency in Microsoft Office Word and Excel
+ Ability to quickly learn new systems
+ Excellent communication skills, both verbal and written
**Preferred Qualifications:**
+ Previous healthcare or health insurance experience
+ Familiarity with medical terminology and/or ICD-9 codes
+ Familiar with EMR Systems
+ Bilingual in English and Spanish
**Additional Information:**
**Working Hours: Monday - Friday 8:00 to 5:00**
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
**Alert:**
Humana values personal identify protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
\#LI-MD1
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$38,000 - $45,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About Us**
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
$38k-45.8k yearly Easy Apply 22d ago
Medical Records Specialist - Bilingual, Spanish
Find An ENT Near Me
Medical coder job in Orlando, FL
Job Summary/Objective:
The Medical Records Specialist is responsible for managing the medical records of the facility, including preparing, storing, and retrieving patient health records. The Medical Records Specialist reviews medical records for compliance with approved policies, is responsible for their completeness, proper release and maintenance. Works independently or as part of a medical records department.
Essential Job Functions
Medical Records Specialists organize and maintain health information both in paper files and in electronic systems. They check data for accuracy, assign codes for insurance reimbursement, record information and keep file folders and electronic databases up to date.
Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
Ensures medical records are assembled in standard order and are accurate and complete.
Creates digital images of paperwork to be stored in the electronic medical record.
Files lab reports, correspondence, physician dictation/notes, progress notes, radiology reports and other approved document, in charts, ensuring they are completed in an accurate and timely manner.
Ensures that charts for follow-up patients, who are to have testing performed prior to their next visit, are up-to-date with the reports of the test results, and that x-rays are also available.
In addition to their clerical duties, Medical Records Specialists often consult with health care professionals to make sure information is accurate. They must also follow best practices for security and patient confidentiality.
Ensures files are stored in the designated area according to storage procedures.
Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
Ensures fulfillment of all mailed-in and faxed requests for medical records from insurance companies, managed care plans, hospitals, attorneys, patients and other physicians-when appropriate releases are provided
Answers phone inquiries regarding medical records and performs other clerical functions within the team as designated by supervisor.
THE COMPANY Objectives and Service Standards
The Company prides itself in delivering exceptional service while always exceeding customer expectations. This begins with its employees taking assertive action and building customer relationships and brand loyalty.
Employees have the ability to maintain effective and productive working relationships with fellow employees, supervisors, and clients. They demonstrate the appropriate level of written and verbal communication skills necessary to perform the job, and possess the ability to handle confidential information and think logically and practically prior to making decisions.
Employees demonstrate the value and thoroughness of the work produced, as well as the accuracy, attention to detail and effectiveness of the work completed. The ability to work under pressure and learn from previous mistakes, while accurately checking processes and tasks, as well as handling issues in a timely manner are characteristic of the company s employees. As are the ability to prioritize work and the timely implementation of workable solutions to problems. Employees demonstrate thoroughness in following through on tasks and instructions in a reliable, trustworthy, and timely manner. They reveal an overall consistent attendance and adherence to work schedules, office hours, and office demands, and abide to all company policies and procedures.
Supervisory Responsibility
This position has no supervisory responsibilities.
#IDcentral
$24k-31k yearly est. 15d ago
Medical Records Specialist - Bilingual, Spanish
Florida ENT Associates
Medical coder job in Oviedo, FL
Job Description
Job Summary/Objective:
The Medical Records Specialist is responsible for managing the medical records of the facility, including preparing, storing, and retrieving patient health records. The Medical Records Specialist reviews medical records for compliance with approved policies, is responsible for their completeness, proper release and maintenance. Works independently or as part of a medical records department.
Essential Job Functions
Medical Records Specialists organize and maintain health information both in paper files and in electronic systems. They check data for accuracy, assign codes for insurance reimbursement, record information and keep file folders and electronic databases up to date.
Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
Ensures medical records are assembled in standard order and are accurate and complete.
Creates digital images of paperwork to be stored in the electronic medical record.
Files lab reports, correspondence, physician dictation/notes, progress notes, radiology reports and other approved document, in charts, ensuring they are completed in an accurate and timely manner.
Ensures that charts for follow-up patients, who are to have testing performed prior to their next visit, are up-to-date with the reports of the test results, and that x-rays are also available.
In addition to their clerical duties, Medical Records Specialists often consult with health care professionals to make sure information is accurate. They must also follow best practices for security and patient confidentiality.
Ensures files are stored in the designated area according to storage procedures.
Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
Ensures fulfillment of all mailed-in and faxed requests for medical records from insurance companies, managed care plans, hospitals, attorneys, patients and other physicians-when appropriate releases are provided
Answers phone inquiries regarding medical records and performs other clerical functions within the team as designated by supervisor.
THE COMPANY Objectives and Service Standards
The Company prides itself in delivering exceptional service while always exceeding customer expectations. This begins with its employees taking assertive action and building customer relationships and brand loyalty.
Employees have the ability to maintain effective and productive working relationships with fellow employees, supervisors, and clients. They demonstrate the appropriate level of written and verbal communication skills necessary to perform the job, and possess the ability to handle confidential information and think logically and practically prior to making decisions.
Employees demonstrate the value and thoroughness of the work produced, as well as the accuracy, attention to detail and effectiveness of the work completed. The ability to work under pressure and learn from previous mistakes, while accurately checking processes and tasks, as well as handling issues in a timely manner are characteristic of the company's employees. As are the ability to prioritize work and the timely implementation of workable solutions to problems. Employees demonstrate thoroughness in following through on tasks and instructions in a reliable, trustworthy, and timely manner. They reveal an overall consistent attendance and adherence to work schedules, office hours, and office demands, and abide to all company policies and procedures.
Supervisory Responsibility
This position has no supervisory responsibilities.
#IDcentral
$24k-31k yearly est. 14d ago
Medical Referrals Coordinator/Medical Records
SMC Primary Care
Medical coder job in DeLand, FL
Complete referrals for PCP
Complete Medical Records Request
Insurance Verifications
HEDIS gap measures
Schedule Appointments
Answer phones
Collect copay and deductibles
Prerequisites:
Experience with eClinical Works EMR system
Minimum 1 yearr work experience with above job roles
Job Type: Full-time
$24k-31k yearly est. 8d ago
Physician Coding Ed Specialist- St. Pete
Orlando Health 4.8
Medical coder job in Orlando, FL
*MUST RESIDE IN ST PETE, FL AREA* At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we have grown into a 3,900-bed healthcare organization that delivers care for more than 142,000 inpatient and 3.9 million outpatient visits each year. Our 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices and more than 60 outpatient facilities serve communities that span Florida's east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you. The Physician Coding Ed Specialist performs, develops, and implements coding related efficiency processes to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Education Specialist is responsible for analyzing physician coding trends and providing educations that will contribute to effective productivities. • Location: Hybrid, Remote 90% & On-site 10% • Status: Full Time (exempt) • Days: Monday through Friday • Shift: Day (flextime plan with the possibility of occasional early morning/evening hours) This opportunity is a hybrid role requiring occasional on-site presence and residency in the St. Petersburg area* Responsibilities Essential Functions: • Responsible for internal auditing and analyzing professional coding for all service lines. o Monitor the audit results closely to identify any potential coding inaccuracy o Providesthe Department/Practice the needed support in identifying coding errors o Works with the practice to ensure services are captured accordingly. o Provides additional education to practices/providers/coders as needed and requested. Ensure that medical documentation is following Governmental payers, Managed Care and private insurances guidelines • Review medical recordsto ensure accuracy of code assignment. • Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting. • Identify and communicate physician documentation and coding opportunitiesforimprovement • Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices. • Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office. • Takes the initiative to identify and solve complex trending coding issues affecting the physician revenue cycle and provide the necessary feedback to correct claims on a go-forward basis as well as recovered underpaid amounts. • Collaborates with Physician and Professional Services Central Business Office to ensure appropriate and complete follow up of patient accounts to ensure coding accuracy for payor guideline reimbursement. • Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. • Providesstatisticalreportsto deliver accurate documentation of ongoing internal coding efficiency process. • Conducts focused physician reviews as needed and provides data to manager. • Maintains 90% physician coding accuracy rate. • Attends payor, departmental and interdepartmentalmeetings asrequired. • Prepares/distributes information summarizing opportunities with physician coding monthly. • Researches, identifies, develops, and assistsin implementation of a plan of action to resolve coding disputes with payors. • Utilizesresource material available in department, CMS, AMA, and AHCA and federal registry to support coding practices. • Perform physician queriesfor coding and documentation clarification during concurrent chartreview process. • Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. • Serves as a preceptor to new coders. • Takes an active role in developing and presenting educational programs to Physician & Professional Services team, physicians, physician extenders, physician offices, and all members of the coding team and manager. • Maintains patient and coder confidentiality results. • Proficiency in coding including ICD-10, CPT, E/M, modifiers while maintaining a 90% accuracy. • Adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all clientspecific policies. • Other duties as assigned based on company needs and projects. • Ongoing Coding Education and training activities • Responsible for the development and training of staff within the scope of his/her responsibilities as it relates to Coding Department structure New providers New Coders Testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. Existing providers Collaborate with Physician Coding Leadership in monitoring coding quality Participate in Health Plan Audits • Develop and implement coder enhancementstrategies o New Governmental releasesinformation o Basic in-house coders auditing o In-Service presentation during coders' meeting • Provide daily support to all assigned practice managers on their coding related questions • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Attends payor, departmental and interdepartmental meetings asrequired. • Other duties as assigned based on organization needs and projects. • Works in collaboration for testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. • Conducts focused physician reviews as needed and provides data to manager. Qualifications Skills Knowledge: • Excellent knowledge of CPT-4, ICD-10-CM/PCS and HCPCS coding principles, governmental regulations, protocols, and thirdparty payer requirements pertaining to billing, coding and documentation • Knowledge of medical terminology • Experience working with Electronic Medical Records • Ability to work independently • Strong interpersonal and presentation skills paired with advanced written and verbal communication skills • Strong analytical and writing skillsrequired for proposal and report development Education/Training: • Associate degree required. • Five (5) years of directly related work experience may substitute for the associate degree. • Possesses exceptional knowledge in Microsoft Office Word, Outlook, and PowerPoint as well as moderate to expert experience with Microsoft Excel. • Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS as evidenced by results of coding skills test of 90% or better. Licensure/Certification: Must maintain one (1) of the following national certifications: • Certified Professional Coder (CPC) through the American Academy of Professional Coders • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA) • Certified MedicalCoder (CMC) through Practice Management Institute • Certified Professional Medical Auditor (CPMA) • CEMA certification via National Alliance of Medical Auditing Specialists Experience: • 5-6 years of professional based coding experience isrequired. • Professional based coding experience must include - Office, Inpatient, Bedside Procedures, Surgical Coding, Teaching & Physician extender provider coding, multiple specialties is desired. • Level one (1) Trauma hospital experience is preferred. • Experience with a large organization, multi-location, multi-specialty with high volume providers is preferred.
Skills Knowledge: • Excellent knowledge of CPT-4, ICD-10-CM/PCS and HCPCS coding principles, governmental regulations, protocols, and thirdparty payer requirements pertaining to billing, coding and documentation • Knowledge of medical terminology • Experience working with Electronic Medical Records • Ability to work independently • Strong interpersonal and presentation skills paired with advanced written and verbal communication skills • Strong analytical and writing skillsrequired for proposal and report development Education/Training: • Associate degree required. • Five (5) years of directly related work experience may substitute for the associate degree. • Possesses exceptional knowledge in Microsoft Office Word, Outlook, and PowerPoint as well as moderate to expert experience with Microsoft Excel. • Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS as evidenced by results of coding skills test of 90% or better. Licensure/Certification: Must maintain one (1) of the following national certifications: • Certified Professional Coder (CPC) through the American Academy of Professional Coders • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA) • Certified MedicalCoder (CMC) through Practice Management Institute • Certified Professional Medical Auditor (CPMA) • CEMA certification via National Alliance of Medical Auditing Specialists Experience: • 5-6 years of professional based coding experience isrequired. • Professional based coding experience must include - Office, Inpatient, Bedside Procedures, Surgical Coding, Teaching & Physician extender provider coding, multiple specialties is desired. • Level one (1) Trauma hospital experience is preferred. • Experience with a large organization, multi-location, multi-specialty with high volume providers is preferred.
Essential Functions: • Responsible for internal auditing and analyzing professional coding for all service lines. o Monitor the audit results closely to identify any potential coding inaccuracy o Providesthe Department/Practice the needed support in identifying coding errors o Works with the practice to ensure services are captured accordingly. o Provides additional education to practices/providers/coders as needed and requested. Ensure that medical documentation is following Governmental payers, Managed Care and private insurances guidelines • Review medical recordsto ensure accuracy of code assignment. • Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting. • Identify and communicate physician documentation and coding opportunitiesforimprovement • Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices. • Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office. • Takes the initiative to identify and solve complex trending coding issues affecting the physician revenue cycle and provide the necessary feedback to correct claims on a go-forward basis as well as recovered underpaid amounts. • Collaborates with Physician and Professional Services Central Business Office to ensure appropriate and complete follow up of patient accounts to ensure coding accuracy for payor guideline reimbursement. • Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. • Providesstatisticalreportsto deliver accurate documentation of ongoing internal coding efficiency process. • Conducts focused physician reviews as needed and provides data to manager. • Maintains 90% physician coding accuracy rate. • Attends payor, departmental and interdepartmentalmeetings asrequired. • Prepares/distributes information summarizing opportunities with physician coding monthly. • Researches, identifies, develops, and assistsin implementation of a plan of action to resolve coding disputes with payors. • Utilizesresource material available in department, CMS, AMA, and AHCA and federal registry to support coding practices. • Perform physician queriesfor coding and documentation clarification during concurrent chartreview process. • Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. • Serves as a preceptor to new coders. • Takes an active role in developing and presenting educational programs to Physician & Professional Services team, physicians, physician extenders, physician offices, and all members of the coding team and manager. • Maintains patient and coder confidentiality results. • Proficiency in coding including ICD-10, CPT, E/M, modifiers while maintaining a 90% accuracy. • Adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all clientspecific policies. • Other duties as assigned based on company needs and projects. • Ongoing Coding Education and training activities • Responsible for the development and training of staff within the scope of his/her responsibilities as it relates to Coding Department structure New providers New Coders Testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. Existing providers Collaborate with Physician Coding Leadership in monitoring coding quality Participate in Health Plan Audits • Develop and implement coder enhancementstrategies o New Governmental releasesinformation o Basic in-house coders auditing o In-Service presentation during coders' meeting • Provide daily support to all assigned practice managers on their coding related questions • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Attends payor, departmental and interdepartmental meetings asrequired. • Other duties as assigned based on organization needs and projects. • Works in collaboration for testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. • Conducts focused physician reviews as needed and provides data to manager.
$50k-60k yearly est. Auto-Apply 8d ago
Certified Medical Coder
Ann Grogan & Associates
Medical coder job in Orlando, FL
Job Title: Certified MedicalCoder (AAPC) - On-Site, Downtown Orlando Are you a skilled and detail-oriented Certified MedicalCoder seeking an exciting opportunity to join Quest National Services, a thriving medical billing company? We are looking for a dedicated individual to join our dynamic team at our Downtown Orlando office. If you have a passion for accuracy, teamwork, and growth opportunities, we want to hear from you!
Job Description
Utilize your expertise as a Certified MedicalCoder to accurately assign appropriate medical codes to diagnoses, procedures, and services, ensuring compliance with all relevant coding guidelines and regulations.
Review medical documentation and superbills to extract essential information required for proper coding.
Work collaboratively with medical providers and billing specialists at Quest National Services to clarify coding questions, resolve discrepancies, and optimize claim accuracy.
Stay updated with the latest coding guidelines, industry changes, and regulations to maintain the highest level of coding proficiency.
Participate actively in team meetings at Quest National Services, offering insights and suggestions for process improvement and overall operational excellence.
Embrace our team-oriented environment at Quest National Services, contributing positively to the office culture and fostering a supportive atmosphere.
Qualifications
AAPC certification as a Certified Professional Coder (CPC), Certified Professional Coder - Apprentice (CPC-A), or equivalent.
Proven experience in medical coding and billing, with expertise in various healthcare specialties, including neurology, OB/GYN, urgent care, urology, podiatry, and nephrology.
Solid understanding of healthcare EMR solutions like Kareo "Tebra," AdvancedMD, eClinicalWorks, Athena, and NextGen.
Excellent knowledge of ICD-10, CPT, HCPCS Level II, and other relevant coding systems.
Strong attention to detail and accuracy, with a commitment to delivering error-free coding results.
Effective communication skills, both written and verbal, to collaborate with medical providers and the internal team at Quest National Services effectively.
Ability to thrive in a team-oriented environment at Quest National Services and contribute positively to a supportive and collaborative office culture.
Proactive attitude and willingness to adapt to changing industry standards and best practices.
Additional Information
At Quest National Services, we value our team members and strive to provide excellent benefits to ensure their well-being and job satisfaction. As a full-time Certified MedicalCoder, you'll enjoy the following perks:
Competitive salary and performance-based incentives.
Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy.
Optional AFLAC coverage for additional financial protection.
Life insurance coverage for peace of mind.
Employer-matched 401k plan to help you plan for the future.
Opportunities for professional growth and career advancement in our promote-from-within environment.
Join our close-knit team at Quest National Services, where your contributions are valued, and your skills are appreciated. We're excited to welcome a talented Certified MedicalCoder who shares our passion for excellence and teamwork.
To apply, please submit your resume and a cover letter detailing your relevant experience and why you'd be a great fit for our team at Quest National Services. We look forward to meeting you and discussing the potential of a mutually rewarding partnership.
Quest National Services is an equal opportunity employer and encourages candidates from diverse backgrounds to apply.
$38k-53k yearly est. 19h ago
Cybersecurity Analyst II - Certified CMMC Professional - CCP
Alluvionic
Medical coder job in Melbourne, FL
Secure the future of compliance-lead CMMC readiness with your CCP expertise and make an impact where cybersecurity meets strategy.
Alluvionic is seeking a Cybersecurity Analyst II with active Certified CMMC Professional (CCP) certification to support clients in achieving Cybersecurity Maturity Model Certification (CMMC) readiness. The ideal candidate will play a critical role in delivering gap analysis, developing and implementing remediation plans, and supporting process documentation and incident response strategies. This is a client-facing role that requires excellent communication and documentation skills.
Responsibilities:
Deliver CMMC readiness services, including:
Gap analysis
Process remediation
Security documentation
Incident response planning and testing
Collaborate with stakeholders to ensure understanding and adoption of CMMC requirements
Contribute to development of policies, procedures, and system security plans (SSPs)
Support ongoing security assessments and readiness tracking
Communicate clearly and effectively with both technical and non-technical stakeholders
(Optional) Provide project management leadership if PMP-certified
Qualifications:
Active Certified CMMC Professional (CCP) certification
3-5+ years of experience in cybersecurity, compliance, or IT risk
Preferred Qualifications:
PMP certification is highly desirable, particularly for candidates interested in supporting program/project management of complex CMMC implementations
Experience with Organizational Change Management (OCM) in cybersecurity or compliance programs
Familiarity with GRC tools and compliance platforms
Demonstrated experience with CMMC gap assessments and remediation planning
Knowledge of NIST 800-171 and other relevant frameworks
Strong process documentation and technical writing skills
Who We are:
Alluvionic is a woman-owned, 8(a) certified solutions provider of project management and process improvement services. We offer a wide range of products and services including extensive enterprise Process Improvement, CMMI (Capability Maturity Model Integration), CMMC (Cybersecurity Maturity Model Certification), PMO (Project Management Office), and ERP (Enterprise Resource Planning) implementations for clients in various industries, providing Project Assurance for every project.
We pride ourselves in being a Registered Provider Organization (RPO) with the CMMC Accreditation Body.
What it's like to work at Alluvionic:
Working at Alluvionic means being surrounded by helpful and brilliant people who want to support your career growth. We are a company that puts people first and will help you get where you want to go. When we make mistakes, we own them, fix them, and improve our processes so we do better next time. We work hard and never forget to have fun, especially at happy hour.
We live by our company values of Family, Integrity, Professionalism, Innovation, Forward-Progress, Organization, and Communication. We invite you to apply if you share values even if your career path has been nontraditional.
Alluvionic is an authorized DoD SkillBridge Partner Organization. The DoD SkillBridge program is an opportunity for servicemen & servicewomen to complete an internship during the last 180 days of service to gain valuable civilian career experience.
$44k-64k yearly est. Auto-Apply 48d ago
Medical Records & Referral Coordinator
Central Florida Family Health Center Inc. 3.9
Medical coder job in Casselberry, FL
Lead Medical Records & Referrals Coordinator oversee the administrative duties and operational efficiency of the Medical Records & Referrals department. They are responsible for processes and procedures that support medical records, referrals, data management, and resolving patient complaints. This is NOT a remote position.
Key Responsibilities
Maintains a transparent, effective relationship with the Regional Director of Operations and Medical Records & Referrals Manager by supporting the organization's activities
Completes timely and accurate data entry
Oversees the department in the absence of the Manager
Provides excellent customer service to patients, staff, partners, and visitors
Contributes and enhances the positive image of the medical records & referrals department
Assists patients and partners with referral processing, medical records requests, and other related inquiries
Ensures and maintains an efficient departmental workflow
Remains non-judgmental when engaging with patients
Monitors critical data for analysis and report generation
Ensures medical records are available to practitioners and clinical personnel upon request
Knowledge of medical terminology
Knowledge of insurance verification procedures
Knowledge of True Health's processes to navigate patients appropriately
Scans and import patient data to the electronic medical record
Coordinate the staff in assisting providers in obtaining authorizations, for appointments, consultations, procedures, etc.
Monitors received requests for summaries of medical care given to our patients by private physicians or medical facilities, keep a record of all correspondence, and provide follow-up as needed
Monitors and coordinates follow-up on patients who do not keep their appointments for specialists
Track all patient referrals to ensure report was received scanned and imported in a timely manner
Monitors rules and regulations, and policies and procedures, ensuring compliance with processes
Responsible for documenting all steps taken to properly process a referral
Tracks reports on turnaround time for processing Orange County referrals in a timely manner
Directs staff in notifying the provider and patient if additional tests are needed before a referral can be completed
Research patient medical records and respond to insurance and other correspondence
Supports staff development via the completion of 1:1 sessions
Participates in the recruitment and retention of staff
Maintains open lines of communication
Resolves complaints and inquiries regarding medical records and referrals
Maintains an adequate and constant supply of printed medical release forms and materials to be used by all medical departments; process necessary authorizations and referrals, and acknowledges receipt and adequate recordkeeping of all authorizations and referrals
Delegates and oversees the preparation of data necessary for all requested patient charts by hospitals, attorneys, etc., including making copies and arranging delivery of such documents
Responsible for processing assigned referrals within 72 hours
Oversee the accuracy of file records; attach reports of consultation and diagnostic procedures (x-ray, laboratory, consultations, etc.)
Functions as primary True Health medical records and referrals contact for internal and external inquiries and develop and maintain positive working relationships
Monitor documents scanned within the EMR system and all medical records received via mail within 72 hours
Conducts site visits monthly with medical records and referrals staff
Attends internal and external meetings
Contributes to achievement of organizational goals
Travel as necessary using personal vehicle (must maintain current auto insurance at own expense)
Other responsibilities as assigned
Essential Functions
Problem Solving
Customer Service
Verbal Communication
Written Communication
Planning/Organizing
Adaptability
Initiative
Administration/Operations
Managerial Skills
Professional Judgement
Minimum Qualifications
Education:
Associate's degree or higher from an accredited college or university Preferred
High School Diploma, GED, or equivalent work experience, Required
Experience:
Proficiency in Microsoft Office (Ex. Word, Excel, Outlook, PowerPoint), Required
Epic experience, Preferred
Minimum of 1 year of customer service experience, Preferred
Typing 40wpm
Bilingual in English and Spanish or Creole, Preferred
Licenses or Certifications:
N/A
Criminal Background Clearance:
True Health is a Health Center Program grantee under 42 U.S.C. 254b, a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n), and partners with agencies that require criminal background checks. True Health has established policies and procedures that may influence the overall employment process, hiring, and “just cause” for the termination of employees. An employee's career could be shortened if there is a violation of any policies and procedures.
Prohibited criminal behavior is defined in Florida Statute (F.S.) 408.809. Any employee arrested for any offense outlined in the F.S.408.809 will be immediately suspended and remain suspended until the charges are disposed of in court. The employee will be terminated for an arrest or convict of any violation listed above.
DRUG/ALCOHOL SCREENINGS
A post-offer drug and alcohol screen is a requirement for employment. Failure to successfully pass the drug/alcohol screen will be cause for the offer to be rescinded. Employees are subject to random drug/alcohol screenings throughout the duration of their employment with True Health. If an employee fails to pass the drug/alcohol screening, then this shall become grounds for discipline up to and including immediate termination.
WORK ENVIRONMENT
The employee will be working in an outpatient healthcare setting.
The employee is subject to prolonged periods of sitting at a desk and working on a computer.
The employee is subject to perform repetitive hand and wrist motions.
The employee is frequently required to stand, walk, talk, and hear.
The employee is occasionally required to use hands to handle or feel objects, reach with hands and arms, stoop, kneel, crouch, and move or lift up to twenty-five (25) pounds.
The employee is required to use close vision, peripheral vision, depth perception, and adjust focus.
A reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions.
WORKING CONDITIONS
The employee will work as the needs of the operation require. Normal work days and hours are Monday through Thursday, 8am - 6pm and Fridays, 8am - 12pm; however, there will be times when the employee will need to come in or work on “off hours” or “off days” to meet the needs of the position.
CORE COMPETENCIES
Mission-Focused: Commits to and embraces True Health's mission to enable access to care for uninsured and underinsured individuals.
Relationship-Oriented: Understands that people come before process and is essential in cultivating and managing relationships toward a common goal.
Collaborator: Understands the roles and contributions of all sectors of the organization and can mobilize resources (financial and human) through meaningful engagement.
Results-Driven: Dedicated to shared and measurable goals for the common good; creating, resourcing, scaling, and leveraging strategies and innovations for broad investment and community impact.
Brand Steward: Steward of True Health's brand and understands his/her role in growing and protecting the reputation and results of the greater organization.
Visionary: Confronts the complex realities of the environment and simultaneously maintains faith in a different and better future, providing purpose, direction, and motivation.
Team-Builder: Fosters commitment, trust, and collaboration among internal and external stakeholders.
Business Acumen: Possesses a high-level of broad business and management skills and contributes to generating financial support for the organization.
Network-Oriented: Values the power of networks; strives to leverage True Health's breadth of community presence, relationships, and strategy.
SELECTION GUIDELINES
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
$25k-30k yearly est. Auto-Apply 60d+ ago
Medical Records Clerk
Centerwell
Medical coder job in Orange City, FL
Become a part of our caring community and help us put health first The Medical Records Clerk assembles and maintains patients' health information in medical records and charts. The Medical Records Clerk 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.
The Medical Records Clerk ensures all forms are properly identified, completed, and signed. Enters all necessary information into the system. Communicates with physicians and staff to clarify diagnoses or get additional information. May also assign a code to each diagnosis and procedure. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.
Use your skills to make an impact
Required Qualifications:
2+ years of experience in Medical Records at a Primary or Specialty Clinic
Demonstrated organizational skills
Proficiency in Microsoft Office Word and Excel
Ability to quickly learn new systems
Excellent communication skills, both verbal and written
Preferred Qualifications:
Previous healthcare or health insurance experience
Familiarity with medical terminology and/or ICD-9 codes
Familiar with EMR Systems
Bilingual in English and Spanish
Additional Information:
Working Hours: Monday - Friday 8:00 to 5:00
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Alert:
Humana values personal identify protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
#LI-MD1
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$38,000 - $45,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$38k-45.8k yearly Auto-Apply 19d ago
Medical Records Clerk
Healthcare Support Staffing
Medical coder job in Orlando, FL
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
This position will review the patient record and complete an audit
Attention to detail is of extreme importance as this audit reflects regulatory compliance
Qualifications
• One year of clerical or secretarial experience
• 3 months of home health experience (this is a new requirement; we often find people with home health and clients aren't looking for that. This client is as that is their dept. Please let me know if you find this to be an issue)
• Basic computer skills
• Strong attention to detail
• Reliable with attendance and responsible
• Must have high school diploma
• Read & write English proficiently
Additional Information
Hours for this Position:
• Monday-Friday 8:00am-5:00pm with a 1 hour lunch
Advantages of this Opportunity:
• Competitive salary $11.00 - $12.00 per hr
• Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
• Growth potential
• Fun and positive work environment
How much does a medical coder earn in Alafaya, FL?
The average medical coder in Alafaya, FL earns between $33,000 and $61,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Alafaya, FL
$45,000
What are the biggest employers of Medical Coders in Alafaya, FL?
The biggest employers of Medical Coders in Alafaya, FL are: