The Hospital Inpatient Coder Senior will be expected to apply extensive knowledge in assigning ICD-10- CM diagnosis and ICD-10-PCS procedure codes and Medicare Severity-Diagnosis Related Groupers (MS-DRG) for complex hospital inpatient services. Applies clinical knowledge of disease processes, physiology, pharmacology, and surgical techniques by reviewing and interpreting all clinical documentation included in an inpatient record. Abstracts data in compliance with national and regional policies. Clarifies physician documentation by utilizing a facility-established query process. Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM/ICD-10-PCS Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable.
The Hospital Inpatient Coder Senior is expected to function as a subject matter expert on the team and assist less experience team members on following operational policies. It is responsible for training and onboarding new team members and participating in special projects assigned by the Mid Revenue Cycle leadership.
Responsibilities:
Coding Encounter
Key Performance Indicator Requirements
Constraints of systems
Query Knowledge
Team Support
Special Projects
Perform other duties as assigned
Credentials and Experience:
High School Diploma/GED
Five (5) years in hospital inpatient coding experience with ICD-10 diagnosis, procedure codes and MSDRG.
Any (one) of the following certifications is required:
CCS) Certified Coding Specialist
(CPC) Certified Professional Coder
(COC) Certified Outpatient Coding
(CCS-P) Certified Coding Specialist - Physician
(RHIT) Registered Health Information Technician
(RHIA) Registered Health Information Administrator
(CIC) Certified Inpatient Coder
*Any certification not listed above, but issued from a Governing Body listed below, will be considered by the business
AHIMA ************* or AAPC ************
Minimum Skills/Specialized Training Required
Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties.
Experience in coding hospital inpatient electronic medical records.
Excellent communication and interpersonal skills.
Experience with automated patient care and coding systems.
Competence with MS Office software
Extensive knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD-10-CM and ICD-10-PCS coding guidelines, Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related Groupers ("APRDRG"), Center for Medicare & Medicaid Services ("CMS") guidelines, National Center for Healthcare Statistics ("NCHS").
Preferred Experience
Preferred qualifications include:
• Experience with coding oncology-related services.
$56k-69k yearly est. 2d ago
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Coder II - Outpatient - Coding & Reimbursement
Lakeland Regional Health-Florida 4.5
Medical coder job in Lakeland, FL
Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.
Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.
Active - Benefit Eligible and Accrues Time Off
Work Hours per Biweekly Pay Period: 80.00
Shift: Flexible Hours and/or Flexible Schedule
Location: 210 South Florida Avenue Lakeland, FL
Pay Rate: Min $19.37 Mid $24.22
Position Summary
Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes.
Position Responsibilities
People At The Heart Of All That We Do
Fosters an inclusive and engaged environment through teamwork and collaboration.
Ensures patients and families have the best possible experiences across the continuum of care.
Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Safety And Performance Improvement
Behaves in a mindful manner focused on self, patient, visitor, and team safety.
Demonstrates accountability and commitment to quality work.
Participates actively in process improvement and adoption of standard work.
Stewardship
Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
Knows and adheres to organizational and department policies and procedures.
Standard Work Duties: Coder II - Outpatient
Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding
Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment.
Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement.
Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers.
Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines.
Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames.
Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities.
Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily.
Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.
Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections.
Competencies & Skills
Essential:
Computer Experience, especially with computerized encoder products and computer-assisted coding applications.
Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision.
Knowledge of anatomy and physiology, pharmacology, and medical terminology.
Qualifications & Experience
Essential:
High School or Equivalent
Nonessential:
Associate Degree
Essential:
High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college.
Other information:
Certifications Essential: CCS
Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Experience Essential:
2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.
$43k-53k yearly est. 4d ago
Clinical Documentation & Coding Specialist
Synapticure Inc.
Medical coder job in Tampa, 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
$39k-54k yearly est. Auto-Apply 33d ago
CPC Certified Medical Coder
Florida Urology Partners LLP
Medical coder job in Tampa, FL
Florida Urology is expanding our footprint in the Tampa Bay area and need to hire an additional medicalcoder. This position will evaluate medical records and the provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines. Provide QA, audits and compliance with Medicaid plans, CMS, OIG and the HCFA as well as company and applicable professional standards.
We expect this position to be a hybrid position with some days in-office and some from home.
Florida Urology Partners offers a suite of benefits including medical, dental and vision plans. We also offer a free membership to the YMCA.
Florida Urology Partners is committed to diversity and does not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability or other applicable legally protected characteristics.
Requirements
Must have a high level of knowledge and understanding of ICD and CPT coding principles. This is not an entry level position and are seeking at least 3 years of experience with billing and coding. CPC certification is required.
$39k-54k yearly est. 60d+ ago
Medical Coder, Certified - CPC or CCS-P/CCS
Larjar, Inc.
Medical coder job in Tampa, FL
Seeking a highly accurate and detail-oriented Certified MedicalCoder (CPC) with experience coding DME, specifically within the Workers' Compensation sector to work in-office at our Tampa headquarters. This role involves strong knowledge of state-specific Workers' Compensation guidelines, experience working with payer-specific rules, and prior experience coding services tied to injury-related care. The coder will be responsible for assigning accurate HCPCS codes to ensure compliant billing and optimal reimbursement.
Pay range starts at $50,000+ dependent on experience. Any offer made will be based on the candidate's experience and skill level.
DUTIES AND RESPONSIBILITIES:
Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations.
Complying with medical coding guidelines and policies to apply appropriate state-specific Worker's Compensation rules (including fee schedules and doc requirements)
Receiving and reviewing orders, contracts and links the data by verifying with accuracy to Provider profiles
Following up and clarifying any information that is not clear to other staff members
Implementing strategic processes and choosing strategies and evaluation methods that provide correct results
Support clean claim submission by proactively identifying and correcting coding issues
Ensure timely and compliant resubmissions for denials or documentation requests
Ensure all coding is in compliance with HIPAA, OIG, and industry best practices
Performs other related duties as assigned by management
QUALIFICATIONS:
2-5 years with experience in Healthcare Coding, including HCPCS
Worker's Compensation Insurance knowledge with experience coding services tied to injury-related care preferred
Associate's Degree (AA) or equivalent from a two-year college or technical school, or equivalent related experience and/or training required.
Certificates, licenses and registrations required: Current/Active CPC or CCS-P/CCS
Computer skills required: Microsoft Office (Excel, Word, Outlook, Teams/Webex/Zoom-type virtual meeting spaces and communication pathways)
Other skills required: Experience with EHR/EMR systems and billing software (e.g., Kareo, Brightree, or similar), In-Depth knowledge of HCPCS Level II codes
Equal Employment Opportunity Employer
$50k yearly Auto-Apply 60d+ ago
Advanced Coder
Insight Global
Medical coder job in Sarasota, FL
Insight Global is looking for a detail-oriented medical coding candidate to be an acute care inpatient facility coder at a healthcare system in Florida. This candidate will apply the correct codes to patient charts for data collection, analysis, and claims processing. This candidate needs to maintain an accuracy rating above 95% for DRG, Diagnosis, POA, PCS, and DC DISP.
This candidate must meet an accuracy of 95% in all 5 categories within the first month of employment or will be terminated.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: ****************************************************
Skills and Requirements
High School Diploma/GED
Certified Coding Specialist (CCS) OR Certified Inpatient Coder (CIC) OR RHIT OR RHIA
3+ years of experience as an inpatient acute care facility coder
- ICD-10-CM and ICD-10-PCS codes
95% Quality Assurance (QA) accuracy rate
Experience coding inpatient encounters Experience with TruCode encoder and/or Dolbey (coding system)
$39k-54k yearly est. 4d ago
Medical Coding Appeals Analyst
Elevance Health
Medical coder job in Tampa, FL
Sign On Bonus: $1,000 **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. **Alternate locations may be considered if candidates reside within a commuting distance from an office.**
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
This position is not eligible for employment based sponsorship.
**Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.**
PRIMARY DUTIES:
+ Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code.
+ Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy.
+ Translates medical policies into reimbursement rules.
+ Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits.
+ Coordinates research and responds to system inquiries and appeals.
+ Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy.
+ Perform pre-adjudication claims reviews to ensure proper coding was used.
+ Prepares correspondence to providers regarding coding and fee schedule updates.
+ Trains customer service staff on system issues.
+ Works with providers contracting staff when new/modified reimbursement contracts are needed.
**Minimum Requirements:**
Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required.
**Preferred Skills, Capabilities and Experience:**
+ CEMC, RHIT, CCS, CCS-P certifications preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$58k-84k yearly est. 3d ago
Medical Records Manager*
Central Florida Health Care 3.9
Medical coder job in Winter Haven, FL
The Medical Records Manager is responsible for the management and oversight of the medical records department to ensure accurate, complete, and confidential maintenance of patient health information. The role involves leading a team of medical records staff, maintaining compliance with legal and regulatory requirements, and optimizing the efficiency of department operations through the implementation of policies/procedures and the use of technology.
Effective, forward pursuit and departmental/corporate documentation of performance improvement is required. Work with Management to design and systematically monitor analyze and improve performance in order to improve patient outcomes. Adhere to JC, HRSA, and other regulatory funding requirements.
MINIMAL QUALIFICATIONS:
Education: An Associate's Degree from an accredited college or university in business/healthcare management preferred.
Experience: Supervisory or lead performance with a healthcare organization.
RESPONSIBILTIES AND PERFORMANCE EXPECTATIONS include, but are not limited to, the following:
* Be familiar with CFHC's program philosophies, goals and objectives. Be cognizant of and comply with all CFHC's policies and procedures, as well as state and federal regulations.
* Complete all required paperwork on time. (Payroll sheets, evaluations, data analysis, etc.)
* Provide leadership, guidance, and supervision to medical records clerks.
* Oversee, develop and implement the policies, processes and procedures for medical records staff.
* Coordinate daily with medical records staff to ensure that all records are maintained in compliance with law and the organization's procedures.
* Monitor and evaluate systems to improve record-keeping procedures.
* Stay current with state and federal laws related to medical record keeping and privacy.
* Coordinate the activities of the medical records.
* Expedite workflow; assign duties, scheduling and review/monitor staff performance.
* Collaborate on performance evaluations, job interviews, scheduling recommendations for hiring and termination, occurrence reports, disciplinary actions, and other related reports for staff to Director of Managed Care.
* Keep medical records staff informed regarding current issues in the medical/dental community that could have an impact on CFHC.
* Working knowledge of all aspects Medical Records Policies and Procedures
* Investigate, resolve medical records issues
* Work with team lead and others to approve supply requisitions and complete work orders
* Recommend ideas that streamline efficiency in accord with established policies and guidelines
* Collaborate with QI/RM regarding chart audits
* Participate in CFHC's committees, as assigned
* Review/Monitor medical records staff preparation of records for release to attorneys
* Review/Monitor record filing/mis-filing or missing chart process
* Participate in orientation and training medical records staff on policies and procedures
* Maintain computer literacy
* Perform other duties as assigned
BENEFITS:
Competitive Salary
Federal Student Loan Forgiveness:
PSLF - 10-year commitment, 120 loan payments and at the end of the commitment, the remaining loan is forgiven
Excellent medical, dental, vision, and pharmacy benefits
Employer Paid Long-Term Disability Insurance
Employer Paid Life Insurance equivalent to 1x your annual salary
Voluntary Short-Term Disability, additional Life and Dependent Life Insurance are available
Malpractice Insurance
Paid Time Off (PTO) - 4.4 weeks per year pro-rated
Holidays (9.5 paid holidays per year)
Paid Birthday Holiday
CME Reimbursement
401k Retirement Plan after 1 year of service (w/matching contributions)
Staff productivity is recognized and rewarded
PHYSICAL REQUIREMENTS:
* Requires 80% or more time spent standing/walking
* Independently mobile
* Ability to lift weight equivalents to what would be required when lifting supplies and equipment.
* Ability to adapt and function in varying environments of workload, patient acuity, worksites and work shifts.
American with Disabilities Act (ADA) Statement: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case-by-case basis.
$44k-73k yearly est. 18d ago
Medical Coding Auditor
Healthcare Support Staffing
Medical coder job in Tampa, FL
Are you an experienced Certified Coder with Managed Care experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you!
Job Description
Job Title: Medical Coding Auditor
Position Summary:
As the Medical Coding Auditor, you would be responsible for reviewing medical and behavioral health care medical records, coding, abstracting, and analyzing inpatient and outpatient medical records.
Hours for this Position: Monday-Friday 8:00am-5:00pm
Advantages of this Opportunity:
Pay $20-$30 per hour, negotiable based on experience
Work for a Fortune 500 company who pride themselves on partnership, integrity, teamwork, and accountability
Be a part of a team who serves the full spectrum of member needs
Weekly deposit options
Great benefits offered
More Insight of Daily Responsibilities:
Verify and validate authorization of services
Coordinate coding and payment issues
Conduct reviews of medical records/documents supporting claims for medical/behavioral services
Identify coding errors, inconsistencies, or abnormal billing patterns
Qualifications
What We Look For:
CCA, CCS, CCS-P, CPC, or CPC-H certification
5+ years of experience in managed care and/or behavioral health care
Additional Information
Want More Information?
Interested in hearing more about this great opportunity? Reach out to Amanda Hammer at 407-636-7030 ext. 201 for immediate consideration.
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!
The greatest compliment to our business is a referral. If you know of someone looking for a new opportunity, please pass along my contact information!
$20-30 hourly 60d+ ago
Medical Records Clerk
Centerwell
Medical coder job in Tampa, 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 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.
Job Functions
Answers telephone calls regarding medical record questions in a friendly and knowledgeable manner.
Processes and obtains accurate requested information ensuring proper release or request of medical records according to Federal/State/HIPAA guidelines.
Updates computer system, keeping records accurate, to reflect any changes when releasing patient information.
Obtains records from specialist office.
Files all medical reports including lab, correspondence, newborn records, on call dictation, etc., in proper order following office guidelines.
Files charts gathered from doctor's office, pods, and counters
Responsible for scanning and attaching to the appropriate binder per EMR protocols.
Use your skills to make an impact
Required Qualification
Minimum 1-year experience working in medical records
Experience with Electronic Medical Records, specifically Athena
Excellent customer service
Computer skills, scanning, experience requesting medical records from the hospital or specialist office
Must be well organized, ability to multi-task and detail oriented
Preferred Qualifications
Bilingual English/Spanish
Additional Information
Alert
Humana values personal identity 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.
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
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 5d ago
Clerk III - Health Information
Prairie Mountain Health
Medical coder job in Brandon, FL
QUALIFICATIONS * Grade 12 education (MB Standards) or equivalent * Completion of a recognized Medical Terminology course or program * Recent experience in a patient reception/care area, specifically in registration of patients within an ADT system * Demonstrated knowledge of electronic health records (EHR) applications applicable to a hospital setting including ADT, clinical information systems, and electronic document management specific to scanning, retrieval, and indexing of health information
* Proficiency with Microsoft programs (Outlook, Word, Excel, Access and PowerPoint), as well as Internet applications and other Information Technology
* Above average understanding of privacy legislation including the Personal Health Information Act and the Mental Health Act, and regional policy and procedures related to confidentiality, use, and disclosure of personal health information
* Accurate keyboarding skills, with minimum 50 wpm
* Demonstrated knowledge and experience with health records management principles and processes
* Province of Manitoba Class 5 Drivers License, and access to a personal vehicle to provide service within Prairie Mountain Health
* Demonstrated organizational skills, and the ability to work independently
* Demonstrated problem solving and decision making skills
* Demonstrated flexibility to facilitate changes in techniques and procedures in a changing environment
* Demonstrated knowledge and competence of skills and concepts related to the position
* Demonstrated communication skills
* Ability to respect and promote confidentiality
* Ability to perform the duties of the position on a regular basis
* Ability to respect and promote a culturally diverse population
* Ability to work effectively and maintain positive working relationships with co-workers, clients and within interdisciplinary team
POSITION SUMMARY:
Reporting to the Manager, Health Information Services, the Clerk III Health Information is responsible for the accurate and timely registration and associated processing on the admission/ discharge/ transfer (ADT) system while adhering to provincial and regional Registration Guidelines and practices, supports communication within and outside of the facility and performs record processing and management functions, including secure storage.
RESPONSIBILITIES:
Overview:
* Registration and associated processing on the admission/ discharge/ transfer (ADT) system, including registrations, admissions, transfers, and discharges, adhering to provincial and regional registration guidelines and practices.
* Collect complete and accurate demographic and financial data including provincial health coverage and/or related 3rd party insurance.
* Complete all necessary registration forms, as required (e.g. patient labels/identification bands, financial forms, consent forms, provincial forms, releases, etc.)
* Retrieve clinical health information, as required (e.g. Allergy & Alert record).
* Release information in accordance with the Personal Health Information Act and the Mental Health Act and regional policy.
* Accurately complete and process Birth Registrations in accordance with the Vital Statistics Act.
* Follow downtime procedures for registration of patients / maintenance of ADT Downtime system.
* Reconciliation of ADT reports (e.g. midnight census) for admissions/discharges/transfers as well as copying and distribution following outlined procedures.
* Coordinate completion and processing of Death Registrations in accordance with the Vital Statistics Act.
* Maintenance of Morgue documentation, as required.
* Inform funeral homes of release and completion of certificate of death, as required.
* Coordinate funeral home and transport agency access to Morgue, as required.
* Retrieve, document & lock up patient valuables, as required.
* Coordinate and process appropriate bed placement within ADT with facility bed management personnel (i.e. Utilization Coordinators, Care Team Managers/Supervisors or facility designates), as required.
* Direct clients to appropriate clinical or treatment areas.
* Locate and retrieve records required for provision of care.
* Retrieve and return records as required.
* Review health records for accuracy and completion, in a timely manner, in accordance with minimum documentation requirements.
* Confirm and ensure regional chart sequence.
* Adhere to regional record processing practices to prepare and scan patient/clinical reports.
* Adhere to regional record management practices and policy for record security, storage and control and for retention and destruction of personal health information.
* Investigate and reconcile double health record numbers and overlays.
* Reconcile system information and prepare reports on a monthly basis or as required (e.g. month-end financial reports, third party billing reports, Area or Provincial Standards reports, etc).
* Operate switchboard to relay incoming calls.
* Page physicians and staff using paging equipment as well as overhead paging.
* Assist staff and the general public in a kind and helpful manner.
* Attend to various alarms at the Switchboard and notify the responsible department, (e.g. Blood Bank, Pharmacy, all CODES).
* Quick, appropriate and immediate response to the "Emergency" phone, if applicable, following established protocols.
* Respond to the buzzers for the various doors throughout the facility, if applicable.
* Maintain control of the keys for the facility, as required.
* Respond to patient inquiries via telephone.
* Comply with Provincial Productivity Standards re: job performance.
* Other duties as assigned.
$24k-31k yearly est. 9d ago
Medical Records Coordinator
Humanitary Medical Center Inc.
Medical coder job in Tampa, FL
Humanitary Medical Center Tampa Inc. is looking for an experienced and friendly Bilingual (English/Spanish) Medical Records Coordinator that can work in a fast-paced environment. If you enjoy helping others and you have a welcoming demeanor, this may be a great opportunity for you.
Job duties: All these job duties are illustrative and not exhaustive.
Our Medical Records Coordinator is responsible for compiling, processing, and managing patients' information generated internally and externally.
Ensures all medical documentation is filed in the patient's charts (hard copies and computer records) in a proper and timely manner.
Conducts ongoing quality assurance activities with all medical records in department to ensure accuracy and completeness of clinical records processing.
Handle administrative tasks and communication.
Performing data entry tasks.
Updates existing records. Retrieves information from the filing system when requested.
HIPPA knowledge required.
This job description is not intended to be all-inclusive. Our associates may be required to perform other related duties as necessary to meet the ongoing needs of the organization.
Requirements:
· Bilingual - Must be able to communicate in English and Spanish.
· Experience in Medical Records.
· Experience working with senior population is a plus.
· Excellent customer service, reading and writing skills required.
· High school diploma or equivalent.
· Ability to multitask and prioritize tasks effectively.
· Strong organizational skills with attention to detail.
· Ability to work independently as well as part of a team.
$24k-31k yearly est. 4d ago
Medical Records Specialist - Senior Living
St. Mark Village 4.2
Medical coder job in Palm Harbor, FL
Start a meaningful career as a Medical Records Specialist - Senior Living with St. Mark Village. Make a difference in someone's life every day. Join St. Mark Village and start your path to a fulfilling career in a compassionate, purpose-driven community. Be part of our award-winning team where every day brings the chance to make a meaningful difference.
Why Join Us?
Culture of compassion: Help us make a positive impact on every life we touch
Competitive Pay: $16.50 - $22.25 per hour + credit given for experience
Schedule: This is an in-person role. Full-time, Monday-Friday, 8:30 AM to 5:00 PM
Investing in You: Enjoy a comprehensive, quality benefits package
Supportive Team: We value our team members just as much as the people we serve
Quick Hiring: Apply today and hear back within 48 hours
What You'll Do:
Maintain confidential, accurate, and complete resident health records; manage secure filing systems and oversee release of medical information in compliance with regulations
Support the clinical services team with admissions, coding, record maintenance, and health information processes (admissions, transfers, discharges, Medicare certifications)
Audit, analyze, and update resident records to ensure federal, state, and facility compliance; compile statistical data and reports for audits, billing, quality assurance, and utilization reviews
Track physician visits and assist in department operations, including staff orientation, education tracking, and participation in meetings
What You'll Need:
2-3 years of senior living experience, including use of PointClickCare (PCC)
Proficiency in Microsoft Word, Excel, and Outlook
Strong verbal and electronic communication skills
Demonstrated proficiency in data entry and reporting, or an equivalent combination of education and experience
Associate's degree (A.A.) or equivalent, plus 1-3 years of related experience/training, or an equivalent combination of education and experience
RHIT certification or medical records training (preferred)
Applicants for this position must be able to produce a negative drug test
Benefits Available to You:
Medical
Dental
Vision
HSA
Short and Long-term Disability
Voluntary Life & AD&D Insurance
Employee Assistance Program
To apply, please complete the required questionnaire. We accept applications on a rolling basis.
We are an Equal Opportunity Employer and are committed to a diverse and inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, ancestry, disability, medical condition, genetic information, marital status, veteran or military status, citizenship status, pregnancy (including childbirth, lactation, and related conditions), political affiliation, or any other status protected by applicable federal, state, or local laws. We are committed to providing an inclusive and accessible recruitment process. If you require accommodations during the interview process, please let us know. Reasonable accommodations will be provided upon request to ensure equal opportunity for all applicants.
Applicants for this position must be able to produce a negative drug test. Applicants may be subject to a background check. Employees in this position must be able to satisfactorily perform the essential functions of the position. If requested, this organization will make every effort to provide reasonable accommodations to enable employees with disabilities to perform the position's essential job duties. As markets change and the Organization grows, job descriptions may change over time as requirements and employee skill levels evolve. With this understanding, this organization retains the right to change or assign other duties to this position.
$16.5-22.3 hourly Auto-Apply 30d ago
Medical Records Coordinator
Community Health Centers of Pinellas 3.5
Medical coder job in Clearwater, FL
Join Evara Health-Driven by Purpose, Powered by People.
Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams.
Build a career that goes beyond a job-it changes lives.
About This Role:
Patient Chart Management: Create, update, and maintain patient records, including immunizations, imaging, clinical documents, and alerts/notes.
Medical Records Requests: Process and respond to requests from patients, providers, and clinics using appropriate tools and protocols (e.g., RightFax).
Document Retrieval Support: Assist callers and retrieval services (CIOX, AB Retrieval, legal offices) by searching and providing available records.
Patient Communication & Scheduling: Answer incoming patient calls to schedule appointments, provide Patient Portal support, and coordinate with clinical teams as needed.
Customer Service: Identify patient/provider record needs, communicate expected turnaround times, and address any barriers to completing requests.
Why You'll Love Working Here:
Impact: Every day, you'll make a significant impact on our patients' lives, leading efforts that go beyond healthcare to ensure community wellbeing.
Growth: We support your professional development through continuous learning and opportunities to grow within Evara Health.
Recognition: As part of our team, your hard work will be recognized and rewarded, contributing to your professional fulfillment and job satisfaction.
Education and Experience
High School Diploma required; college degree preferred
Minimum 1 year of experience with medical records
$22k-29k yearly est. Auto-Apply 42d ago
Medical Records Coordinator
Evara Health
Medical coder job in Clearwater, FL
Job Description
Join Evara Health-Driven by Purpose, Powered by People.
Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams.
Build a career that goes beyond a job-it changes lives.
About This Role:
Patient Chart Management: Create, update, and maintain patient records, including immunizations, imaging, clinical documents, and alerts/notes.
Medical Records Requests: Process and respond to requests from patients, providers, and clinics using appropriate tools and protocols (e.g., RightFax).
Document Retrieval Support: Assist callers and retrieval services (CIOX, AB Retrieval, legal offices) by searching and providing available records.
Patient Communication & Scheduling: Answer incoming patient calls to schedule appointments, provide Patient Portal support, and coordinate with clinical teams as needed.
Customer Service: Identify patient/provider record needs, communicate expected turnaround times, and address any barriers to completing requests.
Why You'll Love Working Here:
Impact: Every day, you'll make a significant impact on our patients' lives, leading efforts that go beyond healthcare to ensure community wellbeing.
Growth: We support your professional development through continuous learning and opportunities to grow within Evara Health.
Recognition: As part of our team, your hard work will be recognized and rewarded, contributing to your professional fulfillment and job satisfaction.
Education and Experience
High School Diploma required; college degree preferred
Minimum 1 year of experience with medical records
Culture and Benefits:
What sets Evara Health apart is our amazing culture and team spirit. We've set record engagement scores this year, creating an environment where our staff thrives and feels truly valued. We are able to do this through our team-based approach to work, but also in our unique benefit offerings such as:
Generous Time Off: 15 days of paid time off with an option to cash out unused day
Holidays: 10 paid holidays and an additional day off for your birthday.
Wellness Perks: Enjoy a free gym membership to support your health and fitness goals.
Retirement Planning: 403(b) with 2% employer contribution up to 4% match
Continuing Education: Tuition reimbursement eligibility which includes $1,500 per year.
Comprehensive Insurance Plans: Medical, Dental, Vision, Life, Short & Long-Term Disability + extra coverage options.
Employee Assistance Program (EAP): Confidential counseling, legal & financial advice through EAP
At Evara Health, your career goes beyond a job. Thrive, grow, and help deliver life-changing care to the people who need it most.
$24k-31k yearly est. 12d ago
CPC Certified Medical Coder
Florida Urology Partners LLP
Medical coder job in Tampa, FL
Job DescriptionDescription:
Florida Urology is expanding our footprint in the Tampa Bay area and need to hire an additional medicalcoder. This position will evaluate medical records and the provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines. Provide QA, audits and compliance with Medicaid plans, CMS, OIG and the HCFA as well as company and applicable professional standards.
We expect this position to be a hybrid position with some days in-office and some from home.
Florida Urology Partners offers a suite of benefits including medical, dental and vision plans. We also offer a free membership to the YMCA.
Florida Urology Partners is committed to diversity and does not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability or other applicable legally protected characteristics.
Requirements:
Must have a high level of knowledge and understanding of ICD and CPT coding principles. This is not an entry level position and are seeking at least 3 years of experience with billing and coding. CPC certification is required.
$39k-54k yearly est. 1d ago
Medical Coding Appeals Analyst
Elevance Health
Medical coder job in Tampa, FL
Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
This position is not eligible for employment based sponsorship.
Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.
PRIMARY DUTIES:
* Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code.
* Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy.
* Translates medical policies into reimbursement rules.
* Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits.
* Coordinates research and responds to system inquiries and appeals.
* Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy.
* Perform pre-adjudication claims reviews to ensure proper coding was used.
* Prepares correspondence to providers regarding coding and fee schedule updates.
* Trains customer service staff on system issues.
* Works with providers contracting staff when new/modified reimbursement contracts are needed.
Minimum Requirements:
Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required.
Preferred Skills, Capabilities and Experience:
* CEMC, RHIT, CCS, CCS-P certifications preferred.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
MED > Licensed/Certified - Other
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$58k-84k yearly est. 3d ago
Medical Records Manager
Central Florida Health Care 3.9
Medical coder job in Winter Haven, FL
The Medical Records Manager is responsible for the management and oversight of the medical records department to ensure accurate, complete, and confidential maintenance of patient health information. The role involves leading a team of medical records staff, maintaining compliance with legal and regulatory requirements, and optimizing the efficiency of department operations through the implementation of policies/procedures and the use of technology.
Effective, forward pursuit and departmental/corporate documentation of performance improvement is required. Work with Management to design and systematically monitor analyze and improve performance in order to improve patient outcomes. Adhere to JC, HRSA, and other regulatory funding requirements.
MINIMAL QUALIFICATIONS:
Education: An Associate's Degree from an accredited college or university in business/healthcare management preferred.
Experience: Supervisory or lead performance with a healthcare organization.
RESPONSIBILTIES AND PERFORMANCE EXPECTATIONS include, but are not limited to, the following:
* Be familiar with CFHC's program philosophies, goals and objectives. Be cognizant of and comply with all CFHC's policies and procedures, as well as state and federal regulations.
* Complete all required paperwork on time. (Payroll sheets, evaluations, data analysis, etc.)
* Provide leadership, guidance, and supervision to medical records clerks.
* Oversee, develop and implement the policies, processes and procedures for medical records staff.
* Coordinate daily with medical records staff to ensure that all records are maintained in compliance with law and the organization's procedures.
* Monitor and evaluate systems to improve record-keeping procedures.
* Stay current with state and federal laws related to medical record keeping and privacy.
* Coordinate the activities of the medical records.
* Expedite workflow; assign duties, scheduling and review/monitor staff performance.
* Collaborate on performance evaluations, job interviews, scheduling recommendations for hiring and termination, occurrence reports, disciplinary actions, and other related reports for staff to Director of Managed Care.
* Keep medical records staff informed regarding current issues in the medical/dental community that could have an impact on CFHC.
* Working knowledge of all aspects Medical Records Policies and Procedures
* Investigate, resolve medical records issues
* Work with team lead and others to approve supply requisitions and complete work orders
* Recommend ideas that streamline efficiency in accord with established policies and guidelines
* Collaborate with QI/RM regarding chart audits
* Participate in CFHC's committees, as assigned
* Review/Monitor medical records staff preparation of records for release to attorneys
* Review/Monitor record filing/mis-filing or missing chart process
* Participate in orientation and training medical records staff on policies and procedures
* Maintain computer literacy
* Perform other duties as assigned
BENEFITS:
Competitive Salary
Federal Student Loan Forgiveness:
PSLF - 10-year commitment, 120 loan payments and at the end of the commitment, the remaining loan is forgiven
Excellent medical, dental, vision, and pharmacy benefits
Employer Paid Long-Term Disability Insurance
Employer Paid Life Insurance equivalent to 1x your annual salary
Voluntary Short-Term Disability, additional Life and Dependent Life Insurance are available
Malpractice Insurance
Paid Time Off (PTO) - 4.4 weeks per year pro-rated
Holidays (9.5 paid holidays per year)
Paid Birthday Holiday
CME Reimbursement
401k Retirement Plan after 1 year of service (w/matching contributions)
Staff productivity is recognized and rewarded
PHYSICAL REQUIREMENTS:
* Requires 80% or more time spent standing/walking
* Independently mobile
* Ability to lift weight equivalents to what would be required when lifting supplies and equipment.
* Ability to adapt and function in varying environments of workload, patient acuity, worksites and work shifts.
American with Disabilities Act (ADA) Statement: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case-by-case basis.
$44k-73k yearly est. 33d ago
Certified Coding Specialist or Certified Professional Coder
Healthcare Support Staffing
Medical coder job in Tampa, 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
Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9) for CMS risk adjustment purposes.
Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9). Always coding to the highest level of specificity
Follows the Official ICD-9 guidelines for Coding and Reporting and has a complete understanding of these guidelines
Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines
Understands the impact of ICD-9 codes on the CMS HCC risk adjustment model
Ability to meet productivity and accuracy standards
Ability to defend coding decisions to both internal and external audits
Qualifications
A High School or GED Required
2+ years of experience in professional coding experience either in a hospital or physician setting
Knowledge of medical terminology and/or experience with CPT and ICD-9 coding
Ability to work independently
Other Working knowledge of CMS risk adjustment model Intermediate
Additional Information
Hours for this Position:
• Monday-Friday 8:00am am-5:00pm
Advantages of this Opportunity:
• Competitive salary
• Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
• Growth potential
• Fun and positive work environment
$47k-70k yearly est. 60d+ ago
Medical Records Clerk
Centerwell
Medical coder job in Tampa, 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 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.
**Job Functions**
+ Answers telephone calls regarding medical record questions in a friendly and knowledgeable manner.
+ Processes and obtains accurate requested information ensuring proper release or request of medical records according to Federal/State/HIPAA guidelines.
+ Updates computer system, keeping records accurate, to reflect any changes when releasing patient information.
+ Obtains records from specialist office.
+ Files all medical reports including lab, correspondence, newborn records, on call dictation, etc., in proper order following office guidelines.
+ Files charts gathered from doctor's office, pods, and counters
+ Responsible for scanning and attaching to the appropriate binder per EMR protocols.
**Use your skills to make an impact**
**Required Qualification**
+ Minimum 1-year experience working in medical records
+ Experience with Electronic Medical Records, specifically Athena
+ Excellent customer service
+ Computer skills, scanning, experience requesting medical records from the hospital or specialist office
+ Must be well organized, ability to multi-task and detail oriented
**Preferred Qualifications**
+ Bilingual English/Spanish
**Additional Information**
**Alert**
Humana values personal identity 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.
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
**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 *************************************************************
How much does a medical coder earn in Brandon, FL?
The average medical coder in Brandon, FL earns between $34,000 and $62,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Brandon, FL
$46,000
What are the biggest employers of Medical Coders in Brandon, FL?
The biggest employers of Medical Coders in Brandon, FL are: