Medical coder jobs in Pompano Beach, FL

Job DescriptionAI Coder Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems. They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models. Why Join This Team? Earn up to $32/hr, paid weekly. Payments via PayPal or AirTM. No contracts, no 9-to-5. You control your schedule. Most experts work 5-10 hours/week, with the option to work up to 40 hours from home. Join a global community of experts contributing to advanced AI tools. Free access to the Model Playground to interact with leading LLMs. Requirements Bachelor's degree or higher in Computer Science from a selective institution. Proficiency in Python, Java, JavaScript, or C++. Ability to explain complex programming concepts fluently in Spanish and English. Strong Spanish and English grammar, punctuation, and technical writing skills. Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer. What You'll Do Teach AI to interpret and solve complex programming problems. Create and answer computer-science questions to train AI models. Review, analyze, and rank AI-generated code for accuracy and efficiency. Provide clear and constructive feedback to improve AI responses. Apply now to help train the next generation of programming-capable AI models!

Full-time Description Job Title: Surgical Coder Department: Revenue Cycle Management Reports To: RCM Director The Surgical Coder is responsible for accurately reviewing, analyzing, and assigning the appropriate CPT, ICD-10-CM, and HCPCS codes for surgical and procedural documentation in patient medical records. This role ensures coding compliance with all applicable regulations and guidelines to optimize reimbursement and maintain the integrity of clinical and financial data. Key Responsibilities: Review operative reports and clinical documentation to assign appropriate CPT, ICD-10-CM, and HCPCS Level II codes. Ensure accurate capture of modifiers and adherence to payer-specific coding guidelines. Verify that all coded information supports medical necessity and aligns with regulatory requirements (e.g., CMS, AMA, and payer-specific policies). Query physicians for clarification or additional documentation when necessary. Maintain current knowledge of coding guidelines, compliance requirements, and regulatory updates. Collaborate with billing, compliance, and revenue cycle teams to resolve coding and claim issues. Participate in internal audits and quality assurance reviews. Meet productivity and accuracy benchmarks as established by the department. Protect patient confidentiality in accordance with HIPAA standards. Requirements Education and Experience: High school diploma or equivalent required Minimum of 3 years of surgical coding experience (ambulatory surgery, hospital outpatient, or inpatient) preferred. Certifications (required): Certified Professional Coder (CPC) - AAPC, or Certified Coding Specialist (CCS) - AHIMA, or Certified Outpatient Coder (COC) - AAPC Skills and Competencies: Strong knowledge of medical terminology, anatomy, and surgical procedures. Proficiency in CPT, ICD-10-CM, and HCPCS Level II coding systems. Familiarity with electronic health record (EHR) systems and coding software. Excellent analytical, organizational, and communication skills. High attention to detail and ability to work independently with minimal supervision. Salary Description $20 - $27 per hour

At GenesisCare we want to hear from people who are as passionate as we are about innovation and working together to drive better life outcomes for patients around the world. Medical Coder Our purpose is to design care experiences that get the best possible life outcomes. Our goal is to deliver exceptional treatment and care in a way that enhances every aspect of a person's cancer journey. Joining the GenesisCare team means a commitment to seeing and doing things differently. People centricity is at the heart of what we do-whether that person is a patient, a referring doctor, a partner, or someone in our team. We aim to build a culture of 'care' that is patient focused and performance driven. Role Summary: A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient's medical records after a visit and translating the information into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting forms to insurers for reimbursement. Medical Coder duties and responsibilities The duties and responsibilities of a Medical Coder vary from one healthcare facility to another. The main duty of a Medical Coder is assigning codes to medical procedures and diagnoses. Other duties and responsibilities of a Medical Coder include: * Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations * Complying with medical coding guidelines and policies * Receiving and reviewing patients' charts and documents for verification and accuracy * Following up and clarifying any information that is not clear to other staff members * Collecting information made by the Physician from different sources to prepare monthly reports * Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results * Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence About GenesisCare: An integrated oncology and multispecialty network in Florida providing care for more than 120,000 patients annually, GenesisCare U.S. offers community-based cancer care and other services at convenient locations. The company's purpose is to redefine the care experience by improving patient outcomes, access and care delivery. With advanced technology and innovative treatment options, skilled physicians and support staff offer comprehensive and coordinated care in radiation oncology, urology, medical oncology, hematology, diagnostics, ENT and surgical oncology. For more information, visit ***************************** GenesisCare is an Equal Opportunity Employer that is committed to diversity and inclusion.

Scope Inpatient coder with a minimum of 5 years of experience coding for an acute care teaching and trauma level 1 facility. Must be experienced in coding trauma and complex medical cases and surgical procedures across a wide range of specialties including but limited to cardiac, vascular, interventional radiology, spinal, neurosurgery, neurology, transplants, oncology, oral surgery, orthopedics, psyche/behavioral medicines, OB/GYN, neonatal, pediatrics, general medicine and general surgery. Must have experience with Cerner and 3M. Must have a RHIA, RHIT, or CCS credential with the appropriate experience listed above. The schedule can be flexible after initial training within reason. For the first week would need to be available Monday through Friday with the majority of the shift between 8am and 5pm EST (this could be a block of 2-4 hours in this time frame not the whole 8 hours necessarily) but can be more flexible after training within reason. This assignment is for holiday coverage with the possibility to extend after the holiday need. * 5+ years coding experience with acute care teaching and trauma level 1 facilities * Experience coding medical and surgical cases for cardiac, vascular, interventional radiology, spinal, neurosurgery, neurology, transplants, oncology, oral surgery, orthopedics, psyche/behavioral medicines, OB/GYN, neonatal, pediatrics, general medicine and general surgery. * RHIA, RHIT or CCS credential * Experience with Cerner and 3M * Able to code 10 complex cases a day * Able to maintain a minimum of 95% accuracy * Able to work fulltime (40 hours a week). Schedule can be flexible within reason after initial training. * Good verbal and written communication skills * Self-disciplined and self-motivated enough to be successful working in a remote environment with minimum supervision

Essential Job Functions Responsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records. Responsible for assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes. Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records. Maintains compliance with external regulatory and accreditation requirements as well as state and federal regulations. Extract pertinent data from the patient's health record and determine appropriate coding for reports and billing documents. Identifies codes for reporting medical services and procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients. Track and document productivity in specified systems and maintain productivity levels as defined by the client. Maintain a 95% quality rating. Perform duties in compliance with the Company's policies and procedures, including but not limited to those related to HIPAA and compliance. Successful completion of an AHIMA-approved Coding Certificate Program and a minimum of three years of current production coding experience in acute. RHIA, RHIT, CCS Systems: One Content, Paragon, and 3M Willing to learn other systems, if we need to get other logins for Lifepoint. Meditech, Cerner, Affinity, and Medhost

Medical Coder - Wound Care (Long -Term Care) About Us Pinnacle Wound Management is a physician -led wound care provider dedicated to improving healing outcomes for patients in skilled nursing and long -term care facilities. We partner with facilities to deliver advanced wound care at the bedside, supported by thorough documentation, EMR integration, and compliance with payer guidelines. We are seeking a Medical Coder with wound care experience to join our team. This role is critical in ensuring timely, accurate coding and billing for patient encounters and cellular tissue product usage across multiple facilities. Key Responsibilities Accurately review and code wound care services performed in long -term care and post -acute settings, ensuring compliance with ICD -10, CPT, HCPCS, and payer requirements Code independently without reliance on a provider superbill, using clinical notes and documentation as the source of truth Release daily coding batches to support timely revenue cycle processing Code red -label (cellular tissue) products and ensure proper documentation of lot numbers and graft application details Assist and work closely with the billing team to correct coding errors and resolve claim rejections/denials Generate detailed coding reports and batch logs for submission to the Director of Operations Collaborate with the billing and operations teams to reconcile coding discrepancies and ensure compliance Monitor payer and CMS updates impacting wound care coding, documentation, and compliance Maintain coding accuracy, productivity standards, and adherence to compliance regulations Qualifications Certification strongly preferred: CPC (Certified Professional Coder), CCS, or equivalent Minimum 2 years of experience in medical coding; wound care or long -term care experience highly preferred Strong knowledge of ICD -10, CPT, and HCPCS coding guidelines Ability to code directly from clinical notes/documentation without superbill support Experience coding cellular tissue/red -label products a plus Proficient in generating coding reports, logs, and error correction documentation Detail -oriented with excellent organizational skills and ability to manage coding batches daily Comfortable working independently with minimal supervision What We Offer Competitive compensation package Opportunity to specialize in wound care and advanced procedures in the long -term care space Supportive team environment focused on compliance and patient -centered outcomes

Client Summarization: TelevisitMD is a virtual practice/business in a box for doctors. TelevisitMD delivers patients, medical coverage, virtual workspace, EHR, E-prescribing, and virtual telehealth visit tools and functions that enable flexibility for the patient and the providers allowing remote visits, replacing the current brick and mortar practices and throwing away the "ball and chain" that come with it . We are seeking a Medical Coder who will assist us in coding medical documentation for insurance claims and for our databases. The Medical Coder will assign required current procedural terminology, healthcare standard procedure coding system, clinical modification, international classification of diseases, and American Society of Anesthesiologists codes. You will decide which codes and functions should be assigned in each instance. This can or will include diagnostic and procedural information, significant reportable elements, and other complex classifications. Background Qualifications- Education and/or Experience: Minimum of 2 years of experience as a medical coder Must be a Certified Professional Coder (AAPC) or Certified Coding Specialist (AHIMA) Excellent computer skills including typing speed and accuracy Experienced working with coding software Skills Needed: A strong understanding of physiology, medical terms, and anatomy Excellent written and verbal communication skills Strong people skills Ability to maintain a high level of integrity and confidentiality of medical information Attention to detail Essential Responsibilities: Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations Complying with medical coding guidelines and policies Receiving and reviewing patients' charts and documents for verification and accuracy Following up and clarifying any information that is not clear Examining documents for missing information Liaising with physicians and other parties to clarify information Assigning CPT, HCPCS, ICD-10-CM, and ASA codes Performing chart audits Advising and training physicians and staff on medical coding Research and analyze data needs for reimbursement Ensuring all medical records are filed and processed correctly Additional day-to-day tasks will be discussed during the interview process. Which will be updated on the job description once discussed. Salary, Benefits, and Perks: Range- $52,000 1099 Contract with the possibility of W2 employment after 90-day review Must be available for communication and meetings from 9 am to 6 pm EST, Monday thru Friday Remote. Must be US Citizen residing in the United States This opportunity is for someone looking to work for a small business that offers flexibility. But gives you the opportunity to maintain growth and empathy in the workplace

It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations. Duties & Responsibilities Essential Duties & Responsibilities * Review medical record information to identify all appropriate coding based on CMS HCC categories * Prepare the medical charts and track patient information via Excel spreadsheets. * Complete appropriate paperwork/documentation/system entry regarding claim/encounter information * Provide coding support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards * Provide real time support and coordination with Primary Care Providers and Care Coordinators for MRA coding, HEDIS and STARS * Monitor coding changes to ensure that most current information is available * Work HCC suspect reports * Accurately code and submit encounters on a timely basis * Researching and addressing code questions for multiple provider offices as directed * Update the Director on the status on a weekly basis * Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled. * Travel to offices as necessary to complete on-site chart reviews * Performs post-audits on assigned offices and notifies office contact when codes are not addressed for provider review. * Support and participate in process and quality improvement initiatives. * Assists with billing claims as assigned. Additional Duties & Responsibilities * Please note this is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Due to the nature of this position, it is understood that coding requirements are expected to change; therefore, participation in affiliated classes and individual efforts to maintain current knowledge of these changes is required. Education & Experience * Two (2) years prior medical coding experience * Proficient in Microsoft Word and Excel * Strong organization and process management skills * Strong collaboration and relationship building skills * High attention to detail * Excellent written and verbal communication skills * Ability to learn new tasks and concepts * CPC, CPC-A or CCS-P, CRC Coding Certification Knowledge, Skills & Proficiencies * Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments and takes responsibility for the impact of one's actions. * Pursues Excellence: Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to the managed care plan. * Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces changes and constructively resolves barriers and constraints. * Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that places emphasis on the success of the medical centers and insurance companies. Job Requirements Physical Requirements This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Tools & Equipment Used Computer and peripherals, standard and customized software applications and tools, and usual office equipment. Disclaimer The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. Join our team that is making a difference! Please see Cano Health's Notice of E-Verify Participation and the Right to Work post here

Entry level position intended to support the achievement of the goals of the organization and execute essential functions under the close supervision of the Senior MRA/HEDIS Specialist and/or Director of MRA; Identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered. Review medical record information to identify all appropriate coding based on CMS HCC categories. Complete appropriate paperwork/documentation/system entry regarding claim/encounter information. Support and participate in process and quality improvement initiatives. We help doctors perform at their best while engaging patients in their care! PRINCIPLE RESPONSIBILITIES: Review medical record information to identify all appropriate coding based on CMS HCC categories Complete appropriate paperwork/documentation/system entry regarding claim/encounter information Monitor coding changes to unsure that most current information is available Review and prepare charts for affiliates or medical centers Work HCC suspect reports and submit to the Director for review Accurately coding and submitting encounters on a timely basis after supervisor review Due to the nature of this position, it is understood that coding requirements are expected to change; therefore, participation in affiliated classes and individual efforts to maintain current knowledge of these changes is required KEY COMPETENCIES: Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments and takes responsibility for the impact of one's actions. Pursues Excellence: Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to the managed careplan. Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces changes and constructively resolves barriers and constraints. Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that places the insurance plan and medical center overall success first. EXPERIENCE/SKILL REQUIREMENTS/EDUCATION: At least one of the following: One (1) year prior medical coding and/or billing experience, or Two (2) years prior medical assistant experience, or CPC, CPC-A or CCS-P, CRC Coding Certification, or Pending completion of externship for coding certification Familiar with Microsoft Word and Excel Familiarity with primary care medical charts Strong organization and process management skills Strong collaboration and relationship building skills High attention to detail Excellent written and verbal communication skills Ability to learn new tasks and concepts

At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with a rich domain expertise and robust compliance norms. Our four-prong approach of an excellent management team coupled with detailed eye for processes, experienced manpower, and cutting edge technology helps us deliver superior, cost effective services to our clients across the globe. Job Description SUMMARY: This position is a member of a team that is responsible for coding review, coding education, and charge entry. The goal of the team is to ensure correct coding, timely charge entry, billing compliance, and to provide on-going coding education to providers and staff. RESPONSIBILITIES: Stays up-to-date on coding rules and CPT/ICD/HCPCS codes. Stays up-to-date on 3rd party payer rules and integrates those rules into daily work. Review for accuracy all charge slips submitted by the Medusind clients and hospital departments. Make corrections based on the medical documentation. Assist the department manager with collecting data for trends to help develop training plans for clients and providers. Assist billing office in addressing billing concerns from the Collections team as necessary. Perform random audits on charts. Data entry of the charges in a timely and accurate fashion. Perform other duties as assigned. Participate in continuing education sessions. Foster and maintain excellent relationships with Medusind clients. Qualifications KNOWLEDGE, SKILLS, AND ABILITIES: Minimum of five years experience working with CPT, ICD-10 and HCPCS codes. A strong understanding of coding requirements. Must either possess a CPC certification or a CCS certification. 1 year Radiology, Neurology and Medicare Part B coding experience. Knowledge of computer applications and Microsoft Office processing. Additional Information All your information will be kept confidential according to EEO guidelines.

WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics - Centrum Health and Premier Medical - as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. The Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient's medical records after a visit and translating the information into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information, and submitting forms to insurers for reimbursement. This is an ONSITE position. 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 Receiving and reviewing patients' charts and documents for verification and accuracy Following up and clarifying any information that is not clear to other staff members Collecting information made by the Physician from different sources to prepare monthly reports Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses, or events that lead to the negligence Requirements and Qualifications High school degree or equivalent Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA license; meet state licensure requirements Maintain coding certification and attends in-service training as required 1 year of medical coding experience Understanding of medical terminology, anatomy, and physiology Ability to work independently or as an active member of a team Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite Accurate and precise attention to detail Ability to multitask, prioritize, and manage time efficiently Excellent verbal and written communication skills Goal-oriented, organized team player As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

CPC - Medical Coder Base salary plus monthly bonus and Sign on Bonus As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence. Position Responsibilities: * Knowledge of medical coding rules, regulations and compliance allowing to better handle issues such as medical necessity, claims denials, bundling issues and charge capture. * Knowledge of medical terminoogy, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes and identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record. * Knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes, NCCI edits and LCDs. * Performs coding and abstracting on all outpatient/inpatient procedures, evaluation and management encounter documentation and/or operative report by selecting and reporting ICD-10 diagnoses, CPT and HCPCS procedure codes and append modifiers when applicable. * Knowledge of how to integrate medical coding guidelines and payor specific coding requirements. * Reviews and verifies office superbills and appropriate progress note and/or operative note. * Reports daily down coding and up coding documentation issues by practice and by physician to department Manager. Reports any physician documentation issues to department manager. * Responsible for being up to date and maintaining currrent status of coding credentials and completes annual continued education hours. * Observes work hours and provides proper notice regarding absences and tardiness, informs supervisor about own whereabouts throughout each workday. * Maintains positive working relationship with Physician Practices and communicates with office staff as needed. Qualifications: * CPC or CCS-P Certification Required * High School graduate required * Five plus years experience in Coding and Billing, Knowledge of ICD-10-CM and CPT * Surgical Coding Benefits: We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs. Our robust employee benefits package includes: * Health benefits * Life insurance * Long-term disability coverage * Healthcare spending accounts * Retirement plan * Paid time off * Pet Insurance * Tuition reimbursement * Employee assistance program * Wellness program * On-site housing for select positions and more!

Job Description The Medical Records Manager plays a crucial role in overseeing the maintenance and management of Electronic Medical Records (EMR) for active and discharged Persons Served. They utilize their detail-oriented skills in quantitative analysis to conduct comprehensive reviews and audits, identifying and addressing technical errors and potential legal/clinical issues. The Medical Records Manager ensures the accuracy and completeness of all EMR data, promoting the delivery of high-quality healthcare services. Responsibilities Conducts monthly quantitative reviews to ensure compliance with guidelines, accreditation, and licensure requirements. Oversees timely and appropriate responses to authorized requests for medical records and maintains accurate documentation of medical record disclosures, adhering to facility policy, state and HIPAA regulations. Coordinates with the Business Office to ensure proper coding for Medicare and Medicaid billing. Serves as the Privacy Officer, ensuring privacy and confidentiality of all medical records, and supervises the work of all Medical Records staff, including hiring, disciplinary actions, and performance evaluations. Provides support for facility staff or outside auditors or reviewers, participates in revisions of the electronic medical record, and participates in accreditation and quality improvement activities while keeping supervisors informed of relevant activities and potential issues. Qualifications Education Associates degree in Health Information Management or related field Experience Three (3) years of experience in hospital information management of which one (1) year must be in record auditing capacity Licenses/Certifications Valid certification as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) is preferred

Requirements REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: Excellent verbal and written communication skills. Excellent attention to detail and analytical skills. Ability to act with integrity, professionalism, and confidentiality. Proficiency with Microsoft Office Suite and electronic health record systems. Strong knowledge of CDT, ICD-10, and payer-specific coding requirements. Knowledge of 2 CFR Part 200 and COSO Framework as applied to coding and billing. Ability to collaborate and communicate effectively with team members. Ability to work independently and manage multiple priorities. PHYSICAL REQUIREMENTS: Ability to endure short, intermittent, and/or long periods of sitting and/or standing in performance of job duties. Ability to lift and carry objects weighing 15 pounds or less. Accomplish job duties using various types of equipment/supplies, e.g. pens, pencils, calculators, computer keyboard, telephone, etc. Ability to travel to other FoundCare locations and perform job duties. Ability to travel to other locations to attend meetings, workshops, and seminars, plus travel to other FoundCare departments and FoundCare conference rooms. MINIMUM QUALIFICATIONS: High school diploma or equivalent required; associate degree or higher preferred. Certified Dental Coder (CDC) or equivalent certification required. Familiarity with dental billing systems (e.g., Dentrix, Eaglesoft, Epic). Minimum of two (2) years of dental coding experience in a healthcare setting. Salary Description $60k - $65k

Job Description Arista Recovery seeks an experienced Medical Chart Auditor (MCA) with a background in medical chart auditing, Utilization Management (UM), or Utilization Review (UR) within mental health or addiction treatment settings. This role requires comfort and proficiency with AI tools to enhance documentation efficiency, improve accuracy, and support compliance. The MCA will work closely with clinical teams to ensure documentation aligns with ASAM standards and payer requirements, fostering a culture of precise, efficient charting. Duties and Responsibilities: Medical Record Audits: Conduct thorough audits of patient medical charts, ensuring accurate documentation that meets ASAM standards and payer criteria. Real-Time Support & AI-Driven Training: Use AI tools to assist clinical staff in real-time, improving efficiency in documentation and compliance. Compliance Monitoring: Ensure all medical records adhere to ASAM standards, insurance requirements, and HIPAA regulations. Discrepancy Management: Identify and address documentation inconsistencies, leveraging AI tools to streamline audit processes and enhance efficiency. Data Analysis: Use AI-driven insights to analyze trends in documentation, identifying opportunities for improved efficiency and accuracy. Reporting & AI-Enhanced Documentation: Prepare detailed audit reports and utilize AI tools to support accurate, efficient record-keeping. Quality Improvement Initiatives: Engage in projects to advance documentation accuracy and efficiency, including the integration of AI tools to optimize processes. Education/Experience/Qualification: Minimum of 3 years in medical chart auditing, Utilization Management (UM), or Utilization Review (UR) within mental health or addiction treatment. A Bachelor's degree or certifications like CPMA are preferred but not required if the candidate has relevant experience. AI Proficiency: Comfortable and proficient with AI tools relevant to documentation, with a focus on enhancing efficiency and accuracy. Strong knowledge of medical terminology and healthcare documentation standards. Detail-oriented with analytical skills to detect trends and inconsistencies. Proficiency in electronic health record (EHR) systems. Excellent communication and interpersonal abilities Ability to work both independently and as part of a team in a dynamic environment.

OUR CLIENT is a contracting and data management services organization dedicated to primary care physicians throughout Florida IN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity. To develop and Implement policies to support the clinical coding audit function Receive, review and communicate findings on patient billing coding related complaints. Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers Prepare reports as required relative to these monitoring and review activities. Work with coding/billing associates to assure compliance on coding, billing, monitoring and review activities. Monitor, communicate and conduct educational sessions regarding additions and/or revisions to coding and documentation rules and regulations. TO SUCCEED IN THIS ROLE, YOU HAVE: High School diploma required, Associate Degree preferred; Must be a certified professional coder; Minimum five years hands-on experience in physician coding

Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: * Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. * Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. * Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. * Responsible for assisting the Fraud Investigative Unit Manager with potential fraud, waste or abuse investigations requiring medical coding expertise, participating in external audit requests, and special projects as needed. * Coordinates, conducts, and documents audits as needed for investigative purposes. * Prepares written reports or trending data related to findings and facilitates timely turnaround of audit results. * Prepares written summaries of audit results for purposes of reporting potential fraud, waste, abuse and/or overpayment. * Retrieves and compiles data across multiple information systems and provides needed information for internal and external customers in a timely manner. * Identifies potential provider fraud through review of claims data, complaint referrals, and application of rules, healthcare coding practices, and fraud detection software. * Reviews provider billing practices to investigate claims data and compliance with State and Federal laws. * Analyzes provider data and identifies erroneous or questionable billing practices. * Interprets state and federal policies, Florida Medicaid, Children's Health Insurance Program, and contract requirements. * Determines and calculates overpayment/underpayment, appropriately documents and participates in steps to remediate. * Determines priorities and method of completing daily workload to ensure that all responsibilities are carried out in a timely manner. * Performs all other duties as assigned. This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. Qualifications: * Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) must have. * Prior experience in Medicaid claims role and/or post payment medical coding auditor role preferred. * Knowledge of Medicaid rules, claims processing, medical terminology and coding principles and practices. * Knowledge of auditing, investigation, and research. * Knowledge of word processing software, spreadsheet software, and internet software. * Manage time efficiently and follow through on duties to completion. Skills and Abilities: * Written and verbal communication skills. * Ability to organize and prioritize work with minimum supervision. * Detail oriented. * Ability to perform math calculations. * Analytical and critical thinking skills. * Ability to operate personal computer and general office equipment as necessary to complete essential functions, including using spreadsheets, word processing, database, email, internet, and other computer programs. * Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. * Ability to write reports, business correspondence, and procedure manuals. * Ability to effectively present information and respond to questions. Work Schedule: Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion.

Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud Investigative Unit Manager with potential fraud, waste or abuse investigations requiring medical coding expertise, participating in external audit requests, and special projects as needed. Coordinates, conducts, and documents audits as needed for investigative purposes. Prepares written reports or trending data related to findings and facilitates timely turnaround of audit results. Prepares written summaries of audit results for purposes of reporting potential fraud, waste, abuse and/or overpayment. Retrieves and compiles data across multiple information systems and provides needed information for internal and external customers in a timely manner. Identifies potential provider fraud through review of claims data, complaint referrals, and application of rules, healthcare coding practices, and fraud detection software. Reviews provider billing practices to investigate claims data and compliance with State and Federal laws. Analyzes provider data and identifies erroneous or questionable billing practices. Interprets state and federal policies, Florida Medicaid, Children's Health Insurance Program, and contract requirements. Determines and calculates overpayment/underpayment, appropriately documents and participates in steps to remediate. Determines priorities and method of completing daily workload to ensure that all responsibilities are carried out in a timely manner. Performs all other duties as assigned. This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. Qualifications: Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) must have. Prior experience in Medicaid claims role and/or post payment medical coding auditor role preferred. Knowledge of Medicaid rules, claims processing, medical terminology and coding principles and practices. Knowledge of auditing, investigation, and research. Knowledge of word processing software, spreadsheet software, and internet software. Manage time efficiently and follow through on duties to completion. Skills and Abilities: Written and verbal communication skills. Ability to organize and prioritize work with minimum supervision. Detail oriented. Ability to perform math calculations. Analytical and critical thinking skills. Ability to operate personal computer and general office equipment as necessary to complete essential functions, including using spreadsheets, word processing, database, email, internet, and other computer programs. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions. Work Schedule: Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion.

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. 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.