Top 17 Medical and Health Services Managers Jobs in Palm Bay, FL

Medical Coding Manager
Confidential —Florida
- Full-time
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Hospice Coordinator
Browning's Pharmacy and Health Care —Melbourne, FL
- $19 - $20 an hour
- Full-time
- Background check
- Pass drug screening
- Office
- Disability insurance
- Health insurance
Quick Apply
10d
Transport Lead - Clinical Transport Services
Health First Careers —Melbourne, FL
- Part-time
- Hospital
- Word processing
- BLS Certification
Associate Access & Affordability Program Manager
United Therapeutics —Melbourne, FL
- Full-time
- 5 years
- Mid-level
- Office
- Paid parental leave
- Employee stock purchase plan
5d
Medical Billing Supervisor - Spine & Orthopedics
Total Spine & Wellness —Melbourne, FL
- $20 - $25 an hour
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Lead Certified Tumor Registrar (CTR) – Florida FCDS
Health First Careers —Melbourne, FL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
- Health insurance
Respiratory Therapist Coordinator
Browning's Pharmacy and Health Care —Melbourne, FL
- $19 - $20 an hour
- Full-time
- Background check
- Pass drug screening
- Home health
- Disability insurance
- Health insurance
Quick Apply
1d
Manager Patient Safety CHS - Clinical Quality
Health First Careers —Melbourne, FL
- Full-time
- Nursing
- Microsoft Excel
- RN License

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Medical Coding Manager

Confidential
Florida

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Practice management
RHIA
Medical coding
RHIT
Certified Professional Coder
ICD-10
Bachelor's degree
CPT coding

Full Job Description

Job Overview:

We are seeking a highly skilled and dynamic Medical Coding Manager with expertise in pediatric practice management to lead our coding operations. This individual will be responsible for ensuring accurate coding practices company-wide, evaluating appropriateness of CPT and ICD10 codes assigned to each patient prior to claim submission. The Medical Coding Manager will be responsible for determining diagnosis hierarchy and CPT to ICD10 pointing, providing input on coding workflows, and working cohesively with clinical providers to educate them on coding optimization. The Medical Coding Manager must possess the ability to understand complex documentation relative to Value Based Care.

Key Responsibilities:

Oversee and manage coding operations specific to pediatric healthcare services, ensuring compliance with all regulatory guidelines (e.g., ICD-10, CPT, CMS).
Serve as the subject matter expert in pediatric coding, providing guidance to coding teams, clinicians, and administrative staff.
Ensure accurate and timely coding per patient visit before claim submission, focusing on reducing denials and optimizing reimbursement processes for pediatric services.

Provider Training & Education:

Works with the clinical documentation specialist to offer advice regarding coding protocols relative to claim guidance and regulations. Educates clinical staff on coding relative to claim errors and rules.
Conduct “chart to bill” audits to ensure proper codes are utilized for patient specific visits
Act as a liaison between clinical and RCM teams to address concerns and educate each team as necessary.

AI Integration and Process Optimization:

Stay up to date on advancements in AI technologies related to coding and healthcare billing.
Colaborates with clinical documentation specialist and RCM leadership to integrate AI-driven coding solutions to enhance productivity, accuracy, and efficiency.
Collaborate with IT and data science teams to implement AI tools and assess their impact on coding performance and revenue cycle management.

Leadership & Team Management:

Lead, mentor, and develop a team of coding professionals to ensure consistent quality in coding practices.
Provide strategic oversight and direction for coding activities, ensuring alignment with the organization’s goals and regulatory requirements.
Partners with RCM leadership to optimize the revenue cycle and support the organization’s financial health.

Compliance & Regulatory Monitoring:

Ensure adherence to all federal, state, and local regulations, including HIPAA, CMS, and payer-specific requirements.
Review and update coding policies and procedures regularly to reflect changes in coding standards, regulatory guidelines, and payer requirements.

Qualifications:

Education:

Bachelor’s degree in Health Information Management preferred.
Certification in coding (AAPC or AHIMA (COC, CPC, CPEDC) required, but pediatric certified (CPEDC) preferred.

Experience:

Minimum of 5 years of experience in healthcare coding, with a significant focus on pediatric services preferred.
Proven experience in claim requirements for coding.

Skills:

Strong knowledge of ICD-10-CM, CPT, and HCPCS coding standards, with a focus on pediatric codes.
Excellent training, presentation, and communication skills, with the ability to translate claim requirements relative to coding to clinical and RCM staff.
Experience in managing coding teams and cross-departmental collaborations.
Strong communications skills with providers.

Key Competencies:

Strong analytical and problem-solving skills.
Ability to adapt to new technologies and lead organizational change.
Detail-oriented with the ability to manage multiple priorities.
Strong interpersonal and communication skills with the ability to build relationships across various departments.

Why Join Us?

As a Coding Manager, you’ll play a pivotal role in shaping the future of pediatric healthcare RCM operations within our organization. Your expertise in pediatric coding, ability to train staff, and forward thinking relative to AI applications will contribute to improving healthcare outcomes and operational efficiency.

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Location:

Florida (Required)

Work Location: Remote

Quick Apply

Refine Your Search

Medical and Health Services Managers jobs in Palm Bay, FL

Medical Coding Manager

Hospice Coordinator

Transport Lead - Clinical Transport Services

Associate Access & Affordability Program Manager

Medical Billing Supervisor - Spine & Orthopedics

Lead Certified Tumor Registrar (CTR) – Florida FCDS

Respiratory Therapist Coordinator

Manager Patient Safety CHS - Clinical Quality

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