Top 1265 Claims supervisor Jobs in Florida

Medical Coding Manager
Confidential —Florida
- Full-time
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Revenue Cycle Manager
Well&You —Jacksonville, FL
- $105,000 - $115,000 a year
- Full-time
- Private practice
- Office
- Contracts
- Health insurance
Quick Apply
2d
Environmental Health & Safety Manager
Sun Orchard LLC —Davenport, FL
- Urgently hiring
- Bachelor of Science
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Project Manager
SE FL Constrcution Company —Deerfield Beach, FL
- $76,990.59 - $100,719.86 a year
- Full-time
- Construction site
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
4d
Medical Case Manager
Broadspire Services, Inc. —Orlando, FL
- Full-time
- Nursing
- RN License
- Working with individuals with disabilities
- Paid parental leave
- Health savings account
Quick Apply
Project Manager
Ajax Paving Industries —Lake Wales, FL
- Weekends as needed
- Construction site
- Bachelor's degree
- Continuous improvement
- Wellness program
- Paid holidays
Property Manager
IMC Realty Management, LLC —Broward County, FL
- Full-time
- Management
- Customer service
- Mid-level
Quick Apply
11d
Construction Rebuild Supervisor
Confidential —Escambia County, FL
- From $64,500 a year
- Full-time
- Background check
- Construction site
- Mid-level
- Fuel card
- Paid holidays
Quick Apply
Personal Injury Case Manager
Accidents Pro Law, P.A. —Tampa, FL
- $25 - $35 an hour
- 8 hour shift
- Spanish
- Microsoft Excel
- Customer service
Quick Apply
Operations Manager
Seaside Home Health LLC Delray Beach —Delray Beach, FL
- $50,000 - $100,000 a year
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
5d
Construction Project Manager
Bergolla, Inc. —Hialeah, FL
- $85,000 - $115,000 a year
- Full-time
- Background check
- Spanish
- 6 years
- Fuel card
- AD&D insurance
Quick Apply
Medical Case Manager
Broadspire Services, Inc. —Fort Lauderdale, FL
- Full-time
- Nursing
- RN License
- Working with individuals with disabilities
- Paid parental leave
- Health savings account
Quick Apply
Office Manager
Sosa Dental & Medical —Merritt Island, FL
- $24 - $25 an hour
- Full-time
- Dental office
- Surgery
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
2d
Property Manager - Commercial
Demetree Global —Winter Park, FL
- Full-time
- Background check
- Finance
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
Licensed Community Association Manager
Triton Property Management —West Palm Beach, FL
- $65,000 - $70,000 a year
- Extended hours
- Microsoft Excel
- Microsoft Outlook
- Management
- Health insurance
- Dental insurance
Quick Apply
14d
Global Trade Manager
Argo Turboserve Corporation —Pompano Beach, FL
- $80,000 - $100,000 a year
- Full-time
- Microsoft Excel
- Office
- 8 years
- Health insurance
- Dental insurance
Quick Apply
1d
Public Works Maintenance Supervisor - Electrical ($10,000 Hiring Bonus) - Water Plant
City of Fort Lauderdale —Fort Lauderdale, FL
- $69,302.27 - $107,424.51 a year
- Online Application
- Background check
- Pass drug screening
- Mid-level
3d
Client Relationship Manager, Employee Benefits
The Baldwin Group —Tampa, FL
- Full-time
- Microsoft Outlook
- HIPAA
- Mid-level
Manager Social Work & Care Management, Case Management, FT,9A-5:30P
Baptist Health South Florida —Miami, FL
- $91,132.84 - $118,472.69 a year
- Full-time
- Hospital
- 5 years
- Licensed Clinical Social Worker
- Wellness program
- Health insurance
Store Manager
Rocky's Ace Hardware —Stuart, FL
- Full-time
- Merchandising
- Mid-level
- Retail management

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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

claims supervisor jobs in florida

Medical Coding Manager

Revenue Cycle Manager

Environmental Health & Safety Manager

Project Manager

Medical Case Manager

Project Manager

Property Manager

Construction Rebuild Supervisor

Personal Injury Case Manager

Operations Manager

Construction Project Manager

Medical Case Manager

Office Manager

Property Manager - Commercial

Licensed Community Association Manager

Global Trade Manager

Public Works Maintenance Supervisor - Electrical ($10,000 Hiring Bonus) - Water Plant

Client Relationship Manager, Employee Benefits

Manager Social Work & Care Management, Case Management, FT,9A-5:30P

Store Manager

I want to receive the latest job alert for claims supervisor in florida

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