Top 143 Claims manager Jobs in Lake Mary, Fl

Medical Coding Manager
Confidential —Florida
- Full-time
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Manager, Benefits and Wellness
Orlando Utilities Commission —Orlando, FL
- $128,340 - $160,425 a year
- Full-time
- Hybrid work
- Background check
- Customer service
- 5 years
- Paid training
- Wellness program
Water Restoration Manager
Roto-Rooter Services Company —Orlando, FL
- $85,000 - $90,000 a year
- Mid-level
- Residential
- Driver's License
- Profit sharing
- Paid training
Medical Case Manager
Broadspire Services, Inc. —Orlando, FL
- Full-time
- Nursing
- RN License
- Experience working with individuals with disabilities
- Paid parental leave
- Health savings account
Quick Apply
Clinical Risk Manager
AdventHealth Altamonte Springs —Altamonte Springs, FL
- $66,170.74 - $123,073.07 a year
- Full-time
- Background check
- RN License
- Hospital
- Paid parental leave
- Disability insurance
5d
Vocational Case Manager
Allsup Employment Services —Orlando, FL
- $47,500 - $70,000 a year
- Full-time
- Remote
- Spanish
- Experience working with individuals with disabilities
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Senior Human Resources Manager - Conrad Orlando
Hilton —Orlando, FL
- Full-time
- Hospitality
- Hotel
- Mentoring
- Paid parental leave
- Employee stock purchase plan
6d
Manager, Claims Workers Compensation
AmTrust Financial Services, Inc. —Maitland, FL
- Full-time
- Sales
- Bachelor of Science
- Mid-level
- Health insurance
- Dental insurance
Field Reimbursement Manager- Orlando, FL
Amgen —Orlando, FL
- $145,470.70 - $196,813.30 a year
- Hybrid work
- Clean driving record
- Doctoral degree
- Computer literacy
- Disability insurance
- Health insurance
Claims Training Manager
Frontline Insurance Managers Inc. —Lake Mary, FL
- Extended hours
- Customer service
- 11+ years
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Contracts Manager
Hatalom —Orlando, FL
- Full-time
- Microsoft Outlook
- Mid-level
- Office
Field Nurse Case Manager - Altamonte Springs, FL
Gallagher Bassett —Altamonte Springs, FL
- $64,000 - $96,000 a year
- Full-time
- Nursing
- Medicine
- Microsoft Outlook
- Paid parental leave
- Health savings account
Workers' Compensation Senior Manager
Raucy —Orlando, FL
- $125,000 - $140,000 a year
- Full-time
- Hybrid work
- Spanish
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Revenue Cycle Management Manager
Psynergy Health —Orlando, FL
- $70,000 - $85,000 a year
- Full-time
- Hybrid work
- 5 years
- HIPAA
- Finance
- Health insurance
- Dental insurance
Quick Apply
Janitorial Operations Manager (FT) MCO Orlando International
Southeast Airport Services Inc —Orlando, FL
- $50,000 - $70,000 a year
- Full-time
- Spanish
- Inventory management
- English
Claims Supervisor I - Fast Track Auto
Tokio Marine North America (TMNA) —Lake Mary, FL
- $84,000 - $94,000 a year
- Online Application
- Management
- Mid-level
- Office
- Health insurance
- Tuition reimbursement
4d
Manager, Human Resources - Entertainment
Universal Orlando Resort —Orlando, FL
- Full-time
- Bachelor's degree
- Psychology
- Mentoring
Claims Supervisor II - Commercial G/L
Tokio Marine North America (TMNA) —Lake Mary, FL
- $114,000 - $128,000 a year
- Online Application
- Hybrid work
- Management
- Word processing
- Mid-level
- Health insurance
- Tuition reimbursement
4d
Nursing Program Specialist - Risk Manager
Alwyn C Cashe State Veterans' Nursing Home —Orlando, FL
- $74,298.38 a year
- Full-time
- Nursing
- Skilled nursing facility
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
On-Site District Manager
Avenue5 Residential, LLC —Orlando, FL
- $100,000 - $110,000 a year
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Office
Quick Apply

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claims manager jobs near lake mary, fl

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 manager jobs in lake mary, fl

Medical Coding Manager

Manager, Benefits and Wellness

Water Restoration Manager

Medical Case Manager

Clinical Risk Manager

Vocational Case Manager

Senior Human Resources Manager - Conrad Orlando

Manager, Claims Workers Compensation

Field Reimbursement Manager- Orlando, FL

Claims Training Manager

Contracts Manager

Field Nurse Case Manager - Altamonte Springs, FL

Workers' Compensation Senior Manager

Revenue Cycle Management Manager

Janitorial Operations Manager (FT) MCO Orlando International

Claims Supervisor I - Fast Track Auto

Manager, Human Resources - Entertainment

Claims Supervisor II - Commercial G/L

Nursing Program Specialist - Risk Manager

On-Site District Manager

I want to receive the latest job alert for claims manager in lake mary, fl

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