Top 102 Claims manager Jobs in Lakeland Fl

Medical Coding Manager
Confidential —Florida
- Full-time
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Legal Case Manager
Accounts Receivable —Dundee, FL
- $18 - $21 an hour
- Full-time
- Mid-level
- Fair chance
- In-person
- Paid time off
Quick Apply
OPD Team Lead
Project Resources Group —Florida
- $60,000 - $65,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Ability to walk for extended periods
- Analysis skills
- Mileage reimbursement
- Paid holidays
Quick Apply
3d
Facilities Manager
Cushman & Wakefield —Winter Haven, FL
- $116,450 - $137,000 a year
- Full-time
- Microsoft Excel
- 5 years
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
(USA) Area Manager Asset Protection - All DC/FC
Walmart —Lakeland, FL
- $65,500 - $98,000 a year
- High school
- Computer literacy
- Mid-level
- Paid jury duty
- Disability insurance
Productions Manager
Rachel Machin - State Farm Agent —Lakeland, FL
- $70,000 - $90,000 a year
- Full-time
- Management
- Mid-level
- Office
- Health insurance
- Paid time off
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Senior Account Manager (Fully Remote)
Insurance Office of America, Inc. —Lakeland, FL
- $80,000 - $100,000 a year
- Full-time
- Microsoft Outlook
- 5 years
- Research
- Paid holidays
- Health insurance
Quick Apply
Operations Manager Multishift
Lowe's —Plant City, FL
- Full-time
- Bilingual
- Microsoft Excel
- Mid-level
Territory Manager
PeopleReady —Lakeland, FL
- $62,673 - $75,207 a year
- Weekends as needed
- Background check
- Spanish
- Microsoft Outlook
- Employee stock purchase plan
- Paid holidays
Quick Apply
13d
Process Safety & Environmental Manager
TREATT NORTH AMERICA —Lakeland, FL
- $91,000 - $151,000 a year
- Full-time
- Master's degree
- Analysis skills
- Bachelor's degree
Quick Apply
Government Lending Resolutions Manager (FL, GA, AL, VA, NC, SC, TX)
South State Bank —Winter Haven, FL
- $133,533 - $213,307 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Resident Services Manager
UDR, Inc. —Brandon, FL
- Weekends as needed
- Word processing
- Mid-level
- Office
Quick Apply
Territory Manager
TrueBlue Internal —Lakeland, FL
- $62,673 - $75,207 a year
- Weekends as needed
- Spanish
- Microsoft Outlook
- Mid-level
- Employee stock purchase plan
- Paid holidays
13d
Office Manager - North Lakeland ( MUST HAVE DENTAL EXPERIENCE)
Coast Dental —Lakeland, FL
- Full-time
- Dental office
- Microsoft Excel
- OSHA
Quick Apply
13d
Multi-Line Manager - State Farm Team Member
Karen Bryan - State Farm Agent —Winter Haven, FL
- $44,000 - $100,000 a year
- Full-time
- Mid-level
- Office
- Leadership
- Paid time off
- 401(k) matching
Quick Apply
Senior Account Manager - Commercial Lines
Insurance Office of America, Inc. —Lakeland, FL
- $80,000 - $100,000 a year
- Full-time
- Microsoft Outlook
- 5 years
- Research
- Paid holidays
- Health insurance
Quick Apply
Project Manager
PREMIER Design + Build Group —Tampa, FL
- $95,000 - $110,000 a year
- Construction site
- Mid-level
- Residential
- Health insurance
- Dental insurance
Quick Apply
Account Manager - Commercial Insurance (Construction / Contractors)
IOA National, Inc. —Lakeland, FL
- $65,000 - $80,000 a year
- Full-time
- Microsoft Outlook
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Licensed Insurance Account Manager
Keith Hargrove - State Farm Agency —Lakeland, FL
- $55,000 - $70,000 a year
- Full-time
- Mid-level
- Office
- Communication skills
- Health insurance
- Paid time off
Quick Apply
Personal Lines Account Manager
Mulling Insurance Agency, Inc. —Auburndale, FL
- $58,000 - $65,000 a year
- Full-time
- Hybrid work
- Mid-level
- Contracts
- Commercial
- Paid holidays
- Disability insurance
Quick Apply

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claims manager jobs near lakeland 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 lakeland fl

Medical Coding Manager

Legal Case Manager

OPD Team Lead

Facilities Manager

(USA) Area Manager Asset Protection - All DC/FC

Productions Manager

Senior Account Manager (Fully Remote)

Operations Manager Multishift

Territory Manager

Process Safety & Environmental Manager

Government Lending Resolutions Manager (FL, GA, AL, VA, NC, SC, TX)

Resident Services Manager

Territory Manager

Office Manager - North Lakeland ( MUST HAVE DENTAL EXPERIENCE)

Multi-Line Manager - State Farm Team Member

Senior Account Manager - Commercial Lines

Project Manager

Account Manager - Commercial Insurance (Construction / Contractors)

Licensed Insurance Account Manager

Personal Lines Account Manager

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