Top 389 Insurance claims manager Jobs in Orlando Fl

Medical Coding Manager
Confidential —Florida
- Full-time
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Account Manager- Commercial Insurance
Insurance Office of America, Inc. —Longwood, FL
- $45,000 - $75,000 a year
- Full-time
- Mid-level
- Leadership
- 2 years
- Paid holidays
- Health insurance
Quick Apply
11d
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
Safety Manager(Fleet and Logistics)
Loadmode LLC —Orlando, FL
- $52,000 - $72,000 a year
- Full-time
- Management
- 5 years
- US work authorization
Quick Apply
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
Account Manager - State Farm Agent Team Member
Jose Rosario - State Farm Agent —Orlando, FL
- $40,000 - $100,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Paid holidays
- Tuition reimbursement
Quick Apply
Catastrophic Nurse Case Manager - Orlando, FL
Paradigm —Orlando, FL
- Weekends as needed
- Hybrid work
- RN License
- Experience working with individuals with disabilities
- Hospital
- Mileage reimbursement
- Health savings account
9d
Technical Product Manager, Production Support
Healthfirst —Lake Mary, FL
- $119,600 - $194,480 a year
- Full-time
- Computer Science
- SQL
- Supervising experience
- Health insurance
- Dental insurance
Safety Manager
The Briar Team —Sanford, FL
- $75,000 - $85,000 a year
- Extended hours
- CPR Certification
- Clean driving record
- Construction site
- Profit sharing
- Paid holidays
2d
Catastrophic Nurse Case Manager - Orlando, FL
Paradigm Corp —Orlando, FL
- $90,000 - $126,000 a year
- Weekends as needed
- Hybrid work
- RN License
- Experience working with individuals with disabilities
- Hospital
- Mileage reimbursement
- Health savings account
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
1d
Benefits & Wellness Manager
Orlando Utilities Commission —Orlando, FL
- $128,340 - $160,425 a year
- Full-time
- Hybrid work
- Customer service
- 5 years
- HIPAA
- Paid training
- Wellness program
Specialty Pharmacy Supervisor
RxPlus —Apopka, FL
- $53.23 - $99.00 an hour
- Full-time
- Background check
- CPR Certification
- Bachelor of Science
- Paid parental leave
- Disability insurance
5d
Clinical Risk Manager
AdventHealth Winter Garden —Winter Garden, FL
- $66,170.74 - $123,073.07 a year
- Full-time
- Background check
- RN License
- Hospital
- Paid parental leave
- Disability insurance
Manager, Human Resources - Entertainment
Universal Orlando Resort —Orlando, FL
- Full-time
- Bachelor's degree
- Psychology
- Mentoring
Contract Manager Execution
Siemens Energy —Orlando, FL
- Full-time
- English
- 8 years
- Bachelor's degree
- Paid holidays
- Health insurance
Office Manager – Interventional Pain Management Practices
APB Pain Management Centers —Orlando, FL
- $85,000 - $95,000 a year
- Part-time
- 5 years
- HIPAA
- Clinic
- Paid holidays
- Health insurance
Quick Apply
Training and Human Resources Manager
Marriott International, Inc —Kissimmee, FL
- $67,481 - $87,000 a year
- Full-time
- Mid-level
- Office
- Hotel
- On-the-job training
8d
General Liability Litigation Team Leader - Western
The Hartford —Lake Mary, FL
- $86,400 - $129,600 a year
- Full-time
- Hybrid work
- Office
- Team management
- Senior level
Associate Client Manager
Gallagher —Lake Mary, FL
- Full-time
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Paid parental leave
- Health savings account

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insurance claims manager jobs near orlando 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

insurance claims manager jobs in orlando fl

Medical Coding Manager

Account Manager- Commercial Insurance

Medical Case Manager

Safety Manager(Fleet and Logistics)

Water Restoration Manager

Account Manager - State Farm Agent Team Member

Catastrophic Nurse Case Manager - Orlando, FL

Technical Product Manager, Production Support

Safety Manager

Catastrophic Nurse Case Manager - Orlando, FL

Field Reimbursement Manager- Orlando, FL

Benefits & Wellness Manager

Specialty Pharmacy Supervisor

Clinical Risk Manager

Manager, Human Resources - Entertainment

Contract Manager Execution

Office Manager – Interventional Pain Management Practices

Training and Human Resources Manager

General Liability Litigation Team Leader - Western

Associate Client Manager

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