Top 281 Claims manager Jobs in Sunrise, Fl

Medical Coding Manager
Confidential —Florida
- Full-time
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Employee Relations Manager
City of Fort Lauderdale —Fort Lauderdale, FL
- $105,207.85 - $163,037.26 a year
- Full-time
- Pass drug screening
- Office
- Bachelor's degree
- Disability insurance
- Health insurance
2d
Human Resources Manager
Safeguard America, Inc. d/b/a. Americas Transportation.com —Miami, FL
- From $75,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
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
Utilities Infrastructure Systems Manager
City of Pompano Beach —Pompano Beach, FL
- $97,430.53 - $150,802.70 a year
- Extended hours
- Clean driving record
- Engineering
- Maintenance
9d
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
Billing Supervisor
Codemax LLC —Fort Lauderdale, FL
- $65,000 - $85,000 a year
- Full-time
- Addiction Medicine
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Commercial Construction Project Manager (Delray Beach, FL)
DC Construction Associates —Delray Beach, FL
- Full-time
- Background check
- Construction site
- Office
- Health insurance
- Dental insurance
Quick Apply
Medical Office Manager
PCC MEDICAL HOLDINGS LLC —Miami, FL
- $45,000 - $60,000 a year
- Full-time
- Mid-level
- 3 years
- Administrative experience
Quick Apply
2d
General Maintenance Manager (Multi-Family Housing)
Pratum Companies —Fort Lauderdale, FL
- $85,000 - $90,000 a year
- Overtime
- Microsoft Excel
- Schematics
- Customer service
- Paid holidays
2d
Escalation Supervisor
Choice Home Warranty —Sunrise, FL
- From $60,000 a year
- Full-time
- Mid-level
- 3 years
- Supervising experience
- Paid training
- Paid holidays
Quick Apply
9h
Dental Front Office Manager
South Florida Periodontics and Implant Solutions —Fort Lauderdale, FL
- $18 - $25 an hour
- Full-time
- Dental office
- Management
- HIPAA
- Health insurance
- 401(k)
Quick Apply
Medical Office Manager
PCC MEDICAL HOLDINGS LLC —Pompano Beach, FL
- $45,000 - $60,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
Quick Apply
Manager, Professional Coding
Holy Cross Hospital —Fort Lauderdale, FL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Health insurance
- Dental insurance
10d
Dedicated On-site Wellness Program Manager - Broward County, Florida
CVS Health —Sunrise, FL
- $60,300 - $132,600 a year
- Full-time
- Up to 50% travel
- Research
- Mid-level
- Wellness program
- Health insurance
Collections Manager - Onsite
NRG MGMT LLC —Boca Raton, FL
- HIPAA
- Office
- Residential
- Health insurance
- Paid time off
14d
RCM Reimbursement Supervisor
Coloplast —Coral Springs, FL
- $81,513 - $122,269 a year
- Remote
- OSHA
- HIPAA
- High school diploma or GED
- Paid parental leave
- Dental insurance
Dental Office Manager
Sanitas Dental —Plantation, FL
- $3,000 - $1,200,000 a year
- Full-time
- Spanish
- Dental office
- English
Quick Apply
Manager, Revenue Cycle-BHC-CBO Managed Care Collections-FT-Days-BHC #26533
Broward Health —Fort Lauderdale, FL
- Full-time
- Management
- 5 years
- Bachelor's degree
Manager,Benefits
Pediatric Associates —Plantation, FL
- Full-time
- 7 years
- OSHA
- Word processing
- Disability insurance
- Health insurance

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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 manager jobs in sunrise, fl

Medical Coding Manager

Employee Relations Manager

Human Resources Manager

Project Manager

Utilities Infrastructure Systems Manager

Global Trade Manager

Billing Supervisor

Commercial Construction Project Manager (Delray Beach, FL)

Medical Office Manager

General Maintenance Manager (Multi-Family Housing)

Escalation Supervisor

Dental Front Office Manager

Medical Office Manager

Manager, Professional Coding

Dedicated On-site Wellness Program Manager - Broward County, Florida

Collections Manager - Onsite

RCM Reimbursement Supervisor

Dental Office Manager

Manager, Revenue Cycle-BHC-CBO Managed Care Collections-FT-Days-BHC #26533

Manager,Benefits

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