Top 11 Coding specialist Jobs in Winter Haven, Fl

Medical Coding Manager
Confidential —Florida
- Full-time
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Insurance Verification Specialist (IVS)
Central Florida Health Care, Inc. —Winter Haven, FL
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
Quality Measures Specialist
AdventHealth Medical Group West Florida —Winter Haven, FL
- $20.23 - $98,136.64 a year
- Full-time
- Background check
- Mid-level
- Fingerprint clearance
- Paid parental leave
- Disability insurance
22h
REFERRAL COORDINATOR
AdventHealth Medical Group Central Florida —Celebration, FL
- $17.11 - $27.38 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Disability insurance
6d
Outpatient Coding Quality Educator Specialist - Coding
Lakeland Regional Health —Lakeland, FL
- $63,793.60 - $79,747.20 a year
- Monday to Friday
- Background check
- Anatomy knowledge
- 5 years
- On-the-job training
Quick Apply
Director of Informatics
Central Florida Health Care, Inc. —Winter Haven, FL
- Nursing
- Computer Science
- ERP systems
Quick Apply
LRHPG Reimb/Denials/Appeals Spec - LRHPG-Revenue Cycle
Lakeland Regional Health —Lakeland, FL
- $17.84 - $20.53 an hour
- Monday to Friday
- Customer service
- Medical office experience
- Mid-level
Medical office Bilingual
We Care Family Physicians —Winter Haven, FL
- $14 an hour
- Full-time
- Bilingual
- Microsoft Excel
- HIPAA
Quick Apply

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Medical Coding Manager
Confidential —Florida
Collaborate with IT and data science teams to implement AI tools and assess their impact on coding performance and revenue cycle management.
Quick Apply
Medical Billing Manager
Growing Together Pediatrics —Ocoee, FL
Manage accounts receivable performance, identify trends, and develop strategies to improve collections and reduce aging balances.
From $28 an hour
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13d

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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

coding specialist jobs in winter haven, fl

Medical Coding Manager

Insurance Verification Specialist (IVS)

Quality Measures Specialist

REFERRAL COORDINATOR

Outpatient Coding Quality Educator Specialist - Coding

Director of Informatics

LRHPG Reimb/Denials/Appeals Spec - LRHPG-Revenue Cycle

Medical office Bilingual

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