Coding jobs in Lakeland, Florida - Page 2Create job alerts

A company is looking for a Vice President of Product - Mid-Cycle and Backend RCM Platform. Key Responsibilities Define and execute the product vision and strategy for the mid-cycle and backend RCM portfolio Lead the roadmap for coding, billing, payment posting, AR & denials, and analytics to improve efficiency and financial performance Develop and manage a team of product managers and analysts, fostering a culture of accountability and innovation Required Qualifications Bachelor's degree in Engineering, Healthcare Administration, or a related field; MBA preferred 12-18 years of leadership experience in healthcare technology and RCM 8+ years in product management or leadership roles Proven track record of building and scaling RCM software products Experience with cross-functional teams and familiarity with EMR integrations and compliance standards

A company is looking for an AI Pilot Vibe Coding Task Associate. Key Responsibilities Manage end-to-end data extraction workflows across complex websites, ensuring accuracy and reliable delivery of structured datasets Utilize internal tools and custom workflows to enhance data collection, validation, and task execution Ensure data quality through validation checks and maintain stability against minor site structure changes Required Qualifications At least 1 year of relevant experience in data analysis, AI automation, data engineering, or software development Bachelor's or Master's Degree in Engineering, Applied Mathematics, Computer Science, or related fields is preferred Proficiency in Python web scraping using tools like BeautifulSoup and Selenium for complex sites Expertise in data extraction and processing, delivering high-quality datasets in structured formats Upper-intermediate English proficiency (B2) or above is required

A company is looking for a Senior Salesforce Developer Programmer. Key Responsibilities Analyze user requirements and design complex system integrations and Salesforce features Collaborate with the architecture team to ensure alignment with enterprise architecture and adhere to SDLC practices Perform hands-on solution development, coding, testing, and documentation for Salesforce applications Required Qualifications BA/BS degree in Computer Science or related field At least six (6) years of software development experience Minimum of five (5) years of hands-on Salesforce development experience Active Salesforce Developer -1 and Salesforce Java Script Certifications Strong experience with Salesforce Service Cloud, LWC, Apex development, and Agile methodology

A company is looking for a Senior Application Security Engineer responsible for ensuring the security of business applications. Key Responsibilities Apply secure coding practices and ensure compliance while coordinating with development teams on security issues Onboard applications into the web application firewall and provide training on secure coding practices Perform ongoing application security reviews and assist in responses to audits and vulnerability assessments Required Qualifications BS degree in Cyber Security, Computer Science, or related field with a minimum of 8 years of relevant experience Experience with agile development methodologies and application security platforms like Veracode and Burp Suite Hands-on experience in vulnerability management and securing APIs Active involvement with OWASP, NIST, and SANS practices Demonstrated project management skills and ability to track progress against established milestones

A company is looking for a Medical Review Nurse (RN) specializing in itemized bill review. Key Responsibilities Facilitates clinical reviews of medical claims and appeals to ensure medical necessity and accurate billing Validates medical records and claims, ensuring appropriate reimbursement and identifying quality of care issues Serves as a clinical resource, providing training and support to peers while preparing cases for administrative hearings Required Qualifications At least 2 years of clinical nursing experience, including 1 year in utilization review or medical claims review Active and unrestricted Registered Nurse (RN) license in the state of practice Knowledge of ICD-10, CPT coding, and HCPC regulations Experience with state, federal, and third-party regulations related to healthcare Analytic and decision-making skills with proficiency in Microsoft Office and relevant software

A company is looking for a Coder III. Key Responsibilities: Provide mentoring and support to new coders to facilitate their professional development and ensure consistency in coding practices Develop and deliver training programs and educational sessions for care team members on coding practices, documentation requirements, and compliance guidelines Abstract medical record documentation to accurately assign ICD-10-CM/PCS, HCPCS, and CPT4 codes, ensuring compliance with coding guidelines and regulatory requirements Qualifications: Must have one of the required credentials RHIA, RHIT, CCS or CPC Minimum of 3 years of coding experience in a hospital setting Proven experience in training or education, preferably in a healthcare environment Expertise in ICD-10-CM/PCS, HCPCS, and CPT4 coding systems Strong understanding of medical terminology, anatomy, physiology, and disease processes

A company is looking for a Nurse Specialist II, Audit. Key Responsibilities Review medical record documentation to verify clinical indicators and coding issues related to various audits Create detailed appeal letters for denials from payers to support payment of patient claims Identify root causes and trends to share with clients and staff, while providing feedback for ongoing training Required Qualifications Current and valid RN License Minimum of two years of experience in an acute care hospital Minimum of five years of experience in clinical medical record audits or coding Experience using InterQual and Milliman healthcare criteria preferred Knowledge of CMS and payer reimbursement guidelines preferred

A company is looking for a Charge Specialist Outpatient Infusion. Key Responsibilities Review patient records and assign appropriate billing codes using coding software and charge codes Identify opportunities for improvement in clinical documentation and maintain knowledge of procedural terminology requirements Collaborate with other staff to ensure consistency in charging and coding practices across the system Required Qualifications High school diploma/GED or equivalent working knowledge Minimum of 2 years of related experience in a clinical or medical office setting Knowledgeable in medical terminology and regulatory agency requirements for coding and charging Proficient with common office software, coding and billing software, and electronic medical records systems Experience with CPT coding and relevant certifications such as CCS or CPC preferred

A company is looking for a Senior Account Reimbursement Specialist (PB Insurance Collections) - REMOTE. Key Responsibilities Processes claims, payments, adjustments, refunds, denials, and unpaid patient and insurance balances Serves as a liaison with insurance companies and third-party payors while maintaining accurate account documentation Analyzes financial data to identify and resolve reimbursement issues Required Qualifications High School Diploma or GED 4 years of relevant work experience Basic knowledge of revenue cycle processes Ability to interpret ICD-10-CM/PCS coding systems Intermediate data entry skills

Role Overview** Mercor is seeking Office.JavaScript experts to support a cutting-edge training initiative with a leading AI lab.This project focuses on enhancing AI agents’ capabilities within Microsoft Excel by refining code-based interactions.Experts will help validate and correct Office.This is

Knowledge of Medicaid/private insurance documentation and billing procedures, knowledge of medical billing and coding, knowledge of coordination of benefits and billing procedures for said benefits. Medical assistants must be CMA (AAMA) certified or equivalent. Clinical skills, creating a safe, effe

The medical assistant utilizes technology set in place for scheduling patient appointments, preparing medical records and documenting appropriate information in the electronic medical record. Knowledge of medical insurance, billing and coding (including ICD-10). Certifications Essential: Certified M

Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment. Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other p

Drafts appeal letters, including the coding argument with clinical and coding references, to support the coding decision. Identifies areas for education to improve complete and accurate coding and billing and provide feedback to management regarding trends or patterns noticed in the coding for discu

Has thorough knowledge of acute care facility guidelines, modifiers, sequencing rules and the NCCI (National Correct Coding Initiative) edits, OCE (Outpatient Code Editor) edits, Official Guidelines for Coding and reporting for ICD-10-CM/PCS, CPT-4, and HCPCS coding conventions, APC payment classifi