Trabajos medical coding en Lakeland, FloridaCrear alertas

Role Overview We’re seeking experienced Utility Management Nurses to support a client’s healthcare product development by leveraging expertise in insurance coding and hospital revenue management workflows. This role involves collaborating with hospital systems to align medical documentation with insurance policies, ensuring accurate coding and optimal reimbursement outcomes. ### Key Responsibilities - Insurance Coding & Revenue Cycle Alignment: Review, audit, and optimize insurance coding practices across hospital systems to ensure compliance and maximize reimbursement accuracy. - Workflow Analysis: Evaluate existing revenue management workflows and recommend improvements tailored to client’s AI-driven documentation tools. - Clinical Data Interpretation: Translate complex clinical notes into standardized coding formats (ICD-10, CPT, HCPCS) aligned with payer policies. - Policy Matching: Assess coding accuracy against insurance guidelines and payer documentation requirements. - Product Development Collaboration: Work closely with client’s engineering and product teams to refine AI models that automate or assist with medical coding and documentation. - Compliance & Quality Assurance: Ensure alignment with HIPAA, CMS, and payer-specific coding regulations. ### Required Qualifications - Licensure: Registered Nurse (RN) or equivalent clinical background. - Experience: Minimum 3–5 years in medical coding, clinical documentation improvement (CDI), or revenue cycle management. - Certifications: CPC, CCS, or CRC certification preferred. - Domain Expertise: Familiarity with hospital billing systems, payer policy interpretation, and coding audit procedures. - Analytical Skills: Strong understanding of clinical documentation standards and payer logic. - Tech Savvy: Comfortable working with EHR systems (Epic, Cerner, Meditech) and documentation review software. ### Preferred Qualifications - Experience working within hospital revenue integrity teams or insurance utilization management. - Exposure to AI-powered healthcare documentation tools or automated coding systems. - Ability to identify and flag edge cases or policy exceptions in automated workflows. - Strong collaboration skills with cross-functional (engineering, compliance, and data) teams. ### Engagement Model - Contract / Part-time (Remote/In person) — Flexible hours with collaboration during U.S. business hours. In person in San Francisco is a plus

Position Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Flexible Hours and/or Flexible Schedule Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $19.37 Mid $24.22 Position Summary Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes. Position Responsibilities People At The Heart Of All That We Do • Fosters an inclusive and engaged environment through teamwork and collaboration., • Ensures patients and families have the best possible experiences across the continuum of care., • Behaves in a mindful manner focused on self, patient, visitor, and team safety., • Demonstrates accountability and commitment to quality work., • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities., • Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding, • Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. 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., • Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement., • Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers., • Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines., • Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames., • Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities., • Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily., • Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections., • Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Competencies & Skills Essential: • Computer Experience, especially with computerized encoder products and computer-assisted coding applications., • Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision., • Knowledge of anatomy and physiology, pharmacology, and medical terminology. Qualifications & Experience Essential: • High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college. Other information: Certifications Essential: CCS Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience Essential: 2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.

Outpatient Coding Quality Educator Specialist - Coding 30697 Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Monday Friday Location: 210 South Florida Avenue, Lakeland, FL Pay Rate: Min $63,793.60 Mid $79,747.20 Under the direction of the facility Coding and Reimbursement Manager, conducts coding quality reviews and audits of chart documentation to assess accuracy, ensure compliance with federal and payer policies, and identifies areas for improvement for hospital outpatient coding. Develops and delivers training on coding accuracy and compliance, staying updated on regulations and providing expert guidance to coders. Provides ongoing coding education and training to coding team and serves as mentor to all new coding team members. Serves as a subject matter expert and resource for coders, providers, and other staff on coding questions, regulatory changes, and best practice. Prepares reports of findings and meets with coders and Coding Leadership to provide education and training on accurate coding practices and compliance issues. 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 classifications and Medicare Conditions of Participation. Will assist the Coding and Reimbursement Manager on preparing presentations and/or interdepartmental feedback. Responsible for conducting coding and billing training programs for billing and coding specialists. Other duties will include implementing coding department policies and procedures and assisting with reviewing and appealing coding denials. Position Responsibilities People At The Heart Of All That We Do • Fosters an inclusive and engaged environment through teamwork and collaboration., • Ensures patients and families have the best possible experiences across the continuum of care., • Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement • Behaves in a mindful manner focused on self, patient, visitor, and team safety., • Demonstrates accountability and commitment to quality work., • Participates actively in process improvement and adoption of standard work. Stewardship • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities., • Knows and adheres to organizational and department policies and procedures. Standard Work: Outpatient Coding Quality Educator Specialist • Actively participates in team development, achieving dashboards, and in accomplishing departmental goals and objectives., • Performs internal quality assessment reviews on outpatient facility coders to ensure compliance with national coding guidelines and the LRH coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed., • Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing account reviews, and preparing training documents to assist with coding quality action plans., • Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. Researches coding opportunities and escalates as needed. Communicates Coding topics and/or question trends to Coding Leadership for global education., • Prepares and presents coding compliance status reports to the Coding and Reimbursement Manager and Health Information Management AVP., • Assists in ensuring coding staff adherence with coding guidelines and policy. Demonstrates and applies expert level knowledge of medical coding practices and concepts., • Coaches and mentors coding staff as they develop and grow their coding skills. Provides skilled coding support through regularly scheduled coding meetings and as the need arises. Provide one-on-one coaching and support to coding professionals, offering constructive feedback and guidance to improve coding accuracy and documentation practices., • Assists Coding Leadership with outpatient coding denials., • Create educational materials, such as manuals, handouts, and multimedia presentations, that effectively communicate complex coding concepts and guidelines., • Orients, develops and coordinates on-the-job training of instructing them on systems and policies and procedures in accordance to coding compliance guidelines. Experience essential: • 5+ years acute care hospital outpatient coding experience and/or coding auditing, • 5-10 years of educational experience in a facility or consulting setting., • Certification essential:, • CCS, CPC, RHIT, or RHIA, • Certification preferred:, • RHIA About Us: Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. To apply please send your resume to: Tiffany Hanson at:

Position Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Flexible Hours and/or Flexible Schedule Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $24.73 Mid $30.92 Position Summary Under the direction of the Coding and Clinical Documentation Improvement Manger , reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, physician advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract, Participates in ongoing continued education to assure knowledge and compliance with annual changes. Position Responsibilities People At The Heart Of All That We Do • Fosters an inclusive and engaged environment through teamwork and collaboration., • Ensures patients and families have the best possible experiences across the continuum of care., • Behaves in a mindful manner focused on self, patient, visitor, and team safety., • Demonstrates accountability and commitment to quality work., • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities., • Determines whether the coding assigned was properly assigned based upon clinical indicators and review of the medical documentation and application of coding guidelines., • Develop and apply appeal arguments to defend the coding and clinical decisions while being able to address and refute the coding determination made by the carrier/payer., • Drafts appeal letters, including the coding argument with clinical and coding references, to support the coding decision. This may include providing additional medical record documentation., • 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 discussion., • Continued follow-up on denials as payers may continue to deny. Collaboration with Physician Advisor as required to continue appeal process., • Continuously reviews changes in coding rules and regulations including in Coding Clinic, CMS, and other payer guidelines., • Complete denials/appeals reports for leadership., • Documents all findings in the denials management application and routes to the appropriate person in the workflow for follow-up., • Assigns and sequence documents all findings in the denials management application and routes to the appropriate person in the workflow for follow-up.s diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines., • Performs special projects and/or other duties as assigned. Competencies & Skills Nonessential: • Computer Experience, especially with computerized encoder products and computer-assisted coding applications., • Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision, • MS-DRG and APR-DRG methodology expertise required. Strong knowledge of ICD-10-CM, ICD-10-PCS, POAs, HACs, PSIs, SOIs, ROMs and mortality rates as well as physician queries. Qualifications & Experience Nonessential: • High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college. Other information: Certifications Essential: CCS Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience Essential: 2-5 years acute care hospital inpatient coding experience within the past five years.

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Work Hours per Biweekly Pay Period: 80.00 Shift: Monday - Friday Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $63,793.60 Mid $79,747.20 Position Summary Under the direction of the facility Coding and Reimbursement Manager, conducts coding quality reviews and audits of chart documentation to assess accuracy, ensure compliance with federal and payer policies, and identifies areas for improvement for hospital outpatient coding. Develops and delivers training on coding accuracy and compliance, staying updated on regulations and providing expert guidance to coders. Provides ongoing coding education and training to coding team and serves as mentor to all new coding team members. Serves as a subject matter expert and resource for coders, providers, and other staff on coding questions, regulatory changes, and best practice. Prepares reports of findings and meets with coders and Coding Leadership to provide education and training on accurate coding practices and compliance issues. 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 classifications and Medicare Conditions of Participation. Will assist the Coding and Reimbursement Manager on preparing presentations and/or interdepartmental feedback. Responsible for conducting coding and billing training programs for billing and coding specialists. Other duties will include implementing coding department policies and procedures and assisting with reviewing and appealing coding denials. People At The Heart Of All That We Do • Fosters an inclusive and engaged environment through teamwork and collaboration., • Ensures patients and families have the best possible experiences across the continuum of care., • Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement • Behaves in a mindful manner focused on self, patient, visitor, and team safety., • Demonstrates accountability and commitment to quality work., • Participates actively in process improvement and adoption of standard work. Stewardship • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities., • Knows and adheres to organizational and department policies and procedures. Standard Work: Outpatient Coding Quality Educator Specialist • Actively participates in team development, achieving dashboards, and in accomplishing departmental goals and objectives., • Performs internal quality assessment reviews on outpatient facility coders to ensure compliance with national coding guidelines and the LRH coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed., • Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing account reviews, and preparing training documents to assist with coding quality action plans., • Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. Researches coding opportunities and escalates as needed. Communicates Coding topics and/or question trends to Coding Leadership for global education., • Prepares and presents coding compliance status reports to the Coding and Reimbursement Manager and Health Information Management AVP., • Assists in ensuring coding staff adherence with coding guidelines and policy. Demonstrates and applies expert level knowledge of medical coding practices and concepts., • Coaches and mentors coding staff as they develop and grow their coding skills. Provides skilled coding support through regularly scheduled coding meetings and as the need arises. Provide one-on-one coaching and support to coding professionals, offering constructive feedback and guidance to improve coding accuracy and documentation practices., • Assists Coding Leadership with outpatient coding denials., • Create educational materials, such as manuals, handouts, and multimedia presentations, that effectively communicate complex coding concepts and guidelines., • Orients, develops and coordinates on-the-job training of instructing them on systems and policies and procedures in accordance to coding compliance guidelines. Competencies & Skills Essential: • Computer experience especially with computerized encoder applications, computer-assisted-coding applications, spreadsheets, and databases., • Extensive regulatory coding, (ICD-10-CM, CPT-4, HCPCS, Modifiers, and APCs, and associated reimbursement knowledge. Strong knowledge of medical terminology, pharmacology and anatomy and physiology., • Data Analysis - able to analyze, interpret and share data in a presentation format. Ability to plan and execute educational programs and presentations., • Communicates clearly and concisely, verbally and in writing. Able to work effectively with other employees, providers and external parties., • Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision. Qualifications & Experience Essential: • Associate Degree, • Bachelor Degree Essential: • Health Information Management or other Healthcare degree Other information: Experience essential: 5+ years acute care hospital outpatient coding experience and/or coding auditing 5-10 years of educational experience in a facility or consulting setting. Certification essential: CCS, CPC, RHIT, or RHIA Certification preferred: RHIA

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. Determines whether the coding assigned was properly assigned based upon clinical indicators and review of the medical documentation and application of coding guidelines. Develop

Job Description Position Description: Helps patients by providing clinical and business office assistance in the offices and clinics of health care providers. Serves patients by greeting and helping them; scheduling appointments; maintaining records and accounts. Assists physician by assuring all documentation is inputted into the electronic health record promptly, assures billing codes are properly documented and all records signed by physician and patient as required by service rendered. Position Expectation: In keeping with the mission and core values of Tri-County Human Services, all persons served, stakeholders, and fellow employees will be treated with dignity, respect, and shown sensitivity to their cultural diversity. Primary Duties and Responsibilities: • Welcomes patients by greeting them, in person or on the telephone, answering or referring inquiries., • Optimizes patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone., • Comforts patients by anticipating patients' anxieties; answering patients' questions; maintaining the reception area., • Ensures availability of treatment information by filing and retrieving patient records., • Obtains revenue by recording and updating financial information; recording and collecting patient charges; controlling credit extended to patients; filing, collecting, and expediting third-party claims., • Prepares patients for the health care visit by directing and/or accompanying them to the examining room; providing examination gowns and drapes; helping them to position themselves for the examination and/or treatment; arranging examining room instruments, supplies, and equipment., • Maintains business office inventory and equipment by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies; scheduling equipment service and repairs., • Verifies patient information by interviewing patient; reviewing and/or recording medical history; taking vital signs; confirming purpose of visit or treatment., • Supports patient care delivery by helping health care providers during examinations; preparing laboratory specimens; performing basic laboratory tests on the premises; disposing of contaminated supplies; sterilizing medical instruments; administering medications on the premises; authorizing drug refills as directed; telephoning prescriptions to pharmacies; drawing blood; preparing patients for x-rays; taking electrocardiograms; removing sutures; changing dressings., • Educates patients by providing medication and diet information and instructions; answering questions., • Completes records by recording patient examination, treatment, and test results., • Generates revenues by recording billing information of services rendered; completing insurance forms; responding to insurance and other third-party inquiries., • Keeps supplies ready by inventorying stock; placing orders; verifying receipt., • Keeps equipment operating by following operating instructions; troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; calling for repairs., • Maintains safe, secure, and healthy work environment by following, and enforcing standards and procedures; complying with legal regulations., • Maintains patient confidence and protects operations by keeping patient care information confidential., • Serves and protects the physician or health care provider practice by adhering to professional standards, policies and procedures, federal, state, and local requirements, and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards., • Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations., • Enhances health care practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments., • By utilizing the Electronic Health Record options or through other electronic or manual options, completes insurance verifications and required authorizations on site for all incoming persons served presenting with insurance., • Protects patients' rights by maintaining confidentiality of personal and financial information., • Maintains operations by following policies and procedures; reporting needed changes., • Contributes to team effort by accomplishing related results as needed., • Medical assistants must be CMA (AAMA) certified or equivalent., • Clinical skills, creating a safe, effective environment, health promotion and maintenance, hospital Environment, Procedural Skills, Documentation Skills, Verbal Communication, Inventory Control, Planning, Dependability, Medical Teamwork., • This position requires a high school diploma or GED and at least three (3) years of full-time medical assistant or equivalent experience., • 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., • Demonstrates capability to monitor the quality documentation and service utilization trends., • Successfully completed studies beyond the high school level may be substituted for the required experience at the rate of 720 classroom hours or 30 college credit hours per year.

Job Description Job Description Required Education: High School Graduate or Equivalent Preferred Education: CPC or CCS, certified coder either through AAPC or an equivalent organization Experience: 1 years’ experience in the medical coding field. Must have good knowledge of medical terminology, anatomy, diagnosis and procedure codes. • Must be well versed in CPT and ICD-10 coding. Orthopaedic and Spine specific billing and coding background preferred., • Knowledge of insurance contracts, CMS and managed care guidelines, medical terminology and medical compliance., • Must have in-depth knowledge of the appeals process and ability to successfully appeal unjust denials, • Send claims (paper and electronic), • Follow up on submitted claims and outstanding A/R, • Keeping accounts current, posting payments for all claims, • Monitors uncharged encounters in EMR system and sends notices to Physician offices on missing charges., • Apply analytical and critical thinking to determine any areas which fall below reimbursement expectations and provide timely recommendations— to resolve those matters., • Comfortable with all aspects of EHR/EMR systems. Experience in credentialing, CAQH, and PQRS requirements, • Must be proficient in MS Word, Excel, and Power Point, • Stays informed and up to date on coding issues by attending seminars. Possesses a comprehensive understanding of carrier specific, State or Federal billing guidelines. Company DescriptionThe Comprehensive Spine Center at Spine Institute of Central Florida provides a full scope of Spinal services. We specialize in the entire spectrum of non-surgical and surgical care of the spine. For your convenience, all services are available under one roof; including very effective and highly sophisticated spinal evaluation and treatment programs, diagnostic imaging, interventional pain management, spine specialized rehabilitation and therapy programs specially designed for specific spinal conditions and injuries to ensure maximal results.The Comprehensive Spine Center at Spine Institute of Central Florida provides a full scope of Spinal services. We specialize in the entire spectrum of non-surgical and surgical care of the spine. For your convenience, all services are available under one roof; including very effective and highly sophisticated spinal evaluation and treatment programs, diagnostic imaging, interventional pain management, spine specialized rehabilitation and therapy programs specially designed for specific spinal conditions and injuries to ensure maximal results.

Job Description Internal Medicine Physician – Outpatient Only Location: Lakeland, Florida Schedule: Monday – Friday, 8:00 AM – 5:00 PM Position Overview: We are seeking an experienced Internal Medicine physician to join our Lakeland outpatient practice. This is an outpatient-only opportunity with a focus on high-quality patient care in a managed care environment. The ideal candidate will have experience in value-based care, with knowledge of HEDIS and MRA coding, and be comfortable managing a patient panel of 14–15 patients per day. Key Responsibilities: * Provide comprehensive care to adult patients in an outpatient setting. * Manage and coordinate care within a managed care or value-based medicine framework. * Utilize knowledge of HEDIS and MRA coding to ensure compliance and optimize patient outcomes. * Maintain accurate and timely documentation in electronic health records. * Collaborate with care teams, including nurse practitioners, physician assistants, and administrative staff. * Participate in quality improvement initiatives as required. Qualifications: * Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited institution. * Board-certified or board-eligible in Internal Medicine. * Active, unrestricted Florida medical license. * Minimum of 2–3 years of experience in managed care or value-based care preferred. * Knowledge of HEDIS and MRA coding. * Strong communication and interpersonal skills with patients and care teams. Why Join Us: * Outpatient-only schedule with no overnight or weekend coverage. * Predictable Monday–Friday hours (8:00 AM – 5:00 PM). * Opportunity to focus on quality patient care with a manageable patient load (14–15 patients/day). * Supportive team environment with resources to help you succeed.

Job Description Job Title: Accounts Payable Specialist Job Summary: The Primary responsibilities of the Accounts Payable Specialist include managing the A/P invoice flow through the office from incoming mail, inputting invoices into A/P, selecting invoices currently due for payment, and final digital filing of invoices. Duties also include ensuring the invoices have been approved by the appropriate department, matching receipt documents to invoices, ensuring W-9’s are obtained for all vendors, and managing the year-end 1099 process. The This position requires a large degree of attention to detail, as we have payments issued from multiple companies. Job Responsibilities: • Process the accounts payable invoices by receiving, verifying, and coding invoices on a daily basis to ensure timely payment to vendors and to meet Month-Close deadlines, • Distribute invoices to department supervisors or appropriate personnel for approval, • Ensure invoices are approved and have necessary backup such as P.O., packing slip, delivery confirmation, and/or receipts, • Manage the main AP Inbox with all incoming emails and provide timely response, • Check for extension accuracy/remit address and update address/delivery method when needed, • Enter invoices into NetSuite and maintain the electronic accounts payable files, • Verify and investigate discrepancies, if any, by reconciling vendor accounts and monthly vendor statements, • Process employee reimbursements, • Set up monthly and quarterly recurring invoice payments in NetSuite, • Maintain the vendor master file, ensuring all new vendors submit a W-9, so that correct Tax ID and addresses and phone numbers for vendors are obtained, • Generate an Open A/P report for all entities which list all outstanding invoices to be reviewed by Controller to ensure payments are being processed timely, • Notify the Accounting Manager when the checks are ready to be printed, • Maintain vendor relations, • Manage the 1099 reporting for all entities, • Track all capital purchases and provide a report to Controller for any new additions, • Track all Prepaid expenses and create the amortization schedule within NetSuite, • Assist Accounting Manager and Controller with other functions as needed Job Requirements: • High School Diploma or Equivalent Required, • Minimum 3 years of similar Accounts Payable experience, preferably in medical field, • Strong attention to detail, • Strong communication (verbal and written) and customer service skills, • Strong technical computer skills (including Microsoft Word, Excel, PowerPoint, etc.), • Demonstrated organizational skills, and ability to produce consistently accurate work, • Proficiency with NetSuite or similar ERP system

Job Description Obstetrics & Gynecology Physician (OB/GYN) We are seeking a Board-Certified or Board-Eligible Obstetrics & Gynecology Physician (MD or DO) to join our women's health team in Lakeland or Mulberry, FL. This position provides outpatient OB/GYN services, including preventive care, health maintenance, acute and chronic disease management, and consultative services. The OB/GYN will also serve as a clinical leader, supporting Advanced Practice Providers, nurses, and medical students, while ensuring high-quality, patient-centered care. This opportunity offers a competitive compensation package, student loan repayment support, and robust benefits. Compensation & Benefits • Compensation: Up to $250,000 per year based on experience, • NHSC: Up to $75,000 for a 2-year commitment, plus $20,000 for each additional year until loan is paid in full for Student Loan Forgiveness, • PSLF: Forgiveness after 120 qualifying monthly payments (10 years), • Relocation Assistance: $1,000 (in-state) | $3,000 (out-of-state), • Excellent medical, dental, vision, and pharmacy benefits, • Employer-paid life insurance (equal to 1x salary) and long-term disability, • Voluntary short-term disability, additional life, and dependent life insurance options, • Malpractice insurance fully covered, • 4.4 weeks PTO annually (pro-rated first year), • 9.5 paid holidays per year, including paid birthday holiday, • CME Reimbursement: Up to $3,000/year (after 90 days) + CME days, • 401(k) retirement plan with up to 3.5% match (after 1 year of service), • Residency-trained physician in Obstetrics & Gynecology, • Board Eligible or Board Certified in Obstetrics & Gynecology, • Clear and active Florida medical license (or ability to obtain before start date), • Valid DEA Certificate, • BLS Certification (ACLS preferred), • Eligible for malpractice insurability, • Computer literacy and EHR proficiency, • Preventive and routine women's health, • Diagnosis and treatment of acute and chronic gynecologic conditions, • Prenatal, labor, and postpartum care, • Serve as a consultant to clinical staff and collaborate with outside specialists as needed, • Adhere to evidence-based care pathways, quality measures, and compliance standards, • Review diagnostic reports (labs, imaging, EKGs) and ensure appropriate follow-up, • Provide accurate coding and billing aligned with care documented, • Participate in outreach programs, community health initiatives, and represent the practice in local events, • Provide guidance and oversight to ARNPs/PA-Cs under established protocols, • Support recruitment of physicians and clinical staff when needed, • Participate in peer review, provider meetings, and quality improvement activities, • Rotate to other centers as needed for coverage, • Provide leadership and mentorship to clinical support staff, fostering a professional team environment Apply Now To join our dedicated team and make a meaningful impact in women's health across the Lakeland community, please apply by clicking HERE or by sending your CV to .