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Claims Edit Coder Jobs in Florida (NOW HIRING)

Customer Service Representative

Doral, FL

$14.75 - $20/hr

Balance daily invoice edit. * Audit open order reports weekly. * Follow up on customers' claims for ... D. accounts, including requisitions for new customer codes. * Assist with furnish and install ...

Customer Service Representative

Orlando, FL

$15 - $20.25/hr

Balance daily invoice edit. * Audit open order reports weekly. * Follow up on customers' claims for ... D. accounts, including requisitions for new customer codes. * Assist with furnish and install ...

Customer Service Representative

Orlando, FL · On-site

$13.50 - $18.50/hr

Balance daily invoice edit. * Audit open order reports weekly. * Follow up on customers' claims for ... D. accounts, including requisitions for new customer codes. * Assist with furnish and install ...

Balance daily invoice edit. * Audit open order reports weekly. * Follow up on customers' claims for ... D. accounts, including requisitions for new customer codes. * Assist with furnish and install ...

Balance daily invoice edit. * Audit open order reports weekly. * Follow up on customers' claims for ... D. accounts, including requisitions for new customer codes. * Assist with furnish and install ...

... claims, workers' compensation, Veterans Affairs, and out of state Medicaid, we take on the work ... Prepare, edit, and enhance appeals using internal tools (e.g., DOCIQ) * Accurately assign denial ...

... claims, workers' compensation, Veterans Affairs, and out of state Medicaid, we take on the work ... Prepare, edit, and enhance appeals using internal tools (e.g., DOCIQ) * Accurately assign denial ...

... claims, workers' compensation, Veterans Affairs, and out of state Medicaid, we take on the work ... Prepare, edit, and enhance appeals using internal tools (e.g., DOCIQ) * Accurately assign denial ...

... claims, workers' compensation, Veterans Affairs, and out of state Medicaid, we take on the work ... Prepare, edit, and enhance appeals using internal tools (e.g., DOCIQ) * Accurately assign denial ...

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Claims Edit Coder information

What are the key skills and qualifications needed to thrive as a Claims Edit Coder, and why are they important?

To thrive as a Claims Edit Coder, you need a solid understanding of medical coding (ICD-10, CPT, HCPCS), claims processing, and healthcare regulations, typically supported by a coding certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, claims editing software, and payer-specific coding guidelines is crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately identifying and resolving coding errors. These skills ensure correct claim submission, minimize denials, and support timely reimbursement for healthcare providers.

What are Claims Edit Coders?

Claims Edit Coders are healthcare professionals who review and analyze medical claims to ensure they are coded accurately and comply with insurance and regulatory guidelines. They use specialized coding systems, such as ICD-10, CPT, and HCPCS, to verify that procedures and diagnoses are properly documented. Their work helps prevent billing errors, reduce claim denials, and ensure timely reimbursement for healthcare providers. Claims Edit Coders often collaborate with billing departments and healthcare providers to resolve discrepancies and improve coding accuracy.

What is the difference between Claims Edit Coder vs Claims Processing Specialist?

AspectClaims Edit CoderClaims Processing Specialist
CertificationsCertified Coding Associate (CCA), CPCNone required, but certifications can be beneficial
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, healthcare providers, office setting
Primary ResponsibilitiesReview and correct claim data, ensure coding accuracyProcess claims from submission to payment, handle inquiries

Claims Edit Coders focus on reviewing and correcting claim data to ensure accurate coding, while Claims Processing Specialists handle the overall processing of claims from submission to resolution. Both roles require knowledge of insurance policies and coding, but Claims Edit Coders are more specialized in coding accuracy, whereas Claims Processing Specialists manage broader claim workflows.

What are some common challenges faced by a Claims Edit Coder, and how can they be addressed?

Claims Edit Coders often encounter challenges such as staying updated with frequent changes in coding regulations and payer-specific requirements. Additionally, coding errors or discrepancies may arise due to incomplete or unclear documentation from providers. To address these issues, it's important to engage in ongoing education, actively communicate with clinical staff for clarification, and utilize reliable coding resources and software. Collaboration with team members and regular training can help maintain accuracy and compliance in claim submissions.
What cities in Florida are hiring for Claims Edit Coder jobs? Cities in Florida with the most Claims Edit Coder job openings:
Infographic showing various Claims Edit Coder job openings in Florida as of June 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 73% In-person, and 27% Remote job distribution.
Customer Service Representative

Customer Service Representative

Clopay Corporation

Doral, FL • On-site

$20 - $21/hr

Full-time

Posted 11 days ago


Clopay rating

7.9

Company rating: 7.9 out of 10

Based on 38 frontline employees who took The Breakroom Quiz

146th of 518 rated manufacturers


Job description

Open the Door to Your Future with Clopay Corporation & CornellCookson
At Clopay Corporation, we are more than just North America's largest residential and commercial garage door manufacturer-we are a powerhouse of innovation, safety, and design. Through our premier brands, we lead the industry in providing groundbreaking high-performance closure solutions for both the places people call home and the spaces where the world does business.
Headquartered in Mason, Ohio, and operating state-of-the-art manufacturing facilities in Troy, Ohio, Mountaintop, Pennsylvania, and Goodyear, Arizona, we are a proud American-owned company and a wholly-owned subsidiary of Griffon Corporation. Our reach extends across 55+ distribution centers and thousands of retail locations in the U.S. and Canada ensuring that we deliver the right door for every opening - from homes to businesses and beyond.
By joining our team, you become part of a legacy that blends the residential elegance of Clopay, known as "America's Favorite Garage Doors," with the industrial strength and 180-year heritage of our rolling brands, Cornell and Cookson. Together, we secure everything from family garages to the world's most iconic stadiums and skyscrapers.
We currently have an opening for a Customer Service Representative in our Doral location. Responsibilities include:
In this position, the successful candidate will perform the following job responsibilities:
  • Communicate with customers in person at the Distribution Center and by telephone in entering orders under automation system controls.
  • Assist in pricing of quotes and orders under automation system controls.
  • Balance daily invoice edit.
  • Audit open order reports weekly.
  • Follow up on customers' claims for credit.
  • Manage all system invoicing on COD and open-term accounts.
  • Manage bookkeeping procedures required for setting up and maintaining current open terms and C.O.D. accounts, including requisitions for new customer codes.
  • Assist with furnish and install programs whenever necessary, and process furnish and install invoicing and installer payables.
  • Distribute all incoming and outgoing mail.
  • Handle all incoming telephone calls: field telephone calls for product, as well as calls concerning bookkeeping or accounting matters.
  • Various administrative duties

Job Requirements:
  • A high school degree is required, along with a minimum of 3-5 years of customer service experience, preferably in a manufacturing environment.
  • Basic computer skills are required with a familiarity of Microsoft Office Products.
  • Previous clerical or office experience is beneficial.

Why Choose a Career With Us?
We don't just manufacture doors; we engineer the "front door" of the American dream and the security of global commerce. At Clopay, we believe our strength lies in our people. From our design engineers to our manufacturing associates and delivery drivers, every member of the team plays a vital role in our success.
Our team members thrive because we prioritize:
  • Unrivaled Scale: Work for a market leader with a massive manufacturing footprint and a reputation for excellence that spans nearly two centuries.
  • A Culture of "What's Next": We invest heavily in automation, sustainable materials, and smart-home integration to stay ahead of the curve.
  • Commitment to People: As a Griffon Corporation company, we provide the stability of a large organization with the tight-knit, collaborative feel of a specialized craft team.
  • A Legacy of Expertise: Join our "Pioneer Club"-a group of over 440 employees who have been with us for 20 years or more. We offer the stability of a market leader and a place where you can truly grow a lifelong career.
  • Commitment to Innovation: We aren't just keeping up with industry trends; we're setting them. Whether it's our exclusive WINDCODE® technology or our award-winning designs, we provide the tools for you to do your best work.
  • Community Focused: Our success is linked to the well-being of our neighbors and communities. Through our partnership with Habitat for Humanity, Clopay employees help provide homes and security to families in the communities where we live and work.

Equal Employment Opportunity

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