ZipRecruiter

Log In

1

Clinical Validation Jobs in Florida (NOW HIRING)

Kalo Industries Inc

Research Lead

Melbourne, FL · On-site

$60 - $120/hr

Balance long‑horizon clinical validation with short‑term product development needs * Conduct user research, beta testing, and claims research * Socialize research findings and ensure team members ...

Kalogon, Inc.

Research Lead

Melbourne, FL

$60K - $120K/yr

Balance long-horizon clinical validation with short-term product development needs * Conduct user research, beta testing, and claims research * Socialize research findings and ensure team members can ...

Kalogon, Inc.

Research Lead

Melbourne, FL · On-site

$60K - $120K/yr

Balance long-horizon clinical validation with short-term product development needs * Conduct user research, beta testing, and claims research * Socialize research findings and ensure team members can ...

Kalogon, Inc.

Research Lead

Melbourne, FL

$60K - $120K/yr

Balance long-horizon clinical validation with short-term product development needs * Conduct user research, beta testing, and claims research * Socialize research findings and ensure team members can ...

next page

Showing results 1-20

All JobsClinical Validation JobsClinical Validation Jobs in Florida

Clinical Validation information

See Florida salary details

$16

$38

$58

How much do clinical validation jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for clinical validation in Florida is $38.86, according to ZipRecruiter salary data. Most workers in this role earn between $29.47 and $47.26 per hour, depending on experience, location, and employer.

What is a clinical validation?

A Clinical Validation job involves reviewing and assessing medical records, diagnoses, and treatments to ensure accuracy, compliance, and consistency with clinical guidelines. Professionals in this role collaborate with healthcare providers to validate clinical documentation and coding for appropriate reimbursement and regulatory adherence. They typically have a background in nursing, healthcare administration, or medical coding. The goal is to improve patient care quality while reducing errors and discrepancies in clinical data.

What does a clinical validation do?

A Clinical Validation professional typically reviews clinical documentation and patient records to ensure that diagnoses, procedures, and treatments are accurately coded and compliant with healthcare regulations. Daily tasks often include communicating with physicians and coding teams to clarify documentation, analyzing medical records for completeness and accuracy, and preparing reports for quality assurance. You’ll also help address any discrepancies found during audits and support ongoing staff education on best documentation practices. This role requires frequent collaboration with both clinical and administrative staff to support reimbursement processes and maintain regulatory compliance.

What are the key skills and qualifications needed to thrive in clinical validation?

To thrive in Clinical Validation, you need a solid understanding of medical coding, clinical documentation, and healthcare regulations, often supported by credentials such as an RN or coding certifications (e.g., CCS, CDIP). Familiarity with coding and documentation review tools, EHR systems, and coding software is typically required. Strong analytical thinking, attention to detail, effective communication, and collaboration skills help professionals excel in this field. These skills are essential for accurately validating clinical data, ensuring compliant documentation, and supporting the integrity of healthcare billing and reimbursement processes.

What are the most commonly searched types of Clinical Validation jobs in Florida?

The most popular types of Clinical Validation jobs in Florida are:

What are popular job titles related to Clinical Validation jobs in Florida?

For Clinical Validation jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Clinical Validation jobs in Florida look for?

The top searched job categories for Clinical Validation jobs in Florida are:

Clinical Validation jobs near you
Infographic showing various Clinical Validation job openings in Florida as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 15% Part Time, and 6% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $80,821 per year, or $38.9 per hour.

Clinical Appeals Specialist

Sage Clinical RCM, LLC

Saint Petersburg, FL • On-site

Full-time

Posted 7 days ago

Job description

Description:Job Description

The Clinical Appeals Specialist reviews clinical denials involving medical necessity and clinical validation and develops clear, evidence-based appeal letters supporting accurate reimbursement. This position analyzes medical records, payer denial rationales, clinical evidence, and applicable coding guidance to determine whether the documentation supports an appeal.

The Clinical Appeals Specialist works closely with utilization review, clinical documentation integrity, coding, physician, appeals, and revenue cycle teams. Sage Clinical RCM provides operational oversight, while designated client staff direct daily priorities and standard workflows.

Requirements:Job Responsibilities
  • Review medical records, denial letters, payer rationales, and supporting documentation to determine whether a case supports an appeal.
  • Evaluate medical necessity and clinical validation using client-approved criteria, policies, clinical evidence, and applicable coding guidance.
  • Prepare concise, patient-specific appeal letters using approved templates.
  • Clearly connect documented clinical facts and supporting evidence to the basis for each appeal.
  • Use available resources such as InterQual, MCG, the Pinson & Tang CDI Pocket Guide, encoding and grouping software, and AHA Coding Clinic guidance.
  • Follow client-directed priorities, escalation pathways, turnaround times, and established workflows.
  • Accurately document appeal activity, status, actions taken, and outcomes in the designated tracking system.
  • Collaborate with utilization review, CDI, coding, physicians, and revenue cycle stakeholders to clarify documentation and obtain additional information.
  • Meet established quality, productivity, and timeliness expectations.
  • Identify recurring denial trends, payer patterns, and documentation gaps and escalate findings appropriately.
  • Maintain a private and secure remote work environment suitable for handling protected health information.
  • Comply with HIPAA, client security requirements, and all Sage Clinical RCM confidentiality and information-security policies.
Required Qualifications
  • Active RN, MD, or DO credential.
  • Three to five years of experience in utilization review, clinical documentation integrity, coding, or a related area involving medical necessity or clinical validation.
  • Strong clinical reasoning and the ability to synthesize complex medical-record information into a defensible written appeal.
  • Working knowledge of healthcare reimbursement, payer denials, documentation standards, and the relationship between clinical findings and coded data.
  • Strong professional writing, critical-thinking, organizational, and communication skills.
  • Ability to work independently in a remote environment while following client-directed priorities and workflows.
  • Reliable internet connectivity and the ability to securely access client systems.
  • Availability during the agreed-upon work schedule and willingness to participate in virtual meetings, training, and workflow updates.
Preferred Qualifications
  • Direct experience preparing medical necessity or clinical validation appeal letters.
  • Hospital or acute-care revenue cycle experience.
  • Experience using InterQual, MCG, encoder or grouping software, AHA Coding Clinic, or comparable clinical and coding resources.
  • Experience documenting appeal outcomes and identifying denial patterns.