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Contract Remote Hcc Coder Jobs in Florida (NOW HIRING)

Medasource

PB Coding Auditor

Jacksonville, FL · On-site +1

$26 - $30/hr

In this remote, contract-to-hire position, you will review coding and documentation for accuracy, completeness, and compliance with federal regulations, payer guidelines, and organizational policies.

YO AI Labs

GitHub Contributor - Remote

Miami, FL · Remote

$55 - $160/hr

Contract Location: Remote Scope of Work: * Contribute expert-level code samples, debugging strategies, and development insights in Python3, Java, Rust, Go, C++, or TypeScript. * Analyze, troubleshoot ...

YO AI Labs

Design Expert - Remote

Miami, FL · On-site +1

$30 - $70/hr

AI-assisted software development, natural-language-to-code workflows, and rapid prototyping ... Contract & Payment * Independent contractor engagement. * Fully remote with a flexible schedule.

ARC Group

Sr. Java Developer (remote)

Jacksonville, FL · Remote

$53 - $67.75/hr

This starts out as an 8-month contract position with the strong potential to extend or convert to ... Java Developer JOB SUMMARY: Development, programming, and coding of Information Technology ...

Cyclops Inc

Senior Commercial Counsel (Remote)

Miami, FL · On-site +1

$133K - $181K/yr

Build and improve templates, playbooks, and processes to help the business move faster and contract ... With low and no code solutions, Cyclops is the fastest way for payments companies to bring crypto ...

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All JobsContract Hcc Coder JobsContract Remote Hcc Coder JobsContract Remote Hcc Coder Jobs in Florida

Contract Remote Hcc Coder information

What is the difference between Contract Remote Hcc Coder vs Contract Remote Medical Coder?

AspectContract Remote Hcc CoderContract Remote Medical Coder
CertificationsHCC coding certifications, CPC, CCSCPC, CCS, CCS-P
Work EnvironmentRemote, healthcare organizations, insurance companiesRemote, hospitals, clinics, insurance companies
Industry UsagePrimarily in Medicare Advantage and risk adjustmentGeneral medical billing and coding across healthcare settings

Contract Remote Hcc Coders focus on risk adjustment coding for Medicare Advantage plans, requiring HCC-specific certifications. Contract Remote Medical Coders handle a broader range of medical billing and coding tasks across various healthcare providers. While both work remotely and require similar credentials, their primary responsibilities and industry focus differ.

What are the most commonly searched types of Remote Hcc Coder jobs in Florida?

The most popular types of Remote Hcc Coder jobs in Florida are:

Contract Remote Hcc Coder jobs near you

Contract Modeling Analyst

Jacksonville, FL • On-site, Remote

Nemours Children's Health
Health Care and Social Assistance • 1 - 5K employees
Learn more about Nemours Children's Healthexternal

$62K - $75K/yr

Full-time

Posted 9 days ago

Nemours Children's Health rating

8.1

Company rating: 8.1 out of 10

Based on 88 frontline employees who took The Breakroom Quiz

Job description


Nemours is seeking a Contract Modeling Analyst to join our team!
This position is remote with occasional travel. Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia, Illinois, Maryland, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia.
Implementation and maintenance of Epic's Contract Reimbursement system including, but not limited to, Contracts, Networks, Payors, and Plans and all other inter-related Epic masterfiles for both professional practices and the hospitals to ensure proper calculation of accounts receivable. Prepares analysis of current physician and hospital contractual state to support the model of the financial impact of reimbursement methods and contractual rates and language which facilitate the final physician and hospital contractual language and rate agreement during the evolvement of the contract negotiations within the managed care organization.
Responsibilities:
  1. Develop, test, implement and maintain Epic reimbursement contracts including, but not limited to, rate and fee schedule adjustments, addition of CPTs and plan, provider, and component updates to provide for accurate estimation of organization's accounts receivable in accordance with contract terms.
  2. Implement and test contract proposals from contract management teams by using EPIC modeling tool while providing executive summary analysis to leadership of financial impact and provide recommendations on adjustments to optimize reimbursement for proposal for various payors. Ensure accuracy and timely response to analytic requests of the Managed Care team whether it be adhoc reports, involved unique analysis or modeling requests.
  3. Develop, test, implement and maintain Epic pricing contracts as needed to include, but not limited to, rate, fee schedule, CPTs and provider adjustments in accordance with identified situation.
  4. Develop and maintain provider networks and fee schedules for facility, non-facility, CPT codes and modifier reimbursement for use in the EPIC system in accordance with reimbursement contracts.
  5. Develop, test, implement and maintain Epic's Benefits Engine system including, but not limited to, components, component groups, adjudication tables and benefit packages in order to accurately estimate patient financial responsibility and standard authorization/precert requirements.
  6. Develop, test, implement and maintain Epic Payor and Plan masterfiles in accordance with department policy in order to provide for a comprehensive and accurate selection of plans for patient registration, patient benefit estimation and contractual discount adjustments as appropriate.
  7. Thoroughly document the purpose and details of all system changes.

Qualifications:
  • Bachelor's degree required; or equivalent healthcare specific work experience may be used in lieu of degree
  • Epic Professional Billing Reimbursement Contracts Certification and Epic Hospital Billing Expected Reimbursement Contracts Certification required
  • 5+ years of demonstrated strong analytical skills with knowledge of patient accounts or healthcare contract analysis and reimbursement.

#LI-AE1
About Us
Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida - along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.
Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.
Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.
Learn more at Nemours.org.

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About Nemours

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As one of the nation's leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics, primary care practices, and school-based health centers in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children - even those who may never enter our doors - through our world-changing research, education and advocacy efforts.

Industry

Health care and social assistance and hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Jacksonville, FL, US

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