HCPCS jobs in Tampa, FL

Quality Improvement Specialist (Healthcare)

Tampa, Florida

•

Today

About Avalon Healthcare Solutions: Avalon Healthcare Solutions is the world's first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve clinical outcomes. Working with health plans nationwide, the company covers over 44+ million lives and delivers 10-20% proven outpatient lab benefit savings. A

Full-time

Quality Improvement Specialist (Healthcare)

Tampa, Florida

•

Today

Full-time

CDM Analyst/ Revenue Integrity Analyst

Remote

•

2d ago

Bachelors degree in healthcare or related field (or equivalent experience) 35+ years in healthcare finance, revenue cycle, or CDM maintenance (7 years may substitute for degree) Coding certification required (CPC, CCS, or equivalent) Experience with EPIC and Craneware required Strong knowledge of CPT/HCPCS, revenue codes, and billing systems Familiarity with reimbursement systems (e.g., IPPS, OPPS) and charge auditing

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Contract

Medical Biller

Remote

•

7d ago

Medical Biller (Inpatient/Medicare) for Physician Network (Remote) Our client is seeking a detail-oriented and knowledgeable Medical Biller (Remote) to join their team. This role is responsible for accurate and timely billing of inpatient, skilled nursing facility (SNF), and Medicare claims. The ideal candidate will have strong knowledge of healthcare billing regulations, coding guidelines and reimbursement processes, along with a commitment to compliance and accuracy. This organization is a reg

Easy Apply

Full-time

$50,000 - $60,000

Utilization Management Coordinator

Remote

•

Today

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, EnterpriseTransformation. Role:Utilization Management Coordinator Location:Canton, MD (100% Remote) Type:3 Months

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Contract

Depends on Experience

Business Analyst

Remote

•

3d ago

Position: Business Analyst Location Remote Employment Type Full-Time MMIS Financial Business Analyst (AR/AP & Fiscal Management) Role Summary The MMIS Financial Business Analyst is responsible for analyzing, configuring, and supporting financial modules within Medicaid Management Information Systems (MMIS), including Accounts Receivable (AR), Accounts Payable (AP), and Fiscal Management functions. The role involves working closely with clients, stakeholders, and technical teams to define require

Easy Apply

Full-time

$60,000 - $80,000

Business Analyst with Financial Domain

Remote

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2d ago

Responsibilities Configure accounts receivable processing tasks including setting up accounts receivable, developing reports specifications to on accounts receivables. Assess client AR business operations and configure or develop new processes for configuring the financial system. Knowledge in the following business processes Experience in Provider Recoupment in a Payer setup Manage Recoveries Manage AR funds Configure accounts payable processing tasks including set up accounts payable, develop

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Full-time, Part-time, Contract, Third Party

Business Analyst with Medicaid/Medicare

Remote

•

2d ago

Responsibilities Must have very good understanding of the healthcare payer space with a minimum experience of 10 years in the domain. Must have a prior experience in implementing/maintenance of commercial payer claims solution and/or Medicare/Medicaid system Must have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts. Must have good experience in Reference code/data sets required in Claims adjudication including not limited to

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Full-time, Part-time, Third Party, Contract

Lead Data Scientist - Clinical Informatics (Clinical Data Standards)

Remote or New York

•

Today

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health's Analytics & Behavior Chan

Full-time

USD 130,295.00 - 260,590.00 per year

Senior Data Scientist - Clinical Informatics (Analytics Enablement)

Remote or New York

•

Today

Full-time

USD 101,970.00 - 203,940.00 per year

Lead Data Scientist - Clinical Informatics (Claims Specialization)

Remote or New York

•

Today

Full-time

USD 130,295.00 - 260,590.00 per year

Sr AI/ML Engineer - Remote Nationwide or Hybrid in MN/DC

Remote or Eden Prairie, Minnesota

•

Today

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together. Come build th

Full-time

USD 120,100.00 - 214,500.00 per year

Sr. Analytics Engineer/BI Developer - Part time (Databricks + Tableau + Azure Healthcare Data)

Remote

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10d ago

100% remote work. Part-time position (20 hrs/week), but the candidate MUST be available to work during normal business hours. This is a hybrid Analytics Engineering and BI Development role focused on Azure Databricks, Tableau dashboards, healthcare data pipelines, and analytics delivery. Our client is looking for a Senior Analytics Engineer / BI Developer with strong Azure Databricks and Tableau expertise to support a major healthcare analytics initiative. This role combines hands-on data engine

Easy Apply

Part-time

50 - 65

Technical Business Analyst

Remote

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6d ago

Must have very good understanding of the healthcare payer space with a minimum experience of 10 years in the domain.Must have a prior experience in implementing/maintenance of commercial payer claims solution and/or Medicare/Medicaid systemMust have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts.Must have good experience in Reference code/data sets required in Claims adjudication including not limited to CPT, CDT, HCPCS, IC

Easy Apply

Contract, Third Party

$46

Senior Data Analyst

Remote

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10d ago

Role Summary We are looking for a Senior Data Analyst with 10+ years of experience at the intersection of SQL, medical coding (CPT-4, ICD-10), and healthcare revenue cycle operations. This is a senior individual contributor role requiring deep technical expertise, strong domain knowledge, and a proven record of translating healthcare data into measurable financial and clinical impact. Key Responsibilities Develop and maintain MySQL/MSSQL stored procedures, batch-scripted reporting systems, and

Easy Apply

Full-time

85000 - 95000

Medical Claims Auditor (Remote - Texas)

Remote or Dallas, Texas

•

Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The Medical Claims Auditor is responsible for reviewing and analyzing medical claims to ensure accuracy, compliance, and adhere

Full-time

USD 50,000.00 - 55,000.00 per year

Medical Claims Auditor (Remote - Texas)

Remote or Austin, Texas

•

Today

Full-time

USD 50,000.00 - 55,000.00 per year

Medical Claims Auditor (Remote - Texas)

Remote or Houston, Texas

•

Today

Full-time

USD 50,000.00 - 55,000.00 per year

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HCPCS jobs in Tampa, FL, USA