2 jobs found in Coral Gables

Description: Coordinate compliance of all Baptist Health entities with certain laws, regulations, rules and internal policies applicable to the healthcare industry and the submission of claims through the performance of independent audits of specific areas/functions in order to assess compliance with BHSF‘s Code of Ethics. Note\: This role is Hybrid, Estimated salary range for this position is $64513 - $83866 / year depending on experience.   #LI-POST Degrees\: Bachelors Additional Qualifications\: A bachelor degree in nursing, healthcare administration, business or related discipline. Three years experience working in a large healthcare organization. Knowledge of Medicare/Medicaid laws. Superior interpersonal, analytical and computer skills, as well as the ability to work independently. Must have the appropriate background and knowledge needed to assess clinical documentation and medical record coding and to analyze data and identify trends and outliers....

About Us: We are a service-based company and as a licensed Third-Party Administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We’re an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach. Responsibilities: Responsibilities for Medical Coder • • Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. • Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations. • Follow up with the provider on any documentation that is insufficient or unclear. • Communicate with other clinical staff regarding documentation. • Search for information in cases where the coding is complex or unusual. • Receive and review patient charts and documents for accuracy. • Review...