37 jobs found in Doral

Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at www.mindlance.com. Job Description Business Medical Coder Location: 5775 Blue Lagoon Dr., Miami, FL 33126 Contract: 3 Months Qualifications Role Review of denial on adjudicated claim that is classified as a code edit denial. Request and review supporting documentation (medical records) when needed. Once review is complete contact provider by phone to provide rationale as to whether we will overturn (pay) the denial or if it is upheld. Qualifications CPC-A with coding experience Knowledge/experience of CPT, ICD-9, and ICD-10 coding Comfortable with making outbound calls to provider offices If you are available and interested then please reply me with your “Chronological Resume” and call me on (678)-405-3590. Additional Information Thanks & Regards, #J-18808-Ljbffr

Cano Health is seeking a Risk Adjustment Coder III to accurately assign ICD-10-CM codes and review medical records to ensure proper HCC capture in a compliant environment. The role requires five years of risk adjustment coding experience, CPC/CCS certification, and strong ICD-10-CM knowledge. You will collaborate with clinical teams and support audits in a fast-paced, high-volume setting. #J-18808-Ljbffr

The University of Miami Department of Human Genetics is seeking a Per Diem Billing Specialist for a part-time hybrid role in Miami. Responsibilities include assisting with billing inquiries, processing claims, and maintaining accurate patient and invoice records. The ideal candidate has a High School Diploma or equivalent, at least 1 year of relevant experience, and strong communication and teamwork skills to collaborate with patients, insurers, and care providers. #J-18808-Ljbffr

A healthcare staffing firm is looking for a Compliance Auditor in Miami, FL. The role involves ensuring compliance with regulations, preparing audit reports, and assisting with departmental issues. Applicants should have a High School Diploma/GED and at least 2 years of experience in healthcare regulatory compliance. The position offers a competitive salary ranging from $40,000 to $60,000 annually along with excellent medical benefits including dental, vision, and a 401k. #J-18808-Ljbffr

A national recruiting company is seeking a Business Medical Coder in Miami. The role involves reviewing coded claims, requesting medical documentation, and communicating with providers about claim denials. Applicants should have coding experience, specifically CPC-A certification along with knowledge of CPT, ICD-9, and ICD-10. This contract position lasts for 3 months and requires comfort in making outbound calls to provider offices. #J-18808-Ljbffr

It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.Job SummaryThe Risk Adjustment Coder III is responsible for the accurate and timely assignment of medical diagnosis codes in accordance with established risk adjustment models, coding guidelines, and organizational standards. This role performs high-volume, production-based coding and chart review activities, following defined policies and procedures to ensure compliance and data accuracy. This position applies advanced coding knowledge but operates within established guidelines, with work subject to quality review and audit.Duties & ResponsibilitiesEssential Duties & ResponsibilitiesMedical Coding and DocumentationAssign ICD-10-CM diagnosis codes based on medical records, clinical documentation, and encounter data in accordance with established coding guidelines.Perform...

The University of Miami/UHealth Miami Transplant Institute is looking for a Full Time Medical Biller in Miami to compile amounts owed and maintain invoices and payments records. You will support accurate patient billing and assist with inquiries from patients, insurers, and labs. The role requires attention to detail, ability to adapt to changing priorities, and teamwork. The University offers competitive salaries and a comprehensive benefits package. #J-18808-Ljbffr

Medical Biller The University of Miami/UHealth Miami Transplant Institute has an exciting opportunity for a Full Time, Medical Biller to work in Miami. Core Job Summary: The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records. Core Responsibilities: Assists patients, insurance companies, and laboratories with inquiries regarding billing issues. Reviews records for patient information, insurance information, service descriptors, diagnosis codes and managed care authorization requirements, and coordinates corrections. Prints daily appointment voucher report and reconciles all vouchers to report. Enters, reviews, and retrieves patient account information from system and ensures accuracy. Submits completed batches to appropriate billing offices daily. Follows up on claims submitted routinely to monitor payment status. Transmits coded patient treatment information to payers and other recipients. Coordinates insurance...

Job Description We are seeking a Medical Biller who will follow through with timely follow up for all assigned accounts utilizing AR Reports and ensuring timely collection of all outstanding balances. Must prepare appeals for denials and understand denial management, as well as ICD10 and CPT4 coding. Qualifications 2-3 years of experience with medical billing, coding and collections for a hospital or physician's group. Strong knowledge of reviewing charges and credits Advanced knowledge of medical terminology Understand payer guidelines Understand preparing appeals for denials Basic knowledge of ICD9, ICD10, CPT Codes College preferred, HS Diploma required Strong computer skills, MS office suite Excellent communication skills in person and over the phone. Additional Information Hours for this Position: Advantages of this Opportunity: Competitive salary $13.75 - $16.75 per hr Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO #J-18808-Ljbffr

Genuine Health Group Llc in Miami, FL is seeking a Medical Biller responsible for submitting accurate provider encounters and clean claims to insurers, while monitoring denials and ensuring timely reimbursement. This role requires proficiency with CPT/ICD-10 coding, billing software, and EMR systems. Travel to Miami-Dade, Broward and Palm Beach counties is up to 25%. The position emphasizes collaboration with providers and billing teams to resolve discrepancies and maintain compliant #J-18808-Ljbffr

The Medical Biller at Genuine Health Group is responsible for ensuring all providers’ encounters are coded, billed and submitted in a timely manner to insurance companies, while also monitoring and resolving denials through company billing portals. This role supports clean claim submission and compliance with payer and CMS guidelines. Essential duties include reviewing encounters, submitting claims, resubmitting denied claims, and communicating with clinicians to resolve documentation issues. #J-18808-Ljbffr

Miami, FL Full-Time Health Information Management Jackson Health System Full Time Summary The HIM Coding Compliance Auditor 1 analyzes abstracted/coded data for the purpose of ensuring accuracy and timeliness as it relates to DNFB management, quarterly AHCA data submissions and PFS communication. Responsibilities Reviews quality of coded and abstracted data assuring coding compliance within the Jackson Health System. Performs target and focused MS-DRG, APC, CPT, Case mix and Medical Necessity reviews. Identifies monitors and corrects rejected claims due to HIM coding. Works as a liaison with PFS and other internal departments to serve as a communicator/problem-solver for hindrances that prevent reimbursement. Based on new coding requirements, audit findings, RACs, MACs, etc. prioritizes and supports develops training/education protocols for UHS hospital coders in ICD-9-CM, CPT-4, APCs, Emergency Room Evaluation and Management Coding, Level II coding guidelines, modifier guidelines,...

Univista Holdings in Miami, FL is seeking an Auditor/Compliance Specialist to ensure adherence to company policies, industry regulations, and internal standards. The role combines traditional auditing with evaluating operations, processes, and documentation. The ideal candidate has experience in insurance auditing (auto/home preferred), strong analytical skills, and proficiency with Microsoft Office and audit software. #J-18808-Ljbffr

The University of Miami/UHealth, Katz Center Department seeks a full-time Supervisor, Laboratory Services to provide technical direction and support for technologists and staff on the UHealth campus. This role includes supervising test performance, managing reports, and ensuring adherence to quality and policy standards. Qualifications include a Bachelor's degree and at least 3 years of relevant experience, with leadership, training, and strong communication skills. #J-18808-Ljbffr

At Houston Methodist, the Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to outpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate's degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant outpatient coding experience or completion of the Houston Methodist Coding Apprentice Program LICENSES AND CERTIFICATIONS Required Must have one of the following:-RHIT - Certified Health Information Technician (AHIMA)-RHIA - Registered Health Information Administrator (AHIMA)-CCS - Certified Coding Specialist...

Summary The Medical Biller is responsible for ensuring all providers’ encounters are coded, billed and submitted in a timely manner to insurance companies, while also monitoring and resolving any rejections or denials through company billing portals. This position is essential to ensuring clean claim submission, reducing delays in reimbursement, and supporting compliance with payer and CMS guidelines. Review, verify and submit provider encounters for accuracy in coding and documentation. Ensure timely and clean claim submission through appropriated billing software. Correct and resubmit rejected claims with proper supporting documentation or edits. Communicate with providers and clinical teams as needed to clarify documentation or encounter issues. Work closely with internal MRA coders to resolve discrepancies in diagnosis or procedures codes. Maintain billing logs and status update to ensure all encounters are accounted for and processed. Identify trends in denials or...

Medical Biller The University of Miami/UHealth Miami Transplant Institute has an exciting opportunity for a Full Time, Medical Biller to work in Miami. Core Job Summary The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records. Core Responsibilities Assists patients, insurance companies, and laboratories with inquiries regarding billing issues. Reviews records for patient information, insurance information, service descriptors, diagnosis codes and managed care authorization requirements, and coordinates corrections. Prints daily appointment voucher report and reconciles all vouchers to report. Enters, reviews, and retrieves patient account information from system and ensures accuracy. Submits completed batches to appropriate billing offices daily. Follows up on claims submitted routinely to monitor payment status. Transmits coded patient treatment information to payers and other recipients. Coordinates insurance reimbursements...

A leading healthcare organization is seeking a Remote Medical Administrative Assistant / Patient Support Specialist. This remote role involves scheduling appointments, maintaining patient records, and providing excellent patient support. Ideal candidates should possess strong communication skills, attention to detail, and familiarity with medical terminology. The position offers competitive pay rates, flexible scheduling, and comprehensive employee benefits. Join our team to make a difference in the lives of athletes and patients! Apply now! #J-18808-Ljbffr

Medical Record Audit / Coding Auditor Miami, Florida, United States About the Job Our client is a contracting and data management services organization dedicated to primary care physicians throughout Florida. In this role you are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity. To develop and implement policies to support the clinical coding audit function Receive, review and communicate findings on patient billing coding related complaints. Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers Prepare reports as required relative to these monitoring and review...

Mount Sinai Medical Center in Florida seeks an experienced Inpatient Coding Specialist to code and abstract inpatient charts using ICD-10-CM and ICD-10-PCS. The role requires 95% accuracy, remote Florida-based work, and familiarity with Epic and 3M 360 Encompass. Responsibilities include selecting diagnoses/procedures, validating DRGs, maintaining coding guidelines, and pursuing ongoing coding education. Florida residency is required for this remote position, with strong attention to detail and #J-18808-Ljbffr