6 jobs found in Hialeah

Job Description Job Description Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25–35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology . The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission....

Job Description Job Description Position Summary: Medical Record Coder is responsible for timely review and completion of all discharged patient records in order to identify an appropriate selection of ICD-10-CM/CPT codes that will accurately reflect the patients stay while in the facility. Coder is further responsible for insuring that all data elements required for federal and state reporting are collected; coded data will facilitate the billing process with regards to coding and assignment of APC/MS DRG.   Position Qualifications: EDUCATION: High school diploma or College degree equivalent plus certification preferred. TRAINING: Orientation and training under supervision of Director and Coding Manager until competency is observed. ABILITIES AND SKILLS: Requires eye hand coordination with good manual dexterity. EXPERIENCE: 2-3 years coding experience in an acute care facility. Must be able to look at computer CRT most of the day and must be computer...

Posterity Group LLC is a veteran owned, service-disabled small business, headquartered in Rockville, MD, that specializes in federal government contracting and staffing. We are tasked with staffing The Richard L. Roudebush VA Medical Center with Medical Coders. The Medical Coder is expected to do the following: Accurately attaching images to the appropriate electronic health record elements. Verifying that images are uploaded correctly and are legible for viewing. Locating Financial Identification Numbers (FINs) and accurately linking documents to the correct veteran record. Indexing documents within the correct section, note title, date of service, and visit location. Performing 100% internal QA on all work before submission. Requirements Knowledge and understanding of medical clinics and clinical documentation. Ability to locate Financial Identification Numbers (FINs) and accurately link documents to the correct veteran record in Cerner/Oracle. Ability to index documents within...

Position Responsibilities Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment guidelines and HCCs (hierarchical condition categories) Reviews medical record to ensure all diagnosis codes are documented for the assignment of a valid and accurate HCC for each episode of care Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding Demonstrates understanding of risk adjustment payment models Uses clinical reasoning and critical thinking skills to discern the financial impact of a query in order to prioritize efforts most efficiently Completes patient medical chart review within 24-48 hours of visit completion Responsible for maintaining active status of coding credentials and completes annual continued education hours. Observes work hours and provides proper notice...

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital...

Position ResponsibilitiesDemonstrates knowledge of coding and documentation standards as well as CMS risk adjustment guidelines and HCCs (hierarchical condition categories)Reviews medical record to ensure all diagnosis codes are documented for the assignment of a valid and accurate HCC for each episode of careRegularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reportsQueries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment codingDemonstrates understanding of risk adjustment payment modelsUses clinical reasoning and critical thinking skills to discern the financial impact of a query in order to prioritize efforts most efficientlyCompletes patient medical chart review within 24-48 hours of visit completionResponsible for maintaining active status of coding credentials and completes annual continued education hours.Observes work hours and provides proper notice regarding absences...