53 jobs found in Miami

Job Description - Sr Compliance Auditor (301657) Job Description Sr Compliance Auditor - 301657 Description Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider‑coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Specific Duties Conduct audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise...

Job Description Job Description SUMMARY: In-person Full Time Billing Specialist performs diagnosis and procedural coding to individual patient health information for data retrieval, analysis, and claims processing. DUTIES AND RESPONSIBILITIES: Reviews the patient ‘s medical record for accurate and complete documentation prior to coding. Works closely with the physician coordinator regarding discrepancies found in patient’s record prior to claim submission Codes for assigned physicians, locations, and/or departments from review of medical record documentation. Applies knowledge of current coding and billing requirements to assure claims are submitted correctly Brings identified concerns and trends to the manager/team lead for resolution. Reviews coding and billing worklists and resolves claim rejections. Enters patient demographic information and verifies patient insurance coverage QUALIFICATIONS : Working knowledge of CPT and ICD10 coding...

Jackson Memorial Perdue Medical Center Department: Jackson Memorial Perdue Medical Center. Address: 19590 Old Cutler Road - Miami, FL 33157. Shift details: Full-Time, Evenings 3:00pm-11:30pm. Why Jackson Memorial Perdue Medical Center Jackson Memorial Perdue Medical Center is a long-term-care facility located on a beautiful 11-acre campus in South Dade. The medical center is a licensed, 163-bed skilled nursing and rehabilitation facility. We provide care for a diverse cultural population of younger and older adults. Summary Nurse Supervisor, SNF oversees a team of staff in the absence of the Nurse Manager or department Director and acts independently to provide crisis management, interpret policy, make timely decisions that directly impact patient care, ensures effective communication and collaboration among departments. Key responsibilities are administrative in nature and include assigning coverage and on-call schedules, patient assignments to nurses on the team, overseeing the...

Supervisor, Medical Technologists The Supervisor, Medical Technologists provides leadership and supervision for clinical laboratory procedures, quality assurance, and instrument maintenance. Core Job Functions: Supervises, orients, trains, evaluates, and monitors on-the-job performance of staff responsible for performing microbiological, molecular biological and immunological tests on body specimens to provide data for use in treatment and diagnosis of disease. Verifies identification of specimen with physician's orders. Prepares specimen for testing and handles all specimens in a safe and careful manner. Supervises all research and prepares all pertinent patient data and refers to pathologists for evaluation and sign-out. Assists in monitoring staff productivity and quality of work through proactive reviews of attendance and scheduling accuracy. Initiates performance management processes that address on-going performance issues. Recognizes test inconsistencies and takes...

Laboratory Supervisor (Aventura) 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...

Job Summary The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider‑coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring/auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Key Responsibilities Conduct audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serve as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Florida AHCA / Medicaid, and CMS regulatory requirements. Monitor professional fee vendor‑coding...

Overview Core Job Summary The Supervisor, Medical Technologists provides leadership and supervision for clinical laboratory procedures, quality assurance, and instrument maintenance. Core Job Functions Supervises, orients, trains, evaluates, and monitors on-the-job performance of staff responsible for performing microbiological, molecular biological and immunological tests on body specimens to provide data for use in treatment and diagnosis of disease. Verifies identification of specimen with physician’s orders. Prepares specimen for testing and handles all specimens in a safe and careful manner. Supervises all research and prepares all pertinent patient data and refers to pathologists for evaluation and sign-out. Assists in monitoring staff productivity and quality of work through proactive reviews of attendance and scheduling accuracy. Initiates performance management processes that address on-going performance issues. Recognizes test inconsistencies and takes appropriate...

Nicklaus Children's Health System is looking for a Senior Billing Compliance Auditor based in Miami. This role involves conducting audits and ensuring compliance with coding and documentation regulations for professional fee services. The ideal candidate will have extensive experience in medical billing and coding, and will serve as a key resource for compliance and quality improvement initiatives. The auditor will collaborate with various teams to uphold standards in pediatric billing practices and continuous quality improvement. #J-18808-Ljbffr

Overview TSP Talent Solutions has been retained by a global biopharmaceutical company specializing in severe orphan diseases to recruit an Associate Director, Medical Affairs – Southeast. This role serves as a key liaison to the medical and scientific community, focusing on building and maintaining relationships with leading experts in pediatric neurology and epilepsy across the Southeast. The position reports to the Medical Officer, North America within the North America subsidiary. Responsibilities Build, maintain, and manage professional relationships with Key External Experts (KEEs) to organize networks at state levels within their designated region Ensure appropriate dissemination of clinical and scientific information regarding marketed and pipeline compounds in a timely, ethical, and health care provider-focused manner Implement clinical and educational strategies in collaboration with other company colleagues for designated HCPs/KEEs, including organizing medical and...

The University of Miami is seeking a Supervisor, Medical Technologists to oversee clinical laboratory procedures and quality assurance. You will supervise and train staff, ensuring compliance with safety and quality standards. This full-time role requires a Bachelor's degree in a relevant field and a valid Florida Medical Technologist license. Enjoy a competitive salary and benefits package including medical, dental, and tuition remission. #J-18808-Ljbffr

Join Atlas Air Worldwide. Move the World with Us! At Atlas Air Worldwide, we're not just an airline, we're a global engine powering cargo, passenger, and leasing operations across more than 70 countries. As a leader in outsourced aviation logistics, we're built on a foundation of safety , service excellence , integrity , innovation , teamwork , and responsibility . With over 30 years of history, a modern all-Boeing fleet, and nearly 5,000 teammates collaborating across operations, technical, and corporate functions, we're driven by purpose. If you're ready to grow, innovate, and help us deliver excellence every single day, you belong here. Position Summary: This position will be responsible for assisting in gathering, tracking, auditing, and closeout of Safety and Operational Findings and Corrective Action Plans. Event investigations will be done at the direction of the SRC and in conjunction with other operational departments. Major Job Accountabilities:...

Description/Job Summary: Compliance Auditor/Authorized Representative Trainer Job Type: Full-Time Global K9 Protection Group LLC is looking for a dedicated and passionate Compliance Auditor/Authorized Representative Trainer to serve as an integral part of the security Team. Responsibilities: Ensures adherence to all federal aviation security regulations, Transportation Security (TSA) requirements, and industry standards across multiple operational regionals. This role combines comprehensive compliance auditing with the critical responsibility of training. The successful candidate will conduct audits of cargo handling procedures, legacy screening methods, security protocols, K-9 detection operations, and regulatory compliance programs, ensuring alignment with TSA regulations including 49 CFR Part 1540, 1544, 1546, and 1548, as well as all applicable Federal Aviation Administration (FAA) and Department of Homeland Security (DHS) requirements, while developing and...

Hospital Inpatient Coder Remote, Florida resident required 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...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The Uhealth Laboratories Department at the University of Miami has an exciting opportunity for a Supervisor, Medical Technologists. CORE JOB SUMMARY The Supervisor, Medical Technologists provides leadership and supervision for clinical laboratory procedures, quality assurance, and instrument maintenance. CORE JOB FUNCTIONS 1. Supervises, orients, trains, evaluates, and monitors on-the-job performance of staff responsible for performing microbiological, molecular biological and immunological tests on body specimens to provide data for use in treatment and diagnosis of disease. 2. Verifies identification of specimen with physician's orders. 3. Prepares specimen for testing and handles all specimens in...

Medical Biller The University of Miami/UHealth Department of Central Business Office has an exciting opportunity for a full-time Medical Biller to work in Miami, FL. The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records. Responsibilities include: Assisting patients, insurance companies, and laboratories with inquiries regarding billing issues. Reviewing records for patient information, insurance information, service descriptors, diagnosis codes and managed care authorization requirements, and coordinating corrections. Printing daily appointment voucher report and reconciling all vouchers to report. Entering, reviewing, and retrieving patient account information from system and ensuring accuracy. Submitting completed batches to appropriate billing offices daily. Following up on claims submitted routinely to monitor payment status. Transmitting coded patient treatment information to payers and other recipients. Coordinating...

Job Description Job Description Benefits: 401(k) matching Competitive salary Dental insurance Health insurance Paid time off About Us We are a fast-growing, innovative medical billing company committed to transforming the healthcare revenue cycle through technology, transparency, and top-tier customer service. Our team is passionate about simplifying the complexities of medical billing so healthcare providers can focus on what matters mostpatient care. We're seeking a highly motivated and experienced Charge Posting (Coder) Supervisor to join our leadership team and help us continue delivering exceptional results to our clients across the country. Job Overview As the Medical Coder Supervisor, you will lead group of certified coders to accurately review and approval encounters using industry coding guidelines, optimize workflow efficiency, and oversee a high-performing medical coding team. You'll be responsible for the training, on-going development, quality...

Physician Practice E&M Auditor Educator Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful...

Candidate should ideally be located in Miami, FL or Orlando, FL Monro’s family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach.  Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company’s regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color.  Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry.  Do you have what it takes...

Sr Billing Compliance Auditor The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services. Conducts independent ongoing reviews of vendor and provider-coded professional fee services to ensure practices meet federal requirements. Works closely with NCPS to communicate monitoring / auditing results and provide feedback to support necessary actions taken accordingly. Functions as the subject matter expert for professional fee coding and documentation, and partners with NCPS administrators to ensure consistent, compliant, and accurate coding practices. Job Specific Duties: Conducts audits of NCPS professional fee encounters to validate accuracy of CPT, HCPCS, ICD‑10‑CM, and modifier assignment. Serves as the coding, documentation, and billing expert for NCPS, ensuring focused expertise on pediatric, Fl AHCA / Medicaid, and CMS regulatory requirements. Monitors...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER_eRecruiting_ApplyforaJob.pdf) . The Central Business Office has an exciting opportunity for a full-time Sr. Medical Biller. The Sr. Medical Biller processes billing information in appropriate system and assists supervising staff in maintaining quality control of data by identifying potential problems, and offering and implementing solutions. This position is remote. CORE JOB FUNCTIONS Assists management with the training of new staff. Runs reports weekly on accounts and monitors to keep the contents at a minimum. Verifies all claims and ensures edits are collected and released in a...