56 jobs found in Miami

Medical Necessity Coder 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 relationships with patients and...

Nurse Supervisor Medical Surgical Ignite your leadership journey as a Nurse Supervisor Medical Surgical in southern Floridawhere Med-Surg excellence, patient-first impact, and sunny lifestyle come together for an unforgettable career adventure! As a Nurse Supervisor Medical Surgical, this healthcare organization offers a mission-driven, patient-centered culture that consistently delivers strong clinical outcomes and high patient experience; forward-thinking operations with robust quality analytics, streamlined workflows, and clinician-friendly tools; recognized nursing excellence with shared governance, evidence-based practice support, and collaborative physician partnerships; innovation in care delivery such as virtual nursing, hospital-at-home pilots, advanced imaging, robotics, and AI-assisted decision support; and an award-winning workplace reputation with visible leadership, transparent feedback loops, and measurable investments in staffing, resilience, and wellbeingmaking...

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 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...

TEKsystems is seeking an experienced healthcare coder to audit inpatient, ambulatory, observation and outpatient encounters for compliant reimbursement and regulatory alignment. You will apply ICD-10-CM/PCS and CPT-4 coding knowledge to ensure accurate APR-DRG assignments and documentation quality. Based in EST or CST, you will train staff, collaborate with CDI and hospital departments, and uphold AHIMA ethics. #J-18808-Ljbffr

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 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 professional fee vendor-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...

JM Family Enterprises, Inc. is seeking a Compliance Auditor to provide independent assurance on the design and operation of key controls, and to validate regulatory compliance with SETF policies, procedures, and state/federal rules. The role collaborates with operations and senior management to review and test controls across the business. The position supports ongoing testing, vendor reviews, and process improvements, with opportunities to lead audits and present findings to management. #J-18808-Ljbffr

Nicklaushealth seeks a Sr Billing Compliance Auditor to monitor NCPS coding and documentation for professional fee services, conducting independent reviews to ensure compliant practices. You will partner with NCPS administrators to communicate findings and support required actions, acting as the subject matter expert in professional fee coding and documentation. The role emphasizes accuracy in CPT/HCPCS/ICD-10-CM and alignment with CMS and Florida Medicaid requirements, audits, trends, and #J-18808-Ljbffr

The Compliance Auditor provides independent and objective assurance services to determine the design and operating effectiveness of key controls and validate compliance with SETF policies and procedures, federal and state regulations, and other client, regulatory, or legal guidelines relevant to our core business. The Compliance Auditor works closely with operational teams and senior management in the review and testing of compliance controls. Responsibilities Analyzing potential risks within specific areas of the company to avoid compliance issues Inspecting and validating control enhancements and process changes implemented to mitigate risk Conducting ongoing testing of internal processes as assigned by the Compliance Manager or Chief Compliance Officer to ensure compliance with policies and procedures Maintaining a high level of independence to assure the effectiveness of internal controls, business processes, policies, procedures, and regulatory compliance Documenting...

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...

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...

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

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...

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...

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...