5 coder professional jobs found in Fort Lauderdale, FL

Job Description Job Description Hybrid-Sunrise, Florida Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud...

Non-Clinical - Health and Information Management Settle down without settling. Whether you have your eye set on a specific hospital or found a place you'd love to call home, we can help. As the nation's largest healthcare staffing agency, we'll get you in the door faster through our strong, established relationships with top hospitals in the U.S.

Location: On Site - Fort Lauderdale, Florida Salary: $65,000+ depending on experience Skills: Revenue Cycle Management (RCM), Medical Billing, ICD/CPT/HCPCS Coding, Team Leadership, Claims Management About the Health Care Company / The Opportunity: Join a respected leader within the health care industry, dedicated to operational excellence and continuous improvement in revenue cycle management. This is an exciting opportunity for an experienced professional to oversee a high-performing billing and coding team in a fast-paced, dynamic environment. As a Medical Billing/Coding Supervisor, you will play a pivotal role in ensuring regulatory compliance, claim accuracy, and timely reimbursement to support quality patient care and organizational growth. Responsibilities: Supervise a team responsible for translating services, diagnoses, and equipment into accurate ICD, CPT, and HCPCS codes. Oversee the preparation and submission of insurance claims, ensuring...

Medical Center Supervisor (62723) Sanitas Medical Centers Join to apply for the Medical Center Supervisor (62723) role at Sanitas Medical Centers. Get AI-powered advice on this job and more exclusive features. Job Summary “Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.” The Medical Center Supervisor will be in charge of managing and operating medical practices across all specialty disciplines and clinic sites. They provide medical specialists with the resources necessary to meet patient needs and financial objectives. Management and leadership skills are essential to the success of this position, with a...

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Responsible for auditing physician evaluation and management and procedures coding and billing to ensure they meet the official coding guidelines, medical necessity and compliance with regulatory requirements. Responsibilities: Prepare formal audit report of audit background, steps and findings to presentation to executive leadership and the Board of Commissioners.Participates in investigations and responds to questions, issues, reports and formal inquiries by federal and state agencies of possible violations or non- compliance matters raised by employees, patients, physicians and the public.Monitor and assess compliance with state and federal laws and the System's policies and procedures to identify...