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TC
Remote Medical Coder- Risk Adjustment
The CSI Companies Miami, FL, USA
Title of Job: Medical Coder - HCC Are you an experienced coder looking for your next career move and not just the next contract position? Do you want to fast-track your career by working for one of the most innovative and reputable healthcare companies in the world? Do you enjoy working from home and the having the opportunity to make overtime pay occasionally? Then please keep reading! The CSI Companies is hiring a Remote Medical Coding Consultant-HCC for our Fortune 100 healthcare client. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area.As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest. Title of Job: Remote...

Dec 05, 2023
CR
Medical Record Audit / Coding Auditor
CRD Miami, FL, USA
About the job Medical Record Audit / Coding Auditor 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 activities. Work...

Dec 05, 2023
BI
Senior Associate Director, Medical Science Liaison-IPF/ILD (any US location)
Boehringer Ingelheim Miami, FL, USA
Description The Sr. AD, Medical Science Liaisons will manage a regional therapeutic area specific MSL team. Leveraging a strong background in leading medical field based teams and frequent and consistent field based interactions with MSLs, the Sr. AD, Medical Science Liaisons will be expected to manage MSLs in the areas of planning and execution to ensure they engage in scientific exchange and insight generation - to result in demonstrable outcomes from the efforts of the team. Sr. AD, Medical Science Liaisons are empowered to make decisions and drive results, which will require a scientific background, strong business acumen, and communication and coaching/ development skills to lead the MSL team.As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to...

Dec 05, 2023
CH
Risk Adjustment Coder
Cano Health Miami, FL, USA
Overview: Cano Health fosters a culture driven by providing superior primary care services in the communities we serve, while forming lifelong bonds with our members. Guided by our mission to improve the health, wellness, and quality of life of our patients, Cano Health continues to work towards making a difference in primary healthcare. At Cano Health, our cultural attributes are to be patient centered, service focused, results oriented, trustworthy, transparent, and to continuously improve. Join our collaborative team, dedicated to the pursuit of excellence in health and wellness. Cano Health offers competitive salaries, medical, dental & vision insurance, employee mental health program, paid time off, paid holidays, 401(k) with employer match, employee stock purchase program, tuition reimbursement and much more. The Risk Adjustment Coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical...

Dec 05, 2023
Uo
Sr. Medical Biller - Biller
University of Miami Miller School of Medicine Miami, FL, USA
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 using the Career worklet, please review this tip sheet. The Central Business Office has an exciting opportunity for a Full-time Medical Collector to work Remote. The Senior 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. * Reviews and releases all physician charges from the assigned WQ's in a timely fashion. * Reviews encounters received for all pertinent information: patient demographic information, guarantor and insurance information, place of service, referrals, claim info record, and managed care authorization requirements. * Runs insurance eligibility and fixes registration...

Dec 05, 2023
Sk
REMOTE MEDICAL CODING AUDITOR
Skiltrek Miami, FL, USA
JOB DESCRIPTION -Responsible for conducting audits according to the Internal Audit Program standards and specifications -Prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues. Ensures review findings are clear and accurate; responsible for reporting audit trends as an opportunity for education, training, and corrective actions. -Interacts with physicians, APPs, coders, and other appropriate staff regarding billing an documentation policies, procedures, and regulations. Conducts audit presentations and on-demand trainings of providers (future). -Stays current with AHA Official Coding and Reporting Guidelines, CMS, and other agency directives for ICD-10-CM and CPT coding -Completes online education courses and attends mandatory coding workshops and/or seminars (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding -Reviews AHA and CPT quarterly coding update publications...

Dec 05, 2023
TU
Supervisor, Medical Collections
The University of Miami Miami, FL, USA
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 using the Career worklet, please review this tip sheet. The Central Business Office has an exciting opportunity for a Full-Time Supervisor, Medical Collections to work Remote - S. Florida. The Supervisor, Medical Collections oversees staff responsible for third-party medical collections to ensure that outstanding accounts are resolved efficiently and accurately. Further, the Supervisor Medical Collections acts as department expert on collection rules and regulations, and mentors collection staff. Supervises and trains collection staff and prepares performance reports. Ensures timely payment of invoices and expenses and maintains accurate records and control reports. Advises upper management of any insurance denial trends to identify problems...

Dec 05, 2023
CR
Medical Record Audit / Coding Auditor
CRD Miami, FL, USA
About the job Medical Record Audit / Coding Auditor 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 activities. Work with...

Dec 05, 2023
PS
Associate Director, Medical Writing - REMOTE
Proclinical Staffing Miami, FL, USA
Proclinical is seeking a remote Associate Director, Medical Writing for a global healthcare organization. The Associate Director, Medical Writing is expected to deliver high quality regulatory documents in accordance with regulatory guidelines that meet ICH standards, project timelines, and specifications set forth for the projects and to act as a Medical Writing coordinator for the preparation of drug safety-related documents. The "hands-on" Medical Writer is responsible for preparing clinical summary documents, including (but not limited to) Integrated Summaries of Safety and Efficacy for NDAs, MAAs, and/or NDA Supplements/Type II variations in eCTD format. Must be eligible to work in the US. Job Responsibilities: Prepare/coordinate and deliver high quality clinical sections of submissions (IND/IMPD/NDA/MAA/sNDA) and responses to regulatory authorities in eCTD format as required. Interact with multi-disciplinary team members (regulatory, physicians, statisticians, clinicians,...

Dec 05, 2023
Sa
Medical Center Supervisor
Sanitas Miami, FL, USA
Job Details Job Location Miami Dade - Palmetto Bay - Miami, FL Position Type Full Time Education Level 2 Year Degree Travel Percentage Up to 5% Job Shift Any Description Sanitas is a global healthcare organization expanding across 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. Qualifications Position Summary The Medical Center Supervisor will be in charge of the successful management and operation of medical practices to include all specialty disciplines and clinic site. Provides all medical specialists with resources necessary to meet needs of patients and meet the financial objectives of the practice and group. Management and Leadership skills are essential to the...

Dec 05, 2023
Ra
Supervisor of medical billing and coding
Randstad Miami, FL, USA
Our client, a medical billing company is looking for a Supervisor with Medical Billing and Coding experience to join their team. If you are looking for an opportunity where you can grow your team, then this is the opportunity you've been looking for. Our client offers opportunities for advancement and has excellent benefits. If you live in Miami and have at least 5 years of Billing & Coding experience, then please apply ASAP to this posting or email your resume to reem.abuomar@randstadusa.com salary: $75,000 - $85,000 per year shift: First work hours: 8 AM - 5 PM education: Associate Responsibilities Supervise the coding and billing of medical procedures and diagnoses. Must have experience with ICD-10-CM (International Classification of Diseases), CPT Code (Current Procedural Terminology Code), and HCPCS (Healthcare Common Procedure Coding System). Review patient statements and manage accounts receivable. Conduct audits and coding reviews to ensure compliance...

Dec 04, 2023
MH
Sr. Data Analyst / Medical Coder (Medical Policies/Regulations) - REMOTE in CA
Molina Healthcare Miami, FL, USA
JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for...

Dec 04, 2023
TU
Supervisor, Medical Billing
The University of Miami Miami, FL, USA
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 using the Career worklet, please review this tip sheet. The Department of Miami Transplant has an exciting opportunity for a Supervisor, Medical Billing position. The incumbent supervises, orients, trains, and monitors the performance of staff responsible for third party medical collections. This position processes and collects primary care and specialties accounts and ensures department compliance with applicable guidelines and regulations. CORE JOB FUNCTIONS Assists medical collectors with day-to-day collections issues and serves as subject matter expert for department staff and management of the Third Party unit. Reviews various third party reports, distributes them to staff for appropriate collections actions and uses the paperless...

Dec 04, 2023
IA
Bi-lingual Spanish Patient Support Medical/Biller Claims Processing Representative (Home-Based)
IQVIA Argentina Miami, FL, USA
Bi-lingual Spanish Patient Support Medical Claims Processing Representative Contract Remote Role – Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product’s value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world’s largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support,...

Dec 04, 2023
NH
Medical Billing Specialist***Not a Remote Position***
National Health Transport Miami, FL, USA
Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical Billing Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities : Promotes, develops, and fosters the mission, vision, and values of National Health Transport Inc. Provides the highest level of customer service to a wide variety of internal and external customers Manage and maintain National Health Transport Inc. billing processes. File complaints with the appropriate payer or their governing authority. Identify and separate denials by code and payer Follow through with payers correspondence in a timely manner. Review account status routinely as required for each payer type; minimum of 20 days. Identify recurring denials and make necessary system changes to resolve them. Assist customers with their account information. File supplement...

Dec 04, 2023
Uo
Supervisor, Medical Billing
University of Miami Miami, FL, USA
Supervisor, Medical Billing page is loaded Supervisor, Medical Billing Apply locations Miami, FL time type Full time posted on Posted 30+ Days Ago job requisition id R100062694 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 using the Career worklet, please review this tip sheet . The Department of Miami Transplant has an exciting opportunity for a Supervisor, Medical Billing position. The incumbent supervises, orients, trains, and monitors the performance of staff responsible for third party medical collections. This position processes and collects primary care and specialties accounts and ensures department compliance with applicable guidelines and regulations. CORE JOB FUNCTIONS Assists medical collectors with day-to-day...

Dec 04, 2023
MH
Certified Coder (Data Analyst Required) - REMOTE - CA ONLY
Molina Healthcare Miami, FL, USA
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management, data...

Dec 04, 2023
RP
Lead Valet Supervisor at The Lennar Foundation Medical Center
Reimagined Parking Miami, FL, USA
Job Description Job Description Description Who You’ll Work For? The Reimagined Parking family of nationally recognized brands–Impark, Lanier, Republic Parking, AmeriPark, and ParkOne—is the world's leading tech-powered, people-driven parking solutions provider. Our workforce of 8,000 manages 3,400 high-density parking facilities across 500 North American cities, generating 34 million digital transactions annually. What You’ll Do The Valet Supervisor ensures the safe and efficient parking of guest vehicles while delivering service that exceeds our customer/client’s expectations. This position is responsible for responding quickly to customers’ requests and providing caring interactions with all guests at their assigned location. The Valet Ramp Supervisor works closely with fellow team members, Operations Manager, and/or Shift Supervisor to ensure that quality and safety standards are met at all times as well as adhering to state and local laws. Key Responsibilities Employee...

Dec 04, 2023
Ea
Medical Office Supervisor
ENT and Allergy Associates of Florida Miami, FL, USA
ENT and Allergy Associates of Florida has been serving the needs of our patients for 60 years. Join us and experience what it's like to take pride in being part of a dynamic team that is on the cutting edge. We are currently seeking a Medical Office Supervisor for a full-time, Monday - Friday position at our Miami office. Our practice provides comprehensive general and subspecialty ENT medical and surgical care within the convenience of one medical group. Patient care is our top concern, and because we can provide both diagnosis and rehabilitative services, our patients know they can depend on our team for all their needs. Medical Office Manager Description: Must be able to assist in the facilitate in planning and analyzing practice operations. Someone who is driven, self motivated and has the best interest of their team and providers in mind. Responsibilities: Recruiting, interviewing and hiring clerical and clinical staff Coach and develop staff while promoting...

Dec 03, 2023
VM
Risk Adjustment Coder - Kendall
VivaMas Medical Centers Miami, FL, USA
Job Description Job Description At Viva Mas Medical Centers, we are guided by the saying “The Hands that Care for You.” We are growing and are looking for great people to join our mission! En los Centros Médicos Viva Más, nos guiamos por el lema “Las manos que te cuidan”. ¡Estamos creciendo y buscamos personas buena para unirse a nuestra misión! We currently have an opportunity for a Risk Adjustment Coder for our Kendall location. Position Overview: We are seeking a skilled and detail-oriented Risk Adjustment Coder to join our dynamic team. As a Risk Adjustment Coder, you will be responsible for accurately coding and documenting medical records to ensure that our organization receives appropriate reimbursement for services rendered. You will closely collaborate with healthcare providers, coding auditors, and billing teams to ensure compliance with coding guidelines and successfully identify and document all relevant diagnoses for risk adjustment purposes. The...

Dec 03, 2023
GH
Medical Coding Auditor
Gastro Health Miami, FL, USA
About the Medical Coding Auditor position We are looking for a skilled Medical Coding Auditor to join our revenue cycle department and will be responsible for conducting audits according to the Internal Audit Program standards and specifications. A successful candidate should be highly responsible and keep close attention to detail. We also expect you to be good in supervised teamwork and able to meet tight deadlines. Medical Coding Auditor responsibilities are: Responsible for conducting audits according to the Internal Audit Program standards and specifications. Prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues. Ensures review findings are clear and accurate; responsible for reporting audit trends as an opportunity for education, training, and corrective actions. Interacts with physicians, APPs, coders, and other appropriate staff regarding billing and documentation policies, procedures,...

Dec 01, 2023
Qa
Bilingual Medical Billing Specialist – 100% Remote - Immediate Opening - Portuguese, Italian or German
QUAD, a SolomonEdwards Company Miami, FL, USA
Bilingual Medical Billing Specialist – 100% Remote - Immediate Opening - Portuguese, Italian or German QUAD is currently seeking a bilingual Medical Billing Specialist for an organization in the Philadelphia area. This is a 100% remote position. Bilingual- fluent in English and one or more foreign languages required, such as Portuguese, German, or Italian The Medical Billing Specialist will be responsible for communicating with health institutions (pharmacies, hospitals, etc.) to ensure members are delivered appropriate services and will be resolving contracted claims and financial inquiries from providers, facilities, and vendors. This position accurately records bank account information and direct international payments , as well as other duties, as assigned. Responsibilities: Researches and resolves escalated claims issues reported by contracted providers and facilities. Works effectively with colleagues in Claims, Finance, the Global...

Nov 20, 2023
TU
Supervisor, Medical Billing
The University of Miami Miami, FL, USA
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 using the Career worklet, please review this tip sheet. The Department of Miami Transplant has an exciting opportunity for a Supervisor, Medical Billing position. The incumbent supervises, orients, trains, and monitors the performance of staff responsible for third party medical collections. This position processes and collects primary care and specialties accounts and ensures department compliance with applicable guidelines and regulations. CORE JOB FUNCTIONS Assists medical collectors with day-to-day collections issues and serves as subject matter expert for department staff and management of the Third Party unit. Reviews various third party reports, distributes them to staff for appropriate collections actions and uses the paperless...

Oct 31, 2023
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