45 jobs found in Miami

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 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 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 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 their families that...

A leading educational institution in Miami is looking for a Supervisor, Medical Collections (H) to oversee collections staff and ensure compliance with regulations. The role requires a minimum of three years of related experience, alongside a high school diploma. Responsibilities include processing insurance claims, managing accounts, and training staff. The organization offers competitive salaries and benefits, including medical coverage and tuition remission. #J-18808-Ljbffr

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 Department of UHealth Laboratories- IHL is currently seeking a Full-Time Sr. Medical Biller to work onsite in Miami. The incumbent in this position will process billing information in appropriate system and assists supervising staff in maintaining quality control of data by identifying potential problems and offering and implementing solutions. 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...

Job Title: Registered Nurse (Rn) We are seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. This role involves claims analysis, provider audits, fraud detection, and regulatory enforcement to ensure compliance with state and federal regulations. Key Responsibilities: Analyze claims data, medical records, and provider documentation to identify discrepancies, fraud, or non-compliance. Conduct retrospective case reviews, on-site provider audits, and recipient interviews. Review billing practices for upcoding, duplicate billing, and unbundling of services using ICD-10, CPT, and HCPCS manuals. Prepare reports, case findings, and recommend sanctions when violations are identified. Coordinate and participate in teleconferences, hearings, and legal proceedings with the Office of General Counsel and other agencies. Respond to provider complaints and compliance inquiries via hotline,...

Him Coding/Compliance Auditor 2 Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals. The HIM Coding/Compliance Auditor 2 analyzes abstracted, coded data for the purpose of ensuring coding accuracy. Serves as a resource for expert knowledge...

Inpatient Coder Do you have the career opportunities as an Inpatient Coder you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare. Our teams are a committed, caring group of colleagues. Do you want to work as a(n) Inpatient Coder where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Job Summary and Qualifications As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit, and/or validate the appropriate ICD-10 -CM and ICD-10- PCS codes. You will perform coding and/or code/DRG validation across multiple entities. What you will do in this role: Assigns, sequences, validates, and/or edits codes/DRGs and...

About the Role Join the Defense Health Agency (DHA) Medical Coding Program supporting military healthcare facilities nationwide. As a Medical Coder II, you’ll code ambulatory, emergency department, observation, and outpatient encounters , ensuring accuracy, compliance, and timely workload completion. This position is a great fit for coders who enjoy variety, steady workflows, and high-volume environments , and who want the consistency and credibility that come with supporting a federal healthcare mission—fully remote. Key Responsibilities Code: Day Surgery / APVs; Emergency Department encounters; Observation services; Outpatient specialty and primary care Assign accurate ICD-10-CM, CPT, HCPCS Ensure correct APCs and RVUs Resolve coding edit failures Meet DHA productivity and accuracy standards Required Qualifications 4+ years medical coding/auditing experience in 2+ specialties OR 2+ years coding experience within an MTF Active professional services coding...

A federal healthcare staffing agency is seeking a Medical Coder II to support military healthcare facilities across the nation. This fully remote position involves coding various encounters, ensuring accuracy and compliance with federal standards. Candidates should have significant experience in medical coding, relevant certifications, and the ability to work independently in high-volume environments. The role emphasizes productivity and accuracy in coding, making it ideal for detail-oriented professionals looking to contribute to a critical healthcare mission. #J-18808-Ljbffr

Job Description Entry-Level Medical Coder / Billing Assistant We are seeking a motivated Entry-Level Medical Coder / Billing Assistant to join our administrative team. This role is an excellent entry point into the healthcare field for individuals interested in medical billing and coding , with plenty of room to grow your skills and career. After a successful training period, a hybrid work schedule may be available. Key Responsibilities Accurately code medical procedures and diagnoses for billing and insurance claims Prepare and submit claims to insurance companies and/or patients Enter, update, and maintain patient and billing data in practice management/EMR systems Track outstanding claims and follow up on unpaid or denied accounts Communicate with patients regarding balances, payment options, and payment plans Maintain strict confidentiality and comply with HIPAA and all applicable healthcare regulations Qualifications High school diploma...

Jackson Memorial Perdue Medical Center Department: Jackson Memorial Perdue Medical Center Address: 19590 Old Cutler Road - Miami, FL 33157 Shift details: Part-Time with Benefits | Day Shift 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 Occupational Therapist 1 is professional work in administering occupational therapy programs in a county hospital and in homes. Occupation Therapists 1 are responsible for performing a full range of occupational therapy activities following physician prescriptions, and combining professional therapeutic skills with knowledge of fundamental theory and objectives of rehabilitation. Employees in this classification develop therapy treatment...

Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller with true experience, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients to obtain approvals from the portals as well. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone with a good personality. Responsibilities Assist clients with processing insurance claims through both portal for private insurance and Medicaid/Medicare Note and process all necessary forms from the...

Job Description We are seeking a motivated Entry-Level Medical Coder / Billing Assistant to join the administrative team. This position offers a great pathway into the healthcare field for individuals interested in medical billing and coding. Hybrid work is possible after the training period. Key Responsibilities Code medical procedures accurately for billing and insurance claims. Prepare financial reports and submit claims to insurance companies or patients. Enter and maintain patient data in administrative and billing systems. Track outstanding claims and follow up on unpaid accounts. Communicate with patients to discuss balances and develop payment plans. Maintain confidentiality and comply with HIPAA and all healthcare regulations. Qualifications High school diploma or equivalent required; healthcare coursework a plus. MediClear or equivalent HIPAA compliance credential required. Strong communication, organization, and time-management skills....

" 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." Job 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 sites. They provide all medical specialists with resources necessary to meet the needs of patients and meet the financial objectives of the practice and group. Management and Leadership skills are essential to the success of this position. The main focus of the Supervisor is to support a team of highly qualified and dedicated staff to provide quality medicine while creating and maintaining...

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...

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...

Miami, FL | Full-Time Health Information Management Summary HIM Inpatient Coder 1 is responsible for reviewing the clinical documentation contained in the in-patient health records to accurately assign and sequence ICD-9 diagnostic and ICD-9 procedure codes to inpatient records for use in reimbursement and data collection. Responsibilities Has the knowledge and experience to code In-patient medical records using ICD-9 and/or ICD-10 code set. Ensures all accounts are coded correctly, which will provide an accurate MS-DRG or APR-DRG for appropriate reimbursement. Ensures all accounts are coded within 4 days of the patient's discharge date, meeting productivity standards according to AHIMA Guidelines depending on record type. Verifies patient information to identify any discrepancies and ensures that all codes and any other abstracted information is applied to the appropriate patient's encounter. While reviewing the record for coding purposes, serves as a...

Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family. About the role: The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing effective Risk Adjustment processes. You will report into the Manager, Risk Adjustment. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be...

SUMMARY: Medical Coding Specialist performs diagnosis and procedural coding to individual patient medical records for data retrieval, analysis, and claims processing. This is a hybrid position initially required in office presence and the opportunity to work partially remote when workflow allows. DUTIES AND RESPONSIBILITIES: Medical record for accurate and complete documentation Collaborates directly with the physicians regarding discrepancies found in patient's records prior to coding and claim submission Applies knowledge of current coding requirements to ensure claims are submitted correctly Brings identified concerns and trends to the manager/team lead for resolution. Resolves claim rejections related to coding issues. Enters patient demographic information and verifies patient insurance coverage QUALIFICATIONS : Working knowledge of CPT and ICD10 coding Medical coding certification preferred but not required based on experience Minimum 2 years'...

Miami, FL | Full-Time JW-HouseKeeping Services Summary Environmental Supervisor is specialized and supervisory work with some administrative responsibility. Incumbents are responsible for training, assigning, and supervising subordinates in the proper performance of the assigned supervisory activities of their unit. Employees in this class make independent work decisions based on experience and knowledge of departmental operations, but refer difficult technical policy or procedural questions to a superior for decisions. Supervision is received from an administrative superior, who determines effectiveness of the unit by personal observation, review of reports, public reaction to services provided, and personal conferences on unusual or difficult problems. Responsibilities Instructs and trains employees under supervision in the use of new equipment and cleaning methods. Prepares work schedules, reviews vacation requests, ensures appropriate staffing, completes performance...

Job Description Job Description Job Description: Candidate must have minimum of 1 year experience as Medical Charge Poster (coder); Need to be proficient with ICD-10 and coding guidelines. Good benefits; paid vacation, paid holidays, medical insurance, 401K with employer contribution, flexible morning start time. CPC preferred. Professionally rewarding environment due to exposure to several PM/EMR systems (eCW, Kareo, Care Cloud, Meditouch, Intergy, and more) and various specialties. Requirements and/or Responsibilities as a Charge Poster Specialist: · Enthusiastic, success-driven business professional with exceptional organizational skills and the ability to develop and maintain business relationships with physician offices · Able to exercise independent judgment and take action on it. · Ability to interpret diagnostic and procedural phrases used by healthcare providers into coded form by locating such codes utilizing the coding manuals or software. · In-depth...

Supervisor, Medical Collections (H) The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Supervisor, Medical Collections (H) to work in Miami, FL. The Supervisor, Medical Collections (H) oversees staff responsible for third-party medical collections to ensure that outstanding accounts are resolved efficiently and accurately. Further, the incumbent acts as a department expert on collection rules and regulations and mentors collections staff. CORE JOB SUMMARY The Supervisor, Medical Collections (H) oversees staff responsible for third-party medical collections to ensure that outstanding accounts are resolved efficiently and accurately. Further, the incumbent acts as a department expert on collection rules and regulations and mentors collections staff. CORE JOB FUNCTIONS Supervises and trains collection staff and prepares performance reports. Ensures timely payment of invoices and expenses and maintains accurate records and...

Professional Coder 3 (H) page is loaded## Professional Coder 3 (H)remote type: Remotelocations: Medley, FLtime type: Full timeposted on: Posted Todayjob requisition id: R100094031**Current Employees:**If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click 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 . The University of Miami/UHealth Department of Health Information Management has an exciting opportunity for a full-timeProfessional Coder 3 to work in Miami, FL.Medical coders help to complete, review, and process medical claims to help physician practices and hospitals get reimbursed from insurance companies for services and facilities provided to patients.A ***Professional Coder 3*** at the University of Miami is responsible for reviewing the clinical documentation contained in the UHealth patient health records (regardless of medium in...

A leading university is seeking a full-time Professional Coder 3 to work remotely. Responsibilities include reviewing and validating clinical documentation, assigning and sequencing coding for various specialties, and collaborating with medical staff. The ideal candidate should possess a high school diploma and at least five years of coding experience with relevant certifications. This position supports the university's mission of transforming lives through education and research. #J-18808-Ljbffr

Job Description Job Description 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...