31 jobs found in Miami

Health Information Management Miami, FL Full-Time 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 quality reviewer, and...

Overview Miami, FL · Full-Time HIM Inpatient Coder 1 is responsible for reviewing the clinical documentation contained in the inpatient 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 quality reviewer, and identifies any documents not...

Join to apply for the Medical Biller (H) role at University of Miami Miller School of Medicine 4 days ago Be among the first 25 applicants Join to apply for the Medical Biller (H) role at University of Miami Miller School of Medicine Get AI-powered advice on this job and more exclusive features. 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 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. Assists patients, insurance companies, and laboratories with inquiries regarding billing issues. Reviews records for patient...

Overview At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. Responsibilities Ensure operational excellence of the MSL team, including corporate aligned objective/tactics, cross-functional medical support, and interactions with key opinion leaders. Provide leadership for the MSL function by participating on cross functional teams leading to strategic planning and working...

Overview Join to apply for the Medical Coding Auditor (CPC) role at McDermott Will & Schulte . Farragut Square Group provides clients with research and policy advisory services on a range of healthcare topics, including Billing and Coding Claims reviews of physician office practices and in and out-patient facilities. Responsibilities Perform accurate and compliant auditing reviews of pertinent medical records and physician services to identify and report audit outcomes and need for coding education. Coding reviews include practice and ASC based services, ensuring compliance with ICD-10 CM, ICD-10 PCS, CPT, CDT, HCPCS coding and Modifier guidelines. Explain findings in a clear and concise manner to internal team members; communicate in a way that demonstrates knowledge of CMS, payors, and Federal and state laws. Interact in a professional and courteous way with client practices to help them locate missing documents and provide necessary chart information. Qualifications...

Job Title: Miami, FL Full-Time JW-HouseKeeping Services 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. 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 evaluations, and...

Overview We’re unique. You should be, too. We’re changing lives every day, for both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. Responsibilities Ensures compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify whether: The diagnosis codes are supported by the documentation and ensure with ICD-10-CM Guidelines for Coding and Reporting. The diagnosis codes for each chronic or major medical condition have been captured correctly....

Position Summary We are seeking an experienced, team player and detail-oriented Medical Biller and Collector to join our team in Miami, Florida. The ideal candidate will have over 7 years of experience in medical billing and collections, with a strong background in Coding, Pre-Authorization, Workers Comp Claims, and Insurance Certification. Essential Duties and Responsibilities * Accurately process and submit claims to insurance companies. * Follow up on unpaid claims and handle denials or rejections. * Manage pre-authorization processes to ensure timely approval of services. * Ensure timely collection of outstanding balances from patients and insurance companies. * Maintain detailed records of billing activities and collections. * Collaborate with healthcare providers to resolve billing discrepancies. * Stay updated with the latest healthcare billing regulations and practices. Knowledge, Skills, and Abilities * Excellent communication and organizational skills. *...

Pro Fee Coder Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder I may...

HIM Outpatient Coder 2 Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine. Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do. HIM Outpatient Coder 2 is responsible for coding and abstracting outpatient medical records, including outpatient surgeries, GI procedures, and cardiac catheterizations. The Coder 2 is responsible for reviewing the clinical...

Physician Practice Coder Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session. Performs chart audits to ensure correct coding and charge capture have been applied appropriately. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. Position: Physician Practice Coder Department: BUMG Corporate Schedule: Full Time Essential Responsibilities / Duties: Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems. Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing. Sequences diagnoses, procedures and complications by following ICD-10-CM, CPT-4, and the Uniform...

Certified Medical Coder (Professional Review Specialist I) The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a remote role. Essential Functions & Responsibilities: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager. Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans. Appropriately document work and final conclusions in designated computer program. Additional duties as assigned. Knowledge & Skills: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology. Knowledge of applicable fee schedule and or applicable U&C Guidelines. Proficient in Microsoft Office applications....

Job Title Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital's policies and procedures. Supports TMCH's management planning process and ensures appropriate reimbursement for services. Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. For outpatient, must be able to code a minimum of four of the following independently: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts. Follows departmental and current official coding guidelines to ensure consistent and accurate coding of diagnostic and procedural...

Job Description Job Description The Coding Network (TCN) is looking to contract with an Ophthalmology E&M coder to perform the Ophthalmology E&M coding for a number of clients throughout the country. The coder will access the operation reports via a remote connection to the client's EMR and return the coded cases. Hours can range from a 15-40 hour/week commitment. NOTE: We do not have needs for surgical Ophthalmology at the moment, our current needs are for E&M only. If you are a coder with non-ophthlamology coding experience please apply directly at our website https://codingnetwork.com/jobs -with-the-coding-network/ All applicants must: · Have a minimum of 3 years of Ophthalmology E&M Specific Coding · Have an active coding certification (CPC, RHIA, RHIT) · Live and work in the · Take and pass TCN’s Ophthalmology E&M Coding Exam If you meet the above criteria and are willing to test please submit your resume. Job Types: Full-time, Part-time,...

Job Description Job Description Key Responsibilities Prepare, review, and submit electronic and paper insurance claims (CMS-1500, UB-04). Verify insurance eligibility and benefits before claim submission. Follow up on unpaid or denied claims to ensure timely reimbursement. Post insurance and patient payments accurately. Identify and correct billing errors or missing information. Communicate with insurance companies, patients, and healthcare providers to resolve billing issues. Maintain up-to-date knowledge of payer regulations, CPT, ICD-10, and HCPCS codes. Generate and analyze aging reports and claim status reports. Ensure compliance with HIPAA and all federal/state regulations. Qualifications: High school diploma or equivalent (associate degree or certification preferred). 1–3 years of experience in medical billing, preferably in [specialty, ENT, oncology]. Strong understanding of EOBs, CPT/ICD-10 codes, and medical terminology....

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...

Job Description Medical Coder - Wound Care (Long-Term Care) About Us Pinnacle Wound Management is a physician-led wound care provider dedicated to improving healing outcomes for patients in skilled nursing and long-term care facilities. We partner with facilities to deliver advanced wound care at the bedside, supported by thorough documentation, EMR integration, and compliance with payer guidelines. We are seeking a Medical Coder with wound care experience to join our team. This role is critical in ensuring timely, accurate coding and billing for patient encounters and cellular tissue product usage across multiple facilities. Key Responsibilities Accurately review and code wound care services performed in long-term care and post-acute settings, ensuring compliance with ICD-10, CPT, HCPCS, and payer requirements Code independently without reliance on a provider superbill , using clinical notes and documentation as the source of truth Release daily coding...

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...

About the job Medical Billing and Coding Specialist We are currently seeking a skilled and dedicated individual to join our team as a remote Medical Billing and Coding Specialist. This is a fantastic opportunity for someone looking to work from the comfort of their own home, while still making a positive impact in the healthcare industry. As a remote Medical Billing and Coding Specialist, you will be responsible for accurately assigning appropriate medical codes to patient records, ensuring timely reimbursement from insurance companies, and maintaining compliance with all relevant regulations and guidelines. This role requires a high level of attention to detail, excellent communication skills, and a strong understanding of medical terminology and coding procedures. Responsibilities Reviewing medical records and assigning appropriate diagnosis and procedure codes Submitting claims to insurance companies for reimbursement Resolving any coding discrepancies or rejected claims...

Client Summarization: TelevisitMD is a virtual practice/business in a box for doctors. TelevisitMD delivers patients, medical coverage, virtual workspace, EHR, E-prescribing, and virtual telehealth visit tools and functions that enable flexibility for the patient and the providers allowing remote visits, replacing the current brick and mortar practices and throwing away the "ball and chain" that come with it . We are seeking a Medical Coder who will assist us in coding medical documentation for insurance claims and for our databases. The Medical Coder will assign required current procedural terminology, healthcare standard procedure coding system, clinical modification, international classification of diseases, and American Society of Anesthesiologists codes. You will decide which codes and functions should be assigned in each instance. This can or will include diagnostic and procedural information, significant reportable elements, and other complex classifications....

About Eisai At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisais human health care (hhc) mission. Were a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimers disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. Responsibilities The Associate Director / Director, MSLs is responsible for the leadership, direction and management of MSLs in the region and works collaboratively with the Medical Affairs Senior management with strategic and tactical planning, working collaboratively with Medical Affairs and Clinical Development...

Patient Service Supervisor Food and Nutrition The Patient Service Supervisor Food and Nutrition is responsible for overseeing the daily operations of the food and nutrition services team, ensuring the delivery of high-quality, nutritious, and safe meals to patients. This role includes supervising food service staff, ensuring compliance with healthcare regulations, and maintaining excellent patient satisfaction through effective communication, meal management, and coordination with dietary teams. The supervisor will work closely with the Food and Nutrition Manager to maintain standards for food safety, nutrition, and customer service. Key Responsibilities Supervision and Team Leadership: Supervise, train, and lead a team of food service workers, including kitchen staff, diet aides, and meal delivery personnel. Schedule and assign daily duties, ensuring efficient workflow and adequate staffing levels. Provide performance feedback, conduct evaluations, and support...

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...

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...