19 coder lll jobs found in Miami

Health Information Management Jackson Health System Full Time Summary HIM Inpatient Coder 2 is responsible for reviewing the clinical documentation contained in the in-patient medical records to accurately assign and sequence ICD-9 diagnostic and ICD-9 procedure codes to inpatient records for use in reimbursement and data collection. The HIM - In-patient Coder 2 is able to code complex cases usually resulting in numerous codes and long length of stay. Responsibilities Has the knowledge and experience to code complex cases using ICD-9 and/or ICD-10 code set; including, but not limited to the following services: Trauma, Transplant, Neurosurgery, Cardiovascular Surgery, Burn Unit, and any other medical record assigned to them. 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...

Miami, FL Full-Time Health Information Management Jackson Health System Full Time Summary The HIM Coding Compliance Auditor 1 analyzes abstracted/coded data for the purpose of ensuring accuracy and timeliness as it relates to DNFB management, quarterly AHCA data submissions and PFS communication. Responsibilities Reviews quality of coded and abstracted data assuring coding compliance within the Jackson Health System. Performs target and focused MS-DRG, APC, CPT, Case mix and Medical Necessity reviews. Identifies monitors and corrects rejected claims due to HIM coding. Works as a liaison with PFS and other internal departments to serve as a communicator/problem-solver for hindrances that prevent reimbursement. Based on new coding requirements, audit findings, RACs, MACs, etc. prioritizes and supports develops training/education protocols for UHS hospital coders in ICD-9-CM, CPT-4, APCs, Emergency Room Evaluation and Management Coding, Level II coding guidelines, modifier...

Health Information ManagementMiami, FL Full-TimeJackson Health SystemFull TimeREMOTE (FL Residents Only)SummaryHIM 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.ResponsibilitiesHas 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...

Job Description We are seeking a Medical Biller who will follow through with timely follow up for all assigned accounts utilizing AR Reports and ensuring timely collection of all outstanding balances. Must prepare appeals for denials and understand denial management, as well as ICD10 and CPT4 coding. Qualifications 2-3 years of experience with medical billing, coding and collections for a hospital or physician's group. Strong knowledge of reviewing charges and credits Advanced knowledge of medical terminology Understand payer guidelines Understand preparing appeals for denials Basic knowledge of ICD9, ICD10, CPT Codes College preferred, HS Diploma required Strong computer skills, MS office suite Excellent communication skills in person and over the phone. Additional Information Hours for this Position: Advantages of this Opportunity: Competitive salary $13.75 - $16.75 per hr Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO #J-18808-Ljbffr

Miami, FL | Full-Time Health Information Management Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote but open to applicants who reside in the state of Florida] Summary HIM Outpatient Coder 1 is responsible for coding and abstracting outpatient medical records, including Emergency Room visits, Clinic visits and Recurrent visits. The Coder 1 is responsible for reviewing the clinical documentation contained in the patient health record to accurately assign and sequence ICD-9 and CPT codes for use in reimbursement and data collection. Able to transition to ICD-10-CM. Responsibilities Codes outpatient diagnostics/outpatient clinics/recurring visits/emergency room visits using ICD-9 or CPT codes as appropriate. Maintains a yearly average accuracy rate of 94% during internal and/or external Coding audits. Verifies patient information to identify any discrepancies...

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. Medical Biller The University of Miami/UHealth Miami Transplant Institute has an exciting opportunity for a Full Time, Medical Biller to work in Miami. Core Job Summary: The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records. Core Responsibilities: Assists patients, insurance companies, and laboratories with inquiries regarding billing issues. Reviews records for patient information, insurance information, service descriptors, diagnosis codes and managed care authorization requirements, and coordinates corrections. Prints daily appointment voucher report and reconciles all vouchers to report. Enters, reviews, and retrieves patient...

Medical Biller The Medical Biller is responsible for ensuring all providers' encounters are coded, billed and submitted in a timely manner to insurance companies, while also monitoring and resolving any rejections or denials through company billing portals. This position is essential to ensuring clean claim submission, reducing delays in reimbursement, and supporting compliance with payer and CMS guidelines. Essential Duties and Responsibilities Review, verify and submit provider encounters for accuracy in coding and documentation. Ensure timely and clean claim submission through appropriated billing software. Correct and resubmit rejected claims with proper supporting documentation or edits. Communicate with providers and clinical teams as needed to clarify documentation or encounter issues. Work closely with internal MRA coders to resolve discrepancies in diagnosis or procedures codes. Maintain billing logs and status update to ensure all encounters are...

On-Site Miami, FL Full time R100100454 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) . Medical Biller The University of Miami/UHealth Miami Transplant Institute has an exciting opportunity for a Full Time, Medical Biller to work in Miami. Core Job Summary:The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records. Core Responsibilities: Assists patients, insurance companies, and laboratories with inquiries regarding billing issues. Reviews records for patient information, insurance information, service descriptors, diagnosis codes and managed care...

Medical BillerThe 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 insurance...

At Houston Methodist, the Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to outpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant outpatient coding experience or completion of the Houston Methodist Coding Apprentice Program LICENSES AND CERTIFICATIONS Required Must have one of the following:•RHIT - Certified Health Information Technician (AHIMA)•RHIA - Registered Health Information Administrator (AHIMA)•CCS...

Medley, FL Full time R100086970 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 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 information, insurance information, service descriptors, diagnosis codes and managed care authorization requirements, and coordinates...

The Medical Biller at Genuine Health Group is responsible for ensuring all providers’ encounters are coded, billed and submitted in a timely manner to insurance companies, while also monitoring and resolving denials through company billing portals. This role supports clean claim submission and compliance with payer and CMS guidelines. Essential duties include reviewing encounters, submitting claims, resubmitting denied claims, and communicating with clinicians to resolve documentation issues. #J-18808-Ljbffr

Risk Adjustment Coder IIIIt's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.Job SummaryThe Risk Adjustment Coder III is responsible for the accurate and timely assignment of medical diagnosis codes in accordance with established risk adjustment models, coding guidelines, and organizational standards. This role performs high-volume, production-based coding and chart review activities, following defined policies and procedures to ensure compliance and data accuracy. This position applies advanced coding knowledge but operates within established guidelines, with work subject to quality review and audit.Duties & ResponsibilitiesEssential Duties & ResponsibilitiesMedical Coding and DocumentationAssign ICD-10-CM diagnosis codes based on medical records, clinical documentation, and encounter data in accordance with established...

Medical CoderDoral, Florida, United StatesNeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient's medical records after a...

Remote Ip CdI Department: Health Information ManagementUnder indirect supervision, is responsible for accurate coding of Inpatient accounts for an Academic Level I Trauma facility. Will code Inpatient procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Required to work with Cerner/Clin Trac, 3M 360 CAC. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM, Centers for Medicare and Medicaid Services (CMS), and Individual State Health Planning and Development and organizational/institutional coding guidelines.Required Skills:Accurately assign and sequence ICD-10 diagnostic and ICD-10 procedure codes to inpatient records for use in reimbursement and data collection.Minimum of 5 years IP Trauma Level I facility coding experience required.Ensure all accounts are coded correctly and promptly, which will provide an accurate MS-DRG or...

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 their families that...

Medical Necessity Coder Thorough working knowledge of current ICD CM coding system, CPT procedures, Medical necessity, Medical Terminology, Anatomy, Physiology, and Prospective Payment system (DRG's). Screen all services for Medicare and Medicaid patients to comply with the Center for Medicare and Medicaid Services (CMS) guidelines in order to determine coverage, eligibility and ensure beneficiary notification when service(s) may not be covered. Ability to work and serve as a reference to internal and external customers. Estimated pay range for this position is $20.02 - $25.43 / hour depending on experience. Qualifications Degrees: High School,Cert,GED,Trn,Exper. Additional Qualifications: Required completion of an accredited Certified Coding Specialist program or Associate Degree in Health Information Management Science with two years outpatient coding experience. CPC or CCS preferred. ART or R. R. A. eligible. Thorough working knowledge of medical terminology, anatomy,...

Medical Coder I At ClareMedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the ClareMedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we're working together to help seniors live happier, healthier, fuller lives. That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees' growth and wellness and where their full potential and value are realized. At ClareMedica, we're excited about great people like you. We're even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities. Opportunity awaits – welcome to ClareMedica. We are seeking an accurate, detailed oriented Coder to join our team. You will play a key role in reviewing...

POSITION: Remote Professional Fee Surgical Coder - Ophthalmology DEPARTMENT: Health Information Management START: ASAP LOCATION: Remote JOB DESCRIPTION: This is a Profee Surgical coding position with a focus on Ophthalmology. Candidates must have experience coding all things Ophthalmology from complex surgery, eye correction, cancer removal, etc. Ideally, this person would also have ancillary experience in diagnostic radiology, interventional radiology, and radiation oncology. The candidate must have surgical coding experience for a Level 1 trauma center and E/M. Under indirect supervision, the coder is responsible for the accurate coding of Ophthalmology encounters for a University Health System. This includes outpatient visit procedures, diagnoses, and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS), and other specialty systems as required by...