143 jobs found in Doral, FL

A healthcare services organization is seeking a Medical Record Audit / Coding Auditor to oversee the development of a clinical coding audit program. The role involves conducting compliance reviews, training coding associates, and ensuring adherence to coding regulations. Candidates must have at least five years of experience in physician coding and be a certified professional coder. This job offers an opportunity to impact billing accuracy and training processes within the organization. #J-18808-Ljbffr

Medical Biller/Claims Processing - Patient Support Representative - Remote Miami, United States of America | Full time | Home-based | R1500572 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...

Brief Description: Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. Our main campus is located on 20+ acres just north of mid‑town Miami and houses support departments such as Finance, Accounting, Human Resources, Marketing, and more. Join us to do purposeful work with a diverse and respectful team. Job Title: HCC Risk Adjuster and Coder Job Summary: Reviews medical records and accurately codes and sequences diagnosis in order to obtain maximum reimbursement. Essential Job Functions Audit PACE medical records to ensure accuracy upon enrollment and disenrollment, and assign appropriate HCC codes per established department guidelines. Perform follow‑up coding of medical records resulting from internal and external reviews that identify coding discrepancies. Meet with PACE providers via MS Teams to assist with documentation improvement tied to reimbursement. Assist with other department duties as necessary....

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...

Miami Jewish Health is seeking an HCC Risk Adjuster and Coder to review medical records and accurately code and sequence diagnoses to maximize reimbursement. The role requires a minimum of 1 year of HCC/ ICD-10-CM coding experience, an associate degree in health information management, and strong knowledge of medical terminology. You will audit PACE records, interface with providers via MS Teams, and support documentation improvement while maintaining confidentiality and accuracy. #J-18808-Ljbffr

WHO WE ARE NeueHealth 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 visit and translating...

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

Baptist Health is seeking a healthcare call center professional to validate patient identities, analyze balances, and resolve inquiries across multiple departments. The role requires strong communication, familiarity with medical terminology, and a focus on accurate data handling. You will handle high-volume calls, document mail, and coordinate with departments to ensure prompt and compliant service delivery. Prior experience in a healthcare setting is preferred. #J-18808-Ljbffr

A leading healthcare organization is seeking a Remote Medical Administrative Assistant / Patient Support Specialist. This remote role involves scheduling appointments, maintaining patient records, and providing excellent patient support. Ideal candidates should possess strong communication skills, attention to detail, and familiarity with medical terminology. The position offers competitive pay rates, flexible scheduling, and comprehensive employee benefits. Join our team to make a difference in the lives of athletes and patients! Apply now! #J-18808-Ljbffr

SGI Global, LLC is looking for a qualified Junior Compliance Officer to help support a federal law enforcement client with I-9 audit services and worksite enforcement compliance. The role requires attention to detail and offers a potential path for early-career professionals in employment eligibility verification within a high-visibility mission environment. This is an on-site position performed at government facilities, with core working hours and occasional overtime. Candidates must meet specific security requirements, including a Public Trust investigation. #J-18808-Ljbffr

Jackson Memorial Hospital in Miami, FL is seeking a Medical Technologist II for a full-time Days shift in a high-volume core laboratory. The role encompasses technical supervision of a unit within microbiology, hematology, chemistry or serology and urinalysis, and performing the more difficult tests with review of results alongside medical staff. Candidates typically have 3 to 5 years of related experience and an Associate's degree in a related field; a Bachelor's degree is strongly preferred. #J-18808-Ljbffr

Every day is a good day to prepare for a healthy tomorrow. Providing children and their families with equitable access to quality pediatric care to build a foundation for a lifetime of optimal health and wellness is what drives our team to deliver its best every day. It’s our purpose. Offering focused care from tots to teens, our pediatric primary care providers and teams partner with families to foster good health and strong, thriving communities. Second-to-none medical staff and top-tier administrative professionals keep our practices running smoothly and make each patient experience the best we can offer. Working in partnership with patients, families, and communities who put their trust in us for their care, we hold ourselves accountable to ensure equitable access to care, advocate to create impactful change, and continually learn and progress to create better outcomes and brighter futures. Together, we’re paving the way for kids to develop into healthy young adults. Rooted...

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 diagnostic...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Security Services Supervisor | North Shore Medical Center Full Time Manual Labor Miami, FL, US 3 days ago Requisition ID: 2026 Salary Range: $19.00 To $20.00 Hourly The Healthcare Security Service Supervisor is responsible for overseeing the day-to-day security operations within Lemontree Healthcare facilities. This role involves ensuring the safety and security of patients, staff, visitors, and property. The Supervisor will supervise security officers, enforce healthcare security policies, and collaborate with other departments to maintain a secure and safe environment. Job Type: Full-Time Schedule: Thursday-Sunday Shift: 7:00am-7:00pm Rate of Pay: $19-$20 Key Responsibilities: Supervision & Training: Lead, supervise, and provide guidance to security officers on shift. Conduct regular performance evaluations and...

University of Miami - 10451 NW 117 Ave - Responsibilities: Compile charges and reconcile daily vouchers; Review and submit insurance claims and adjust as needed; Assist patients and insurers with billing inquiries; Enter and retrieve patient account information in the billing system; Transmit coded treatment information to payers and exchanges

University of Miami - 10451 NW 117 Ave - Responsibilities: Process billing information in the appropriate system; Verify claims and ensure edits are collected and released in a timely fashion; Run reports weekly on accounts and monitor to keep contents at a minimum; Verify that all controls are followed so that no charges are missed; Review encounters received for all pertinent information and correct vouchers as needed

Position Summary: Medical Record Coder is responsible for timely review and completion of all discharged patient records in order to identify an appropriate selection of ICD-10-CM/CPT codes that will accurately reflect the patients stay while in the facility. Coder is further responsible for insuring that all data elements required for federal and state reporting are collected; coded data will facilitate the billing process with regards to coding and assignment of APC/MS DRG. Position Qualifications: EDUCATION: High school diploma or College degree equivalent plus certification preferred. TRAINING: Orientation and training under supervision of Director and Coding Manager until competency is observed. ABILITIES AND SKILLS: Requires eye hand coordination with good manual dexterity. EXPERIENCE: 2-3 years coding experience in an acute care facility. Must be able to look at computer CRT most of the day and must be computer knowledgeable. Must have excellent...

Position Summary: Medical Record Coder is responsible for timely review and completion of all discharged patient records in order to identify an appropriate selection of ICD-10-CM/CPT codes that will accurately reflect the patients stay while in the facility. Coder is further responsible for insuring that all data elements required for federal and state reporting are collected; coded data will facilitate the billing process with regards to coding and assignment of APC/MS DRG. Position Qualifications: EDUCATION: High school diploma or College degree equivalent plus certification preferred. TRAINING: Orientation and training under supervision of Director and Coding Manager until competency is observed. ABILITIES AND SKILLS: Requires eye hand coordination with good manual dexterity. EXPERIENCE: 2-3 years coding experience in an acute care facility. Must be able to look at computer CRT most of the day and must be computer knowledgeable. Must have excellent...

Company Description AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas – immunology, oncology, neuroscience, and eye care – and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com . Follow @abbvie on X , Facebook , Instagram , YouTube , LinkedIn and Tik Tok . Job Description This role is field-based, and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. Execute brand strategy and tactics in field, sales performance, effectively manage assigned territory and targeted accounts, build strong customer relationships and customer needs solving capability to maximize short and long term sales performance placing...

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital...

A leading not-for-profit healthcare organization in Florida seeks an experienced E&M Coding Auditor/Educator. You will be responsible for conducting comprehensive audits to ensure the integrity of coding and billing for clinical fees and develop educational programs based on the audit results. The ideal candidate must possess certifications in coding, have at least 4 years of relevant experience, and excel in customer service. A robust understanding of E&M regulations is essential. Competitive hourly pay of $26.13 - $33.97 is offered. #J-18808-Ljbffr

Overview 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...

Operations Support Compliance AuditorReporting to the Director of Operations Support, this individual will evaluate, inspect, audit, and determine the effectiveness of compliance and store operational tasks. This individual will visit store locations daily and perform regularly scheduled audits. They must effectively establish strong credibility with the Monro Field Teammates and Field Leadership. Maintaining a positive and constructive attitude is critical as this role sits at the crossroads between the Store Support Center and Field Management.Compensation: The salary range for this role is $68,000 - $85,000. This role is eligible for additional compensation and incentives. Pay will be determined based on experience level.Essential Functions: Participates in the following areas of focus, including but not limited to Monro Forward initiatives, DM onboarding, inventory subject matter expert, inventory analysis, safety compliance, building and equipment maintenance, and a compliance...

Medical Record Audit / Coding AuditorMiami, Florida, United StatesAbout the JobOur 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 functionReceive, 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 identifiedConduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providersPrepare reports as required relative to these monitoring and review...