41 jobs found in Miami, FL

Job Details Job Location Richmond West - Miami, FL Position Type Full Time Education Level 4 Year Degree Travel Percentage Up to 5% Job Category Operations 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 Manager 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...

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 Health Information Management has an exciting opportunity for a Full Time Sr. Outpatient Coder to work at the UHealth Campus. The Senior Outpatient Coder ensures that diagnostic and procedure codes are assigned accurately to surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulations. Participates in coding meetings and coding education programs, and provides feedback. Takes initiative to assist others and shares knowledge with coding staff, and caregivers. Responds to customer requests and initiates queries with physicians to obtain or clarify diagnoses and...

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 Health Information Management (HIM) has an exciting opportunity for a Full Time Outpatient Coder to work at the UHealth Campus. The Outpatient Coder reviews the clinical documentation contained in medical records to accurately assign and sequence diagnostic and procedural codes to outpatient medical records for use in reimbursement and data collection. Verifies patient information to identify any documentation or report discrepancies. Ensures quality of scanned documents and reports any issues to managing staff. Assesses documentation and reaches out to physicians for additional information when information for proper coding is missing or incomplete. Converts...

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 Health Information Management has an exciting opportunity for a full-time Professional Coder to work in Miami, FL. The Professional Coder reviews medical records to validate codes assigned by physicians and identifies issues and resolves discrepancies to ensure accurately and efficient coding records. Verifies patient information and works with caregivers to obtain clarifications of patient diagnosis. Identifies misplaced or potentially litigious documentation and reports findings to management. Reviews records for accuracy of scanned documents and reports any poorly scanned documents to management. Collaborates with other departments to ensure that record...

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 Biller to work Remote. The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records. 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 issues. Manually enters paper vouchers received for missing charges. Reviews and fixes erroneous and/or rejected...

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...

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...

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...

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...

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 teamwork Engaging...

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS  Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work. As a  Certified Sr. (IP) Acute Edits Medical Coder you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts of all patient types in addition to periodic coding. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

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 staffCoach and develop staff while promoting teamworkEngaging and...

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...

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...

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...

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 Service Center, and Provider...

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...

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...

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,...

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...

Provides supervision and leadership to the patient care units. Specific functions include: collaborates and supports manager with staff evaluations, patient flow, staff and family education, serves as patient/guest service ambassador and assists with problem solving on tour of duty. Additionally, coordinates staffing and nursing assignments for current and oncoming shift. Participates in hourly rounding and ensures compliance of same. Ensures that services are provided within the philosophy and objectives as well as the policies and procedures of the hospital and Baptist Health South Florida. Estimated pay range for this position is $44.67 - $59.41 / hour depending on experience.Degrees: Bachelors Licenses & Certifications: Pediatric Advanced Life Support Neonatal Resuscitation Program Basic Life Support Advanced Cardiovascular Life Support Registered Nurse Additional Qualifications: Bachelors of Science in Nursing , BSN. RNs hired prior to 2/2012 are not required to have...

Summary: Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis Related Groups (MSDRG) and All Patients Refined Diagnosis Related Groups (APRDRG) assignment and queries following official coding guidelines and regulatory requirements. Provides training and education based on audit results and any regulatory changes that effect Federal, State and American Health Information Management Association (AHIMA) guidelines. Detailed responsibilities: • Conducts and reports on electronic medical record audits to verify ICD-10CM/PCS, CPT and APC, MSDRG, and APRDRG coding and grouping accuracy. Serves as an expert resource for all coding staff. Assists with developing specific departmental goals, standards, and objectives which directly support the strategic plan and vision of the organization. • Holds educational sessions for coding specialists, documentation...

Summary: Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance. Detailed responsibilities: •Reviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures. •Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews coding edits. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Research electronic medical record for any additional diagnoses documented to meet medical necessity. Codes various OP service lines...