114 jobs found in Miami, FL

Medical Biller 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 account information from system and ensures accuracy. Submits completed batches to appropriate billing offices daily. Follows up on claims submitted routinely to monitor payment status. Transmits coded patient treatment information to payers and other recipients. Coordinates insurance reimbursements with care providers. Adheres to University and unit-level policies and procedures and safeguards University assets. Core...

Risk Adjustment Coder Specialist 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 ourselvesone 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 completed from your home office, occasional travel may be required for...

Job Description Job Description Benefits: 401(k) Company parties Dental insurance Health insurance Paid time off 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...

Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Coding Account Resolution Specialist-Outpatient Parallon Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital...

Nurse Supervisor Medical Surgical Full-Time Nights-ignite a leadership journey that blends purpose, top-tier Med-Surg practice, and sunshine-fueled career momentum in southeastern Florida . The Nurse Supervisor Medical Surgical Full-Time Nights opportunity invites an experienced RN leader to join a mission-driven, patient-first healthcare organization recognized for clinical excellence and safety, with strong quality scores, low infection rates, and high patient experience; the Nurse Supervisor Medical Surgical Full-Time Nights role benefits from positive media momentum, a Magnet-style culture that champions shared governance and evidence-based practice, advanced tools like AI-assisted decision support, virtual nursing, robotics, and remote monitoring, innovation-forward pilots in telehealth and hospital-at-home, robust clinician wellbeing supports, and clear career pathways with differentials, incentive opportunities, tuition assistance, simulation labs, precepting and academic...

Risk Adjustment Nurse/Coder AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA) in Doral, FL! Full-time permanent position (40 hours) Standard working hours: 8am to 4:30pm EST, M-F This is a hybrid position, 2 days onsite in AvMed Doral Office, 3470 NW 82nd Ave Suite 1100, Doral, FL 33122, and 3 days remote. Job Profile Summary The Risk Adjustment Clinical Coder/Nurse performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories...

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...

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...

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...

Position Overview: CNA or LPN required 3 Years of Medical Assistant experience required Job Summary The Medical Assistant Services Supervisor has responsibility for the supervision and daily operations of the Care Resource Midtown facility; This includes providing support to the Sr. Medical Care Services Manager as needed in the supervision of non-licensed personnel. Provide ongoing Quality Improvement monitoring and ensure safe patient care to the clinic patients and ensure office staff are competent to perform patient care. The Medical Care Services Supervisor directs staff in following established policies and procedures, coordinates patient flow between front and back-office personnel, functions as a liaison for the medical staff and the Sr. Medical Care Services Manager. ESSENTIAL JOB RESPONSIBILITIES Management/Leadership Understand and participate in the interview, training, development and supervision of staff which includes work allocation and problem...

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...

Manager/Associate Director, Medical Writing - Regulatory Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities. Our Clinical Development model brings the customer and the patient to the center of everything that we do. We are continuously looking for ways to simplify and streamline our work to not only make Syneos Health easier to work with, but to make us easier to work for. Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to accelerate the delivery of therapies, because we are passionate to change lives. Discover what our 29,000 employees, across 110 countries already know: WORK HERE MATTERS...

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 & Coder, Risk, Specialist, Healthcare, Medical

Physician Practice E&M Auditor Educator, MCVI Administration, FT, 8A-4:30P (Remote) 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...

Company Description *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...

Senior Medical Biller The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Senior Medical Biller to work in Miami, FL. The Senior Medical Biller processes 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 timely fashion. Reports edits by billing area to managing staff on a monthly basis. Verifies that all controls are followed so that no charges are missed. Verifies all payment reconciliation processes are followed at the clinics. Ensures that all charges are entered in a timely fashion. Reviews encounters received for all pertinent information. Coordinates the...

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...

A leading healthcare organization in Florida is seeking a full-time Coding Specialist who will manage claims processing, review medical documentation for accurate coding, and collaborate with a team of healthcare providers. The ideal candidate must have a high school diploma or GED, along with a CPC certification or equivalent, and possess strong communication skills. This position offers competitive benefits including a retirement plan, health insurance, and paid time off for a work/life balance. #J-18808-Ljbffr

Job Description Job Description The Miccosukee Tribe of Indians of Florida Clinic is seeking a Medical Biller & Coder is responsible for accurately translating medical services, diagnoses, and procedures into standardized codes and submitting claims to insurance companies, government programs, and other payers. This role supports timely reimbursement, regulatory compliance, and effective communication with providers, payers, and patients.   Duties and Responsibilities Review medical records, provider notes, and clinical documentation to assign accurate ICD-10, CPT, and HCPCS codes Prepare, submit, and track insurance claims Verify patient insurance coverage, eligibility, and benefits Identify, research, and resolve claim denials, rejections, and payment discrepancies Post payments, adjustments, and refunds accurately in the billing system Communicate with insurance companies, healthcare providers, and patients regarding billing issues Ensure compliance with...

Medical Insurance Collection Supervisor ProMD’s Revenue Cycle Management division is a rapidly growing medical billing company seeking an experienced Medical Insurance Collection Supervisor. This role requires a strong background in medical billing, appeals, insurance verification, and team leadership. We provide comprehensive one-on-one training to ensure success in delivering high-quality billing and collection services for our top-ranked multispecialty medical providers. NOTE: This department requires two supervisors and will work closely with upper management to ensure overall success. We currently have one highly knowledgeable supervisor in place. Qualifications Proven experience supervising a medical insurance collection department. Strong knowledge of medical appeal guidelines and insurance verification processes. Proficiency in managing appeals and conducting insurance verification. Strong communication skills (written and verbal). Proficient in Microsoft Excel....

A healthcare organization in Miami is seeking a full-time Coding Specialist to manage claims and ensure accurate coding and billing. The ideal candidate will have a CPC certification and extensive knowledge of coding and billing requirements. This role involves collaboration with a team and a commitment to maintaining confidentiality in handling patient information. The position offers competitive compensation, health insurance, paid time off, and opportunities for internal advancement. #J-18808-Ljbffr

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...

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) 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. Summary HIM Outpatient Coder 2 is responsible...