81 jobs found in Miami, FL

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...

Him Coding/Compliance Auditor 2 Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals. The HIM Coding/Compliance Auditor 2 analyzes abstracted, coded data for the purpose of ensuring coding accuracy. Serves as a resource for expert knowledge...

Laboratory Supervisor (Aventura) 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...

Professional Coder 3 The University of Miami/UHealth Department of Health Information Management has an exciting opportunity for a full-time Professional Coder 3 to work in Miami, FL. Medical coders help to complete, review, and process medical claims to help physician practices and hospitals get reimbursed from insurance companies for services and facilities provided to patients. A Professional Coder 3 at the University of Miami is responsible for reviewing the clinical documentation contained in the UHealth patient health records (regardless of medium in which the patient documentation is maintained) to validate the codes assigned by physicians. Abstract and or validates as necessary, abstract E&M, and Procedure codes for surgical specialties, Dermatology, Interventional Radiology and/or Interventional Cardiology, Neurosurgery, Ophthalmology, Orthopedics, Trauma and Transplant, and other specialties that are predominantly invasive codes for medical specialties including...

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 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...

Job Description Job Description Our Medical Center is seeking an experienced and detail-oriented Medical Coding & Billing Specialist to join our growing team. The ideal candidate will be responsible for accurate coding, claim submission, insurance follow-ups, and ensuring timely reimbursement. Responsibilities: Review patient charts for accuracy and completeness Perform detailed patient chart review to ensure proper documentation supports coding Accurately assign CPT, ICD-10, and HCPCS codes Submit encounters to HMO plans in a timely manner Submit electronic claims to Marketplace insurance companies such as Oscar Insurance , Molina Healthcare , and Ambetter Ensure compliance with payer-specific billing guidelines Follow up on unpaid claims and resolve denials Post insurance payments and reconcile accounts Verify patient eligibility and benefits Maintain HIPAA compliance at all times Communicate with insurance companies and patients...

" Sanitas is a global healthcare organization expanding across the 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." Job Summary The Medical Center Supervisor will be in charge of the successful management and operation of medical practices to include all specialty disciplines and clinic sites. They provide all medical specialists with resources necessary to meet the needs of patients and meet the financial objectives of the practice and group. Management and Leadership skills are essential to the success of this position. The main focus of the Supervisor is to support a team of highly qualified and dedicated staff to provide quality medicine while creating and maintaining...

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. The Department of UHealth Laboratories- IHL is currently seeking a Full-Time Sr. Medical Biller to work onsite in Miami. The incumbent in this position will process 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...

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...

Job Title: Registered Nurse (Rn) We are seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. This role involves claims analysis, provider audits, fraud detection, and regulatory enforcement to ensure compliance with state and federal regulations. Key Responsibilities: Analyze claims data, medical records, and provider documentation to identify discrepancies, fraud, or non-compliance. Conduct retrospective case reviews, on-site provider audits, and recipient interviews. Review billing practices for upcoding, duplicate billing, and unbundling of services using ICD-10, CPT, and HCPCS manuals. Prepare reports, case findings, and recommend sanctions when violations are identified. Coordinate and participate in teleconferences, hearings, and legal proceedings with the Office of General Counsel and other agencies. Respond to provider complaints and compliance inquiries via...

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...

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Opportunity for advancement Paid time off Vision insurance Medical Insurance Collection Supervisor ProMDs 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 Candidates must meet the following requirements: Proven experience supervising a medical insurance collection department. Strong knowledge of medical...

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...

At Palm Medical Centers (PMC) our patients have the peace of mind knowing that their health and well-being are our primary concerns. We give our health plan clients the confidence that their members are well taken care of. With more than 24,000 at-risk members, we provide primary care and other services to seniors and families in our medical centers that are comfortable, convenient and staffed with caring professionals. Our activity and wellness facilities are filled with health plan members who know us for our distinct events and programs that cater to the communities we serve. Every day, we deliver on our promise to bring value based, quality healthcare to our patients.   Overview PMC is looking for a CDI/Certified Professional Coder who will demonstrate deep knowledge in Medical Risk Adjustment, HEDIS, CNS Coding guidelines, billing standards and regulations.  A teamwork person who will deliver a high standard of quality of work to drive improved business performance....

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...

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

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...

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. 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...

Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller with true experience, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients to obtain approvals from the portals as well. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone with a good personality. Responsibilities Assist clients with processing insurance claims through both portal for private insurance and Medicaid/Medicare Note and process all necessary forms from the...

Job Description We are seeking a motivated Entry-Level Medical Coder / Billing Assistant to join the administrative team. This position offers a great pathway into the healthcare field for individuals interested in medical billing and coding. Hybrid work is possible after the training period. Key Responsibilities Code medical procedures accurately for billing and insurance claims. Prepare financial reports and submit claims to insurance companies or patients. Enter and maintain patient data in administrative and billing systems. Track outstanding claims and follow up on unpaid accounts. Communicate with patients to discuss balances and develop payment plans. Maintain confidentiality and comply with HIPAA and all healthcare regulations. Qualifications High school diploma or equivalent required; healthcare coursework a plus. MediClear or equivalent HIPAA compliance credential required. Strong communication, organization, and time-management skills....

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...

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...