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Coding Empleos en Hialeah fl

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Coding • hialeah fl

Última actualización: hace 13 horas

Business Analyst - Healthcare (Medical Coding)

Molina HealthcareMiami, FL, United States
A tiempo completo

Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to coverage, reimbursement, and processing functions to support systems solutions ...Mostrar más

Remote Software Engineering, Data Science, and Systems Design Experts - AI Trainer ($60-$100 per hour)

MercorCoral Gables, Florida, US
Teletrabajo
A tiempo completo +1

Location:** US-Based and Non-US-Based**Type**: Full-time or Part-time Contract Work **Fluent Language Skills Required:** English **Why This Role Exists** Mercor partners with leading AI teams to im...Mostrar más

Coordinator, Accounting- Hybrid

United Way MiamiMiami, FL, United States
A tiempo completo

Hybrid Schedule: 2 days from home and 3 days on-site.Competitive Health Benefits Package.Wellness Program Reimbursements up to $50/month.Short Term Disability at NO COST.Life Insurance & AD&D 2X An...Mostrar más

Dental Office Manager

Casa SmilesHialeah, FL, US
A tiempo completo

Seeking a talented, experienced Dental Office Manager to primarily lead our administrative and operations team.This person should be a dynamic, organized, and detail-oriented individual with manage...Mostrar más

Medical Biller

Progressive Medical CenterMiami, Florida, United States
A tiempo completo
Quick Apply

The Medical Biller is responsible for managing all aspects of the billing process for mental health and psychiatric services.This role ensures accurate claim submission, timely reimbursement, and c...Mostrar más

Provider Reimbursement Administrator

Solis Health PlansMiami, FL, United States
A tiempo completo

Provider Reimbursement Administrator.The Provider Reimbursement Administrator is responsible for configuring and maintaining provider reimbursement structures within the claims adjudication.This ro...Mostrar más

Coding Specialist

Gastro HealthMiami, Florida, United States
A tiempo completo

About Coding Specialist Position.Do you love to care for patients in a warm and welcoming environment?.Coding Specialist to join our team!.Gastro Health is a great place to work and advance in your...Mostrar más

Medical Coder - Arbitration

MaximusMiami, US
A tiempo completo

Essential Duties and Responsibilities: - Abstract and code clinical data.Audit medical records to ensure compliance with the organization's coding procedures and standards.Accurately enter coded da...Mostrar más

React Native Tech Lead

Stellar IT Solutions LLCMiami, FL, Florida, USA
Temporal

Job Title: React Native Tech Lead Location: Miami, FL (Hybrid) - Must be onsite from Day 1 if relocating Type: 6‑month contract‑to‑hire Coding Test: Requir...Mostrar más

After-School STEM & Coding Instructor (Part-Time)

Concorde EducationMiami, Miami-Dade County, United States
A tiempo parcial
Quick Apply

On-site at partner schools (varies by assignment).Typically 1–4 hours per week after school.Rolling openings throughout the school year.Concorde Education is seeking an engaging Coding Instructor t...Mostrar más

Remote Software Engineering, Data Science, and Systems Design Experts - AI Trainer ($60-$100 per hour)

MercorDoral, Florida, US
Teletrabajo
A tiempo completo +1

Location:** US-Based and Non-US-Based**Type**: Full-time or Part-time Contract Work **Fluent Language Skills Required:** English **Why This Role Exists** Mercor partners with leading AI teams to im...Mostrar más

Medical Billing and Coding - Entry Level Training Program

DreamboundMiami, Florida, United States
A tiempo completo

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ...Mostrar más

iOS Developer

Hudson ManpowerMaimi, FL, US
A tiempo completo

Seeking a motivated iOS Developer to design, develop, and maintain high-quality mobile applications for Apple devices.Must collaborate with cross-functional teams and follow best coding practices.D...Mostrar más

Claims Analyst III

Careers Integrated Resources IncMiami, FL, United States
A tiempo completo

IntegratedResources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms.IRI has built its reputation on excellent service and integr...Mostrar más

Team lead / Sr.Net Developer

NPA WorldWideMiami, Florida, USA
A tiempo completo

Why a Great OpportunityNew role created by client growth in this leading Fintech solutions firm.Great opportunity with high earning potential within an innovative, collaborative environment; cuttin...Mostrar más

Fresh Graduate / Junior Fullstack Engineer, AI-First (PK)

WizdaaRemote, IS, PK
Teletrabajo
A tiempo completo

We are hiring a fresh graduate or junior fullstack engineer with exceptional problem-solving ability and strong technical fundamentals.This is a high-bar role for candidates who learn quickly, take...Mostrar más

Sr. Account Executive/Client Success Mgr. – Anesthesia-Ophthalmology

MedusindMiami, Florida, United States
A tiempo completo
Quick Apply

Medusind is a leading provider of revenue cycle management solutions to dental, behavioral health, anesthesia, pathology, emergency, surgery, radiology, and other specialties.In January 2023, Alpin...Mostrar más

 • Nueva oferta

Tumor Registrar 2 - Remote

University of MiamiCoral Gables, FL
Teletrabajo
A tiempo completo

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click to log in to Workday to use the internal application process.To learn how to apply for a faculty o...Mostrar más

Business Analyst - Healthcare (Medical Coding)

Business Analyst - Healthcare (Medical Coding)

Molina HealthcareMiami, FL, United States
Hace 17 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

Job Title

Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable.

Job Duties

  • Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan developed requirements.
  • Monitors sources to ensure all updates are aligned.
  • Leads coordinated development and ongoing management/interpretation review process, committee structure and timing with key partner organizations.
  • Conducts analysis to identify root causes and assist with problem management as it relates to state requirements.
  • Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
  • Provides support for requirement interpretation inconsistencies and complaints.
  • Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
  • Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes.

Knowledge/Skills/Abilities

  • Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
  • Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
  • Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
  • Ability to concisely synthesize large and complex requirements.
  • Ability to organize and maintain regulatory data including real-time policy changes.
  • Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
  • Ability to work independently in a remote environment.
  • Ability to work with those in other time zones than your own.

Job Qualifications

  • At least 1 year of Medical Billing and coding experience
  • Policy/government legislative review knowledge.
  • Strong analytical and problem-solving skills.
  • Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
  • Previous success in a dynamic and autonomous work environment.

Preferred Qualifications

  • Project implementation experience
  • Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA).
  • Medical Coding certification.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.