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Coding Jobs in Hialeah, FL

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Coding • hialeah fl

Last updated: 1 day ago

Business Analyst - Healthcare (Medical Coding)

Molina HealthcareMiami, FL, United States
Full-time

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 ...Show more

Remote Cybersecurity Non-Professional (Red Team) - AI Trainer ($60-$60 per hour)

MercorNorth Miami, Florida, US
Remote
Full-time

Join a cybersecurity project to help make LLMs safer! You will be a good fit for this role if you: - Have an interest in **cybersecurity,** but no professional experience in the discipline - Are pr...Show more

Dental Office Manager

Casa SmilesHialeah, FL, US
Full-time

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...Show more

Physician Practice AR Collection Spec, Remote, BHMG Revenue Management, FT, 08A-4:30P

Baptist HealthMiami, FL, United States
Full-time

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 phys...Show more

Medical Biller

Progressive Medical CenterMiami, Florida, United States
Full-time
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...Show more

Entry level Python Developer

SynergisticITMiami, FL, United States
Full-time

Are you passionate about coding or technology and ready to make your mark in tech? For more than 15 years, SynergisticIT has been helping aspiring developers like you excel in the tech industry.We ...Show more

 • Promoted

Coding Specialist

Gastro HealthMiami, Florida, United States
Full-time

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...Show more

Sr Inpatient Coder

Houston MethodistMiami, FL, United States
Full-time

At Houston Methodist, the Senior Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient, emergency room, therapy, and/or clinic enc...Show more

 • Promoted

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

Concorde EducationMiami, Miami-Dade County, United States
Part-time
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...Show more

Forensic Account Biller & Collector

Larkin Community HospitalMiami, FL, United States
Full-time

Forensic Account Biller And Collector.Under the direction of the Business Office Director, the Forensic Account Biller and Collector is responsible for the timely and accuracy submission of hospita...Show more

Claims Specialist

Solis Health PlansMiami, FL, United States
Full-time

To perform this job, an individual must perform each essential function satisfactorily, with or without a reasonable accommodation; including, but not limited to:.Serve as a liaison between the pla...Show more

Auditor, ACO Coding

Cano HealthMiami, FL, United States
Full-time

It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts t...Show more

iOS Developer

Hudson ManpowerMaimi, FL, US
Full-time

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...Show more

Medical Billing and Coding - Entry Level Training Program

DreamboundMiami Lakes, Florida, United States
Full-time

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 ...Show more

 • Promoted

Revenue Cycle Manager

Pinnacle Wound ManagementMiami, FL, United States
Full-time

Revenue Cycle Manager Credentialing & Coding.Pinnacle Wound Management is a leading wound care provider dedicated to delivering high-quality patient care.We are looking for a Revenue Cycle Manager ...Show more

 • Promoted

Medical Coding Educator

HumanaCoral Gables, FL, United States
Full-time

Become a part of our caring community and help us put health first.The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each as...Show more

 • Promoted

Remote Hospital Based Inpatient Coder III

Memorial Health Care SystemDoral, FL, United States
Full-time

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on m...Show more

 • Promoted

Backend Developer

Betterpros LLC,Brickell Ave, Miami, FL , EE. UU.
Full-time

Are you a coding maestro with a passion for backend development? Do you love turning complex problems into elegant solutions? Can you communicate seamlessly with a team of outstanding professionals...Show more

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Business Analyst - Healthcare (Medical Coding)

Business Analyst - Healthcare (Medical Coding)

Molina HealthcareMiami, FL, United States
1 day ago
Job type
  • Full-time
Job description

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.