Plastic Surgery Coder - Physician Coder GuidehousePlastic Surgery Coder - Physician CoderMiami, FloridaNote that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
Senior Forward Deployed Engineer, Servicenow DeloitteSenior Forward Deployed Engineer, ServicenowMiami, FL$155,600–$306,800 / yearDemonstrated use of Claude Code to accelerate delivery, including agentic multi-file workstreams, CLAUDE.md project memory, MCP server integrations, and parallel subagents for concurrent work such as feature development, test generation, and security review. At Deloitte, Forward Deployed Engineers (FDE) don't just build AI solutions, they help clients turn AI ambition into enterprise-scale impact, pairing leading class engineering with pod-based delivery and vertical expertise.
Special Project Supervisor Integrated HomeSpecial Project SupervisorMiramar, FloridaIntegrated Home Care Services (IHCS) provides a comprehensive Integrated Delivery System in the home setting, offering Durable Medical Equipment (DME), Respiratory, Home Health, and Home Infusion services. As a trusted market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services, we proudly serve more than 2 million lives across the United States and the Commonwealth of Puerto Rico.
Medical Necessity Coder, Medical Necessity Management, Ft,09A-5:30P Baptist Health South FloridaMedical Necessity Coder, Medical Necessity Management, Ft,09A-5:30PMiami, FL$20.02–$25.43 / hourScreen all services for Medicare and Medicaid patients to comply with the Center for Medicare and Medicaid Services (CMS) guidelines in order to determine coverage, eligibility and ensure beneficiary notification when service(s) may not be covered. Additional Qualifications: Required completion of an accredited Certified Coding Specialist program or Associate Degree in Health Information Management Science with two years outpatient coding experience.
Practice Administrator (Full Time, Days) Nicklaus Children's HospitalPractice Administrator (Full Time, Days)Miami, FLOversees back-end revenue cycle functions including collaboration with finance and revenue cycle leadership to help facilitate operations including but not limited to coding, billing, outstanding items from physicians and other healthcare professionals, and WRVU monthly trends by service line and provider. Plans, develops, and implements methods and procedures; directs and coordinates practice activities to ensure smooth operations across multiple locations; and exercises control over the personnel practice functions, including providing staff coverage to meet service line needs across multiple locations.
Cash Applications Specialist LUX InfusionCash Applications SpecialistPlantation, FloridaWe’re looking for a Pharmacy Cash Applications Specialist who wants their work to mean something — someone who brings accuracy, accountability, and purpose to ensuring payments are applied correctly and patient accounts are handled with integrity. While performing the duties of this position, the employee may occasionally be required to stand, walk, or sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear.
NewSIU Investigator Centene Corporation GroupSIU InvestigatorFL$56,200–$101,000 / yearCollaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.
Clinical Document Integrity Specialist 1, Managed Care Network Development Med Mgmt-Baptist Main, FT, 8:30A-5P Baptist Health South FloridaClinical Document Integrity Specialist 1, Managed Care Network Development Med Mgmt-Baptist Main, FT, 8:30A-5PMiami, FL$71,940.93–$93,523.21 / yearKnowledge of legal aspects of coding; Medicare MS-DRG and Medicaid APR-DRG assignment; severity of illness, risk of mortality; documentation integrity, utilization, quality, and case management, discharge planning, managed care, and denial prevention preferred. Responsible for improving the overall quality and completeness of clinical documentation through concurrent review of inpatient records to support accurate code assignment, severity of illness and risk of mortality capture, quality outcomes, and appropriate reimbursement.
Home Health Collection Specialist Integrated HomeHome Health Collection SpecialistMiramar, FloridaAs a Billing and Collect Specialist, you handle patient accounts after medical services have been rendered; liaison between our company and our patients and health plans; verify patient information, obtaining and releasing clinical documentation, appeals/denials, responds to health plan inquiries, process and perform follow-up on aging accounts, generate collection reports, and research and resolve delinquent accounts. Our delivery model is trusted by national Managed Care Organizations (MCOs), physicians and patients, positioned with over two decades of expertise as the market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services.
Business Systems Analyst, Revenue Integrity University of MiamiBusiness Systems Analyst, Revenue IntegrityMiami, FLAnalyzes existing flow of people, activities, and materials, employee work methods and utilization, policies and procedures, staffing levels, supervisory structure, space utilization, supply and demand optimization methods, forms, equipment, and computerized systems to design improved work systems. The Business Systems Analyst, Revenue Integrity collects detailed data and provides analysis to assist in the development of technology plans and strategies that enhance overall performance, reduce costs, and increase efficiencies.
Auditor, Risk Adjustment Oscar HealthAuditor, Risk AdjustmentMiami, FLRemote$82,717–$108,566 / yearResponsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts. Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
NewCare Pathway Program Manager Nicklaus Children's HospitalCare Pathway Program ManagerMiami, FLThe Program Manager role supports value-based care (VBC) initiatives and specialty programs by establishing the operational infrastructure, workflows, performance metrics, and reporting mechanisms necessary to achieve quality, utilization, and financial goals. Oversees care pathways performance, supports HEDIS and other quality reporting initiatives, ensures accurate patient attribution and panel management, and translates contractual and regulatory requirements into actionable workflows and clinical processes.
RCM Supervisor PROMD PRACTICE MANAGEMENT INCRCM SupervisorPinecrest, FLFull timeThis role supervises billing, collections, payment posting, denial management, and accounts receivable teams to ensure clients achieve optimal reimbursement, reduced A/R days, and high clean-claim rates. The RCM Supervisor serves as a key liaison between clients, payers, providers, and internal teams, ensuring service excellence and compliance with industry regulations.
Certified Risk Adjustment Coder Mount Sinai Medical Center of FloridaCertified Risk Adjustment CoderHialeah, FloridaWe 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.
Senior Software Developer Jazwares CareersSenior Software DeveloperPlantation, FloridaRemoteExperience with Agile/Scrum methodologies, TypeScript, HTMX, AWS services (Lambda, EC2, S3, RDS, Cloud Watch, IAM), integrating AI/ML models or APIs into applications, serverless architecture and micro services patterns. The Senior Software Developer will collaborate with cross-functional teams to design, develop, and implement innovative applications, while also mentoring and providing technical guidance to junior developers.
Research Registry Abstractor Urology Mount Sinai Medical Center of FloridaResearch Registry Abstractor UrologyMiami Beach, FloridaLicense/Registration/Certification Preferred: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), CPC (Certified Professional Coder), or Active CITI Program certification in Human Subjects Research. 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.
Patient Care Assistant- BH Care Resource Community Health Centers, Inc.Patient Care Assistant- BHMiami, FLAssist Medical Providers with medical procedures/testing by performing: Electrocardiogram (EKG's), vision and hearing test, diabetic, foot/monofilament test, fall risk assessment (65 & over), waived testing, results documentation & log Maintenance (blood glucose, A1C, strep, urine dipstick, urinalysis, pregnancy, Immunochemical Fecal Occult Blood Test (iFOBT), influenza A&B). Assist Medical Providers with procedures/testing and ensures proper documentation in medical record: Pap smear, colposcopy, biopsy, vaginal cultures, pelvic/breast exam, male exam, incision and drainage, throat cultures, nebulizer treatments and other procedures as indicated by the provider.
Utilization Review Nurse Health Business Solutions LLCUtilization Review NurseCooper City, FLThe Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ensuring revenue cycle efficiency. Care Coordination : Collaborate with interdisciplinary healthcare teams to coordinate patient care and treatment plans, ensuring the most cost-effective and clinically appropriate care is provided.
Team Leader Data and Systems HIM Medical Records Mount Sinai Medical Center of FloridaTeam Leader Data and Systems HIM Medical RecordsMiami Beach, FloridaAssist in Daily Chart Reconciliation & Workflow Coordination: Monitor and log daily patient discharge lists to reconcile all incoming medical records, follow up on missing charts with clinical units, compile and distribute daily suspension and status letters, and assign staff tasks for document prep, scanning, and indexing into OneContent. Monitor physicians incomplete record activity, including notifying physicians of incomplete records until records are completed for release of information purposes and to assist coding staff obtain necessary clinical documentation for coding and reimbursement purposes.
NewSr. Software Engineer (C# .NET/Azure/React/API's Kafka and Kubernetes) INSPYR SolutionsSr. Software Engineer (C# .NET/Azure/React/API's Kafka and Kubernetes)Davie, FLRemote$70–$75 / hourInformation collected and processed through your application with INSPYR Solutions (including any job applications you choose to submit) is subject to INSPYR Solutions’ Privacy Policy and INSPYR Solutions’ AI and Automated Employment Decision Tool Policy: https://www.inspyrsolutions.com/policies/ . As a leading information technology partner, we connect top IT talent with our clients to provide innovative business solutions through our IT Staffing, Professional Services, and Infrastructure Solutions divisions.