928 Results for

Coding Jobs in Coconut Grove, FL

Jobs

Manager, Government Audit Health Business Solutions

Cooper City, Florida

Remote

This fully remote role will report directly to the VP of Clinical Appeals and is responsible for overseeing end-to-end audit processes, ensuring regulatory compliance, and managing a team that includes offshore staff . Audit Oversight & Lifecycle Management Lead the management and response process for a variety of audits including RAC, MAC, CERT, PERM, TPE, and commercial payer audits.

30+ days ago

Certified Coder Health Business Solutions LLC

Cooper City, FL

Remote

Review, analyze, and accurately assign ICD-10-CM, CPT, and HCPCS codes for inpatient and outpatient encounters, including surgeries, ancillary services, ER, observation, and clinic visits. The Certified Coder is responsible for performing accurate and compliant coding of inpatient (IP) and outpatient (OP) medical records to support timely billing and maximize revenue integrity.

13 days ago

Medical Director Scientific Affairs Oscar Health

Miami, FL

Remote

$237,719–$312,006 / year

Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. The Medical Director Scientific Affairs provides strategic leadership to the Clinical Policy team, ensuring medical and pharmacy policies are rigorously evidence-based and aligned with current clinical advancements.

25 days ago

Certified Coder Health Business Solutions

Cooper City, Florida

Remote

15 days ago

Clinical Trials Activation Analyst 2 University of Miami

Miami, FL

Under general supervision, the Clinical Trials Activation Analyst 2 is responsible for providing institutional-level sponsored research administration services to a portfolio of academic departments and research units among the Miller School of Medicine, including communications with extramural entities, with the focus on securing fiscally sound and compliant financial provisions for clinical research and clinical trials. The Clinical Trials Activation Analyst 2 (Medicare Billing Coding & Financial) works independently to review financial provisions of sponsored clinical research agreements and proposals and negotiate budgets and financial terms in adherence to sponsoring entity, federal, state and University of Miami requirements.

30 days ago

Senior IT Systems Engineer - EHR (Eclinicalworks) ICBD

Fort Lauderdale, FL

eCW System Configuration Ownership: Manage all eClinicalWorks configuration across Marquis MD practice sites, including user accounts and security roles, provider templates, appointment scheduling rules, order sets, structured note templates, registries, and clinical decision support tools. The EHR Applications Lead is the primary platform owner for eClinicalWorks at ICBD, accountable for the configuration, workflow design, integration health, and clinical documentation tools that support Marquis MD's multi-site concierge medicine practice, with scope expected to expand to additional ICBD operating companies and lines of business over time.

9 days ago

Manager, Clinical Appeals Health Business Solutions LLC

Cooper City, FL

The ideal candidate brings a strong background in clinical review, medical necessity denials, payer appeal processes, and team leadership—ideally across both U.S. and offshore teams (e.g., Philippines) . We are seeking an experienced and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across commercial and government payers.

13 days ago

DME Collection Specialist Integrated Home

Miramar, Florida

As a Billing and Collection 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. Integrated 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.

30+ days ago

SIU Investigator Centene Corporation Group

$56,200–$101,000 / year

Collaborates 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.

30+ days ago

Senior IT Systems Engineer - EHR (eClinicalWorks) ICBD Holdings

Fort Lauderdale, Florida

10 days ago

Certified Risk Adjustment Coder Mount Sinai Medical Center of Florida

Hialeah, Florida

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.

30+ days ago

Home Health Collection Specialist Integrated Home

Miramar, Florida

As 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.

30+ days ago

Accounting Associate- Patient Payables Chapters Health System Inc

$18.43–$27.43 / hour

Role: The Accounts Payable Representative is responsible for ensuring accurate payments to vendors/providers which includes processing invoices/claims, conducting research, obtaining approval, recordkeeping, and maintaining vendor/provider relationships. Patient Payables: Efficiently and accurately analyzes claim submissions to determine whether the claim should be accepted, rejected, approved or denied for payment based on the legally binding agreement and/or fee schedules and the patient conditions.

10 days ago

Manager, Clinical Appeals Health Business Solutions

Cooper City, Florida

30+ days ago

Trauma Registrar - Per Diem - MRH South Broward Hospital District

Fort Lauderdale, FL

Additional Job Information: Complexity of Work: Must have knowledge of medical terminology, anatomy and physiology, or coding knowledge; proficiency in utilizing computers; trauma experience; Abbreviated Injury Scale (AIS), Injury Severity Score (ISS), ICD-10 coding familiarity. Works closely with trauma leadership and departments to maintain verification requirements for the organization to drive efficient and effective performance improvement and patient safety process by meticulous data abstraction, injury coding, report writing, and data analysis.

30+ days ago

Clinical Quality Coder II Sutter Health

Plantation, FL

$35.04–$52.56 / hour

SKILLS AND KNOWLEDGE: Advanced knowledge of ICD-10 diagnosis coding conventions and requirements, knowledge of Quality Coding Program requirements such as the Medicare Advantage Coding Program/HCC, as well as medical terminology and abbreviations of disease, illness and injury process. Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines.

18 days ago

Director, Revenue Cycle Operations Health Business Solutions LLC

Cooper City, FL

Identify and implement revenue cycle improvements, using data-driven analysis to reduce claim denials, shorten revenue cycle time, and enhance payment collections. Oversee all functions of the revenue cycle, including patient registration, coding, billing, claims processing, payment posting, denial management, and collections.

30+ days ago

Director, Advanced Practice Provider Services Florida Cancer Specialists and Research Institute

Summary: The Director, Advanced Practice Provider Services is responsible for the clinical and operational leadership of APP Services at Florida Cancer Specialists & Research Institute, identifying and executing a variety of operational and strategic initiatives that optimize the support of our locations, with three primary goals: 1) Strengthening the operational and financial performance of the practice through APP integration in patient care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida.

30+ days ago

Claims Analyst South Florida Community Care Network

Sunrise, FL

This role reviews professional and facility claims, identifies payment discrepancies, evaluates claims against benefits, contracts, reimbursement methodologies, and applicable policies, and works with internal teams to resolve issues and improve claims processing. In this role, you'll use your claims expertise and analytical skills to protect payment accuracy, identify opportunities for improvement, and help strengthen the processes that support our members and providers.

30+ days ago

Utilization Review Nurse Health Business Solutions LLC

Cooper City, FL

The 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.

30+ days ago

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Coding Jobs in Coconut Grove, FL

Manager, Government Audit Health Business Solutions

Certified Coder Health Business Solutions LLC

Medical Director Scientific Affairs Oscar Health

Certified Coder Health Business Solutions

Clinical Trials Activation Analyst 2 University of Miami

Senior IT Systems Engineer - EHR (Eclinicalworks) ICBD

Manager, Clinical Appeals Health Business Solutions LLC

DME Collection Specialist Integrated Home

SIU Investigator Centene Corporation Group

Senior IT Systems Engineer - EHR (eClinicalWorks) ICBD Holdings

Certified Risk Adjustment Coder Mount Sinai Medical Center of Florida

Home Health Collection Specialist Integrated Home

Accounting Associate- Patient Payables Chapters Health System Inc

Manager, Clinical Appeals Health Business Solutions

Trauma Registrar - Per Diem - MRH South Broward Hospital District

Clinical Quality Coder II Sutter Health

Director, Revenue Cycle Operations Health Business Solutions LLC

Director, Advanced Practice Provider Services Florida Cancer Specialists and Research Institute

Claims Analyst South Florida Community Care Network

Utilization Review Nurse Health Business Solutions LLC

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