Risk Adjustment Coordinator, Remote, Baptist Health Integrated Care, FT, 08A-4:30P Baptist Health South Florida IncRisk Adjustment Coordinator, Remote, Baptist Health Integrated Care, FT, 08A-4:30PBoca Raton, FLRemote$25.37–$32.22 / hourThe Risk coding Regional Auditor must support the Director of risk coding along with other team professionals working to provide pre and post visit review analysis for provider practices while providing risk coding education to healthcare providers to improve practice risk scores. Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
Risk Adjustment Coordinator, Hybrid, Palm Beach, Baptist Health Integrated Care, FT, 08A-4:30P Baptist Health South FloridaRisk Adjustment Coordinator, Hybrid, Palm Beach, Baptist Health Integrated Care, FT, 08A-4:30PBoca Raton, FL$25.37–$32.22 / hourThe Risk coding Regional Auditor must support the Director of risk coding along with other team professionals working to provide pre and post visit review analysis for provider practices while providing risk coding education to healthcare providers to improve practice risk scores. Comprehensive Knowledge of ICD-10-CM codes, Category II codes, COA measures, CMS documentation requirements, state and federal regulations including compliance and reimbursement and the impact of diagnosis coding on risk adjustment payment models.
Director, Revenue Cycle Operations Health Business Solutions LLCDirector, Revenue Cycle OperationsCooper City, FLIdentify 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.
Claims Analyst South Florida Community Care NetworkClaims AnalystSunrise, FLThis 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.
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.
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.
Allergy Tech / Certified Medical Assistant Florida ENT AssociatesAllergy Tech / Certified Medical AssistantBoca Raton, FLProvides professional allergy testing care to patients, coordinates insurance verification, scheduling, and performs related job functions for outpatient procedures to support the efficiency and effectiveness of the medical office operations. • Ensures emergency medications and protocols (e.g., epinephrine) are readily available and followed in case of adverse reactions.
Clerk Larkin Community Hospital IncClerkHialeah, FLThe HIM Clerk supports healthcare providers by facilitating timely retrieval and delivery of patient information, which is essential for quality patient care and operational efficiency. About the Role: The Health Information Management (HIM) Clerk plays a critical role in maintaining the accuracy, confidentiality, and accessibility of patient health records within healthcare facilities.
HIM Clerk (Full-time) Larkin Community Hospital IncHIM Clerk (Full-time)Hialeah, FLThe HIM Clerk supports healthcare providers by facilitating timely retrieval and delivery of patient information, which is essential for quality patient care and operational efficiency. About the Role: The Health Information Management (HIM) Clerk plays a critical role in maintaining the accuracy, confidentiality, and accessibility of patient health records within healthcare facilities.
Charge Capture Specialist OMH HealthEdge Holdings IncCharge Capture SpecialistBoca Raton, FLStrong working knowledge of inpatient and outpatient clinical documentation expectations, with proven ability to evaluate operative notes, MARs, and clinical records to substantiate billed CPT/HCPCS/ICD-10 codes. Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale.
Clinical Documentation Specialist OMH HealthEdge Holdings IncClinical Documentation SpecialistBoca Raton, FLFounded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. Preferred Experience: Three to five years' experience in a Clinical Documentation Improvement Program with previous experience in clinical quality, utilization management, case management, nursing, coding, or related field (e.g., physician) of which a minimum of three years' experience is in a management or supervisory role.
Bilingual Medical Receptionist The Doctors CenterBilingual Medical ReceptionistAventura, FloridaKnowledge, Skills, and Abilities: Must be detail-oriented, possess the ability to multi-task/problem solve, and be open to cross-functional training. Job Summary: Our innovative and rapidly expanding company is seeking experienced candidates for the position of Clinic Receptionist.
Manager, CDI OMH HealthEdge Holdings IncManager, CDIBoca Raton, FLFounded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support.
Auditor/Educator In/Outpatient OMH HealthEdge Holdings IncAuditor/Educator In/OutpatientBoca Raton, FLFounded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support.
Office Coordinator Medicare Part D Mount Sinai Medical Center of FloridaOffice Coordinator Medicare Part DHialeah, FloridaWorks with MSMC HR, Employee Health, Education, other MSMC departments and contracted providers/vendors to ensure all PACE required employee/contractor requirements are in place and updated as regulations change and performs routine audits to ensure all required items are in place and current. Responsible for all Eldercare Accounts Payable including accurately completing the steps required in the accounting software, keeps on top of reoccurring invoices to ensure they are received and processed monthly and accurately completes the monthly ALF invoices per established process.
Cash Applications Specialist LUX InfusionCash Applications SpecialistPlantation, Florida$24–$26 / hourWe’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.
RCM Reimbursement Supervisor ColoplastRCM Reimbursement SupervisorCoral Springs, FLRemote$81,513–$122,269 / yearThis role supervises internal teams and external vendors, ensures prompt and accurate claim resolution, and implements best practices to optimize collections, reduce denials, and meet key performance indicators such as cash goals, aging, quality, and productivity. Our attention to detail, unmatched customer service, and dedication to helping our customers live happier, healthier lives are just a few of the many reasons we are one of the fastest growing catheter and ostomy supply companies in the nation!
Coder ER OMH HealthEdge Holdings IncCoder ERBoca Raton, FLRemoteFounded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. While performing the duties of this job, the employee is occasionally required to stand; walk; 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.
Auditor/Educator Outpatient OMH HealthEdge Holdings IncAuditor/Educator OutpatientBoca Raton, FLWhile performing the duties of this job, the employee is occasionally required to stand; walk; 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. Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale.
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.