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Coding Jobs in Hialeah, FL

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Coding • hialeah fl

Last updated: 2 days ago

MRA Auditor

Solis Health PlansMiami, FL, United States
Full-time

Medical Risk Adjustment Auditor.The MRA Auditor is responsible for reviewing medical records and practice management code data and making recommendations to providers as needed.Knowledge of medical... Show more

Medical Billing Assistant - Entry Level

VitalsearchgroupMiami, Florida, United States
Full-time
Quick Apply

Medical Billing Assistant – Entry Level.A confidential healthcare organization is seeking a detail-oriented.This is a great opportunity for someone looking to start a career in healthcare administr... Show more

.Net Developer

Expert Technology ServicesMedley, FL, United States
Full-time
Quick Apply

Job Summary (in list format):</b><br /> <br /> - Position:.NET Developer<br /> - Industry: Transport & Logistics<br /> - Location: Miami, FL (Onsite, Monday-Thursd... Show more

Remote Coding Manager / HIM Coding Leader - AI Trainer ($80-$80 per hour)

MercorNorth Miami, Florida, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more

Accounts Payable Coordinator

WatscoMiami, FL, United States
Full-time

The Accounts Payable Clerk at Boreal International Corp.This position is essential for maintaining financial integrity and ensuring smooth operations within the accounting department.Managing the f... Show more

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

MercorHialeah, Florida, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Show more

Autonomous Systems Apprentice

PairtyMiami, Florida, United States
Full-time

Pairty is building the Human Venture Capital Network — a platform focused on AI agents, identity, automation, decentralized systems, and next-generation web3 infrastructure.We are building internal... Show more

STEM & Coding Instructor Opportunities

Concorde EducationMiami, Miami-Dade County, United States
$50.00 hourly
Full-time
Quick Apply

POTENTIAL INDEPENDENT CONTRACTOR INSTRUCTIONAL ASSIGNMENTS.Coding Instructor Opportunities.On-site at partner schools; varies by assignment.Elementary, Middle, and High School; varies by assignment... Show more

Entry-Level Medical Billing & Coding Assistant

Revel HealthcareMiami, Florida, United States
Full-time
Quick Apply

Entry-Level Medical Billing & Coding Assistant.This is a great opportunity for someone looking to begin a career in healthcare administration with training, growth potential, and long-term adva... Show more

Accounts Payable (AP) Accountant 16812881

Cherry BekaertMiami, FL, USA
$65,000.00 yearly
Permanent

Accounts Payable Accountant (Construction Industry).Location: Miami, FL (Fully Onsite).A confidential construction-focused organization is seeking an experienced.This position is fully onsite and o... Show more

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

Remote Clinical Documentation Integrity (CDI) Leader - AI Trainer ($84-$84 per hour)

MercorNorth Miami, Florida, US
$84.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Clinical Documentation Integrity (CDI) managers and leaders to ... Show more

Remote Medical Revenue Manager - AI Trainer ($88-$88 per hour)

MercorMiami Gardens, Florida, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Charge Capture, Charge Integrity, and Revenue Integrity profess... Show more

Vendor Resource Management Pro-Fee Lead

HCA HealthcareMiami, FL, United States
Full-time

Vendor Resource Management Pro-Fee Lead.This position is incentive eligible.Do you have the career opportunities as a Vendor Resource Management Pro-Fee Lead you want with your current employer? We... Show more

Clinical Documentation Improvement (CDI) Specialist (Remote)

PrideStaffMiami, FLORIDA, US
$22.00 hourly
Remote
Temporary

Clinical Documentation Improvement (CDI) Specialist (Remote).The CDI Coordinator will review patient medical records and assign codes to diagnoses and procedures performed so the facility can bill ... Show more

AppSec Engineer ID71671

AgileEngineMiami, FL, us
Full-time
Quick Apply

Fortune 500 brands and trailblazing startups across 17+ industries.We rank among the leaders in areas like application development and AI/ML, and our people-first culture has earned us multiple Bes... Show more

Remote Medical Revenue Manager - AI Trainer ($88-$88 per hour)

MercorHialeah, Florida, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Charge Capture, Charge Integrity, and Revenue Integrity profess... Show more

Business Analyst (Medical Billing/Coding)

Molina HealthcareMiami, FL, United States
Full-time

Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Coral Terrace, Florida, US
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

Sr Compliance Auditor

Nicklaus Children's Health SystemMiami, FL, United States
Full-time

The Sr Billing Compliance Auditor serves as the liaison responsible for monitoring and auditing NCPS coding and documentation functions for professional fee services.Conducts independent ongoing re... Show more

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MRA Auditor

MRA Auditor

Solis Health PlansMiami, FL, United States
2 days ago
Job type
  • Full-time
Job description

Medical Risk Adjustment Auditor

The MRA Auditor is responsible for reviewing medical records and practice management code data and making recommendations to providers as needed. Knowledge of medical coding guidelines, regulations, and understanding the impact of diagnosis coding on risk adjustment payment methods.

Essential Duties and Responsibilities:

  • Travel to offices as necessary to complete on-site chart reviews of medical records and determine if the medical record is complete, accurate, and in support of individual patient risk adjustment score. Codes will be sequenced and assigned from electronic medical systems such as International Classification of Diseases ICD-10, HCC Risk coding software, and AHA coding clinic software based on the code which most accurately describes each documented diagnosis.
  • Reviews medical coding guidelines and regulations allowing to understand the impact of diagnosis coding on risk adjustment payment models including HCC, Chronic Illness Disability Payment System (CDPS)- Medicaid, Affordable Care Act (ACA-HHS)-Commercial payer models.
  • Educates providers and their practice staff in Centers for Medicare & Medicaid Services (CMS), Health and Human Services - Affordable Care Act (HHS-ACA) and the Agency for Healthcare Administration (AHCA) coding guidelines. Focusing on documentation and accurate codes to enhance revenue opportunities.
  • Works in collaboration with other departments, develop plans and materials that support education and system changes to meet practice and revenue goals.
  • Reconciles internal and external reports to ensure pre or post review of each medical record is completed. Communicating recommendations to providers as appropriate, following up when necessary.
  • Utilizes payor portal to identify missed, dropped or suspect HCC opportunities, and assigns appropriate coding disposition. Utilizes mining from data captured through historical risk adjustment coding reports.
  • The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work required that may be inherent in the position.

Qualifications:

  • CPC, CPC-A, CCS-P or CRC Coding Certification.
  • Clinical knowledge to identify areas of improvement on documentation.
  • Two (2) years of experience in Medicare Risk Adjustment Coding/Auditing.
  • Must have reliable transportation.

Compensation: $68k-73k based on experience and qualifications, plus a monthly car and cellphone allowance

What Set Us Apart:

Join Solis Health Plans as a Medical Risk Adjustment Auditor and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!