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Coding • hialeah fl

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Business Analyst - Healthcare (Medical Coding)

Molina HealthcareMiami, FL, United States
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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 ...[internal_linking.show_more]

Coordinator, Accounting- Hybrid

United Way MiamiMiami, FL, United States
[job_card.full_time]

Hybrid Schedule: 2 days from home and 3 days on-site.Competitive Health Benefits Package.Wellness Program Reimbursements up to $50/month.Short Term Disability at NO COST.Life Insurance & AD&D 2X An...[internal_linking.show_more]

Dental Office Manager

Casa SmilesHialeah, FL, US
[job_card.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...[internal_linking.show_more]

Data Conversion Lead

MaximusMiami, FL, US
[job_card.full_time]

Essential Duties and Responsibilities: - Lead the design and development of complex software applications from business requirements in collaboration with other team members - Investigate new solut...[internal_linking.show_more]

Medical Biller

Progressive Medical CenterMiami, Florida, United States
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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...[internal_linking.show_more]

Senior Software Engineer (Full Stack)

MaRe Head Spa SystemMiami, Florida, United States
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[job_card.full_time]
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MaRe is redefining the head care industry.We provide hair salons and wellness centers with professional-grade diagnostic capabilities, standardized treatment protocols, and seamless e-commerce inte...[internal_linking.show_more]

AP Accountant

Aston CarterMiami, FL, United States
[job_card.full_time]

We are seeking an AP Accountant to process vendor bills and expense invoices accurately and timely using Sage Intacct.The ideal candidate will ensure all invoice coding, approvals, and supporting d...[internal_linking.show_more]

Coding Specialist

Gastro HealthMiami, Florida, United States
[job_card.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...[internal_linking.show_more]

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

Concorde EducationMiami, Miami-Dade County, United States
[job_card.part_time]
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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...[internal_linking.show_more]

Application Developer IV

RyderCoral Gables, FL, US
[job_card.full_time]

Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.Provides specialized technical expertise within an assigned business unit/area at a senior level position.Acts...[internal_linking.show_more]

Auditor, ACO Coding

Cano HealthMiami, FL, United States
[job_card.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...[internal_linking.show_more]

Medical Billing and Coding - Entry Level Training Program

DreamboundMiami, Florida, United States
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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 ...[internal_linking.show_more]

Remote Expert Professors - Coding & STEM - AI Trainer ($70-$95 per hour)

MercorNorth Miami, Florida, US
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[job_card.full_time] +1

Join a leading AI lab’s cutting-edge GenAI team to be at the core of the AI revolution, where your expertise fuels the development of the most advanced Large Language Models.Overview We are seeking...[internal_linking.show_more]

iOS Developer

Hudson ManpowerMaimi, FL, US
[job_card.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...[internal_linking.show_more]

Team lead / Sr.Net Developer

NPA WorldWideMiami, Florida, USA
[job_card.full_time]

Net Developer The Role & Key Responsibilities: THE ROLE The Senior.Net Developer will play a key role in the design, development, and maintenance of robust.This position is responsible for analyzin...[internal_linking.show_more]

Claims Analyst III

Careers Integrated Resources IncMiami, FL, United States
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IntegratedResources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms.IRI has built its reputation on excellent service and integr...[internal_linking.show_more]

Project Accoutant

Fontainebleau Development LLCMiami, FL, United States
[job_card.full_time]

The Project Accountant is responsible for the accounting of all costs on the project to be developed.Essential Duties and Responsibilities:.Receive Accounts Payable Invoices and ensures proper codi...[internal_linking.show_more]

Tumor Registrar 2 - Remote

University of MiamiCoral Gables, FL
[filters.remote]
[job_card.full_time]

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click to log in to Workday to use the internal application process.To learn how to apply for a faculty o...[internal_linking.show_more]

Business Analyst - Healthcare (Medical Coding)

Business Analyst - Healthcare (Medical Coding)

Molina HealthcareMiami, FL, United States
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  • [job_card.full_time]
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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.