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Clinical Coding Auditor And Trainer

Miami,FL

1916 Clinical Coding Auditor And Trainer jobs in Miami,FL

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Benefit Configuration Manager - Remote

Sentara Health

Doral, FL 33126

RemoteUrgently HiringEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

  • Bachelor's degree in Healthcare Administration, Information Systems, Business Administration, or related field; In lieu of degree, direct experience will be considered.
  • 8+ years of progressive experience in health plan benefit configuration using QNXT or a comparable claims administration platform.
  • 5+ years of experience leading configuration teams, supervisors, or operational functions.
  • Demonstrated expertise in Commercial, Exchange, Medicare, and Medicaid benefit designs and regulatory requirements.
  • Extensive knowledge of benefit configuration logic, claims adjudication, accumulators, authorization rules
  • Experience managing large-scale benefit implementations or annual benefit maintenance activities.
  • Strong analytical, organizational, project management, and problem-solving skills.
  • Excellent written, verbal, presentation, and stakeholder management skills.
  • Proven ability to lead cross-functional teams and drive organizational initiatives.
  • Proven ability to create SQL queries for validation of benefit configuration and claims analysis
  • 3 years of related experience in one of the following areas, operations, IT, or reporting . (Required)
SmartExplore AI is experimental.
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New, Posted 2 hours ago
iHire

Epic Clinical Analyst IV (Beacon - Certification required)

Nicklaus Children's Hospital

Miami, FL 33101

New, Posted 9 hours ago
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Licensed Psychologist, Peer Reviewer - Remote in Florida

UnitedHealth Group

Miami, FL 33135

$91,700-$163,700/yr
RemoteRetirement Benefit

  • Independently licensed doctoral level Psychologist (Ph.D. or Psy.D.) in the state of Florida
  • Ability to obtain additional state licensures to meet growing business needs
  • 3+ years of post-licensure experience
  • Experience working with insurance companies to acquire authorizations, file claims, conduct peer reviews, etc.
  • Advanced proficiency using Microsoft Office Applications (Word, Outlook, TEAMS, Excel, and Access Database)
  • Proven ability to prioritize multiple demands within strict turnaround time requirements and track multiple state/business nuances for cases reviewed
  • Proven ability to work independently and collaborate with others on a clinical team
  • Proven advanced written and verbal communication and negotiation skills
  • Secure, private area of your home to set up an office, and access to a broadband ISP
  • Permanent residence in the state of Florida
SmartExplore AI is experimental.
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Work From Home Benefits Specialist - Full Training

Globe Life Virtual Sales

Miami, FL

RemoteFlexible Schedule

  • No Experience Required
  • No prior experience is required
  • Reliable internet and a quiet workspace
SmartExplore AI is experimental.
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New, Posted 21 hours ago

Family Medicine Physician

Enterprise Medical Recruiting

Miami, FL

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Clinical Liaison (CL)

Baptist Health Rehabilitation Hospital

Miami, FL 33143

OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

  • Clinical Licensure required
SmartExplore AI is experimental.
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Hospitalist Physician

CompHealth

Miami, FL

Registrar - Patient Access (Per Diem, Evenings)

Nicklaus Children's Health System

Miami, FL 33101

Bilingual Preferred
Easy Apply

Field Risk Specialist

Datascan Technologies, LLC

Hialeah, FL 33010

$43,000-$44,625/yr
~ 21 min OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

  • Valid driver's license
  • Safe driving record
  • High school diploma or GED required
  • Ability to travel overnight as needed by vehicle or air travel (10 to 12 nights per month)
  • Ability to perform physical tasks such as clearing snow or ice from VIN/serial numbers, lifting or moving inventory boxes as needed, and bending, reaching, or stooping
  • Meet with authorized dealership personnel to research and determine the status of missing inventory units
  • Verify in-stock inventory by inspecting VIN/serial numbers for each floorplanned unit, often outdoors and in varying weather conditions
  • Review and validate dealer records and supporting documentation related to sold, missing inventory and off-site collateral
  • Verify the status and accuracy of MSOs (Manufacturer Statements of Origin) and vehicle titles
  • Document dealership visit details and audit observations
  • Review audit results with dealership personnel in a clear and professional manner
  • Communicate audit results, dealer conditions, and potential risk exposure to client representatives
  • Proficient with basic computer usage required
SmartExplore AI is experimental.
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Hospitalist Physician

GO Staffing

Miami, FL

  1. Miami,FL Jobs
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  3. Clinical Coding Auditor And Trainer Jobs

What companies are hiring Clinical Coding Auditor And Trainer jobs in Miami,FL?

  1. Sentara Health
  2. Nicklaus Children's Hospital
  3. UnitedHealth Group
  4. Globe Life Virtual Sales
  5. Enterprise Medical Recruiting
  6. Baptist Health Rehabilitation Hospital
  7. CompHealth
  8. Nicklaus Children's Health System
  9. Datascan Technologies, LLC
  10. GO Staffing

What is the yearly salary range for Clinical Coding Auditor And Trainer jobs in Miami,FL?

The yearly salary range is $43000 - $163700.

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