416 Analyst Coding Data Quality Auditor jobs in Miami,FL

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Restaurant Cook

Mariposa at Neiman Marcus - Coral Gables

Miami, FL 33146

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Senior Health Economics Analyst

ChenMed

Miami, FL 33169

Onsite

Minimum of four (4) years of related experience
Spoken and written fluency in English
This job requires use and exercise of independent judgment
Bachelor's degree: experience may substitute for education on a year-for-year basis above the minimum experience required

SmartExplore AI is experimental.

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Investigator, Special Investigative Unit Coding-Miami Florida

Molina Healthcare

Fort Lauderdale, FL 33394

$21.82-$42.55/hr

~ 36 min Onsite

At least 2 years CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified
Critical-thinking, problem-solving and analytical skills.
Ability to prioritize and manage multiple tasks.
Ability to work in a team setting.
Strong verbal/written communication skills, and presentation skills.
Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
Knowledge of Managed Care and the Medicaid, Medicare, and Marketplace programs.
Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
Ability to research and interpret regulatory requirements.

SmartExplore AI is experimental.

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Investigator, Special Investigative Unit Coding-Miami Florida

Molina Healthcare

Miami, FL 33135

$21.82-$42.55/hr

Onsite

At least 2 years CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified
Critical-thinking, problem-solving and analytical skills.
Ability to prioritize and manage multiple tasks.
Ability to work in a team setting.
Strong verbal/written communication skills, and presentation skills.
Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
Knowledge of Managed Care and the Medicaid, Medicare, and Marketplace programs.
Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
Ability to research and interpret regulatory requirements.

SmartExplore AI is experimental.

New, Posted 5 hours ago

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Store Manager - Plum Market Aventura, FL

Plum Market

North Miami Beach, FL 33160

~ 33 min OnsiteFlexible ScheduleHealth InsuranceRetirement Benefit

The Store Team Leader is responsible for all aspects of Plum Market's store operations, including but not limited to achieving store goals, margin management, payroll, comps, NSF safety audits, weights and measures compliance, and sanitation.
A key component of this role is fostering a hospitality-driven culture, ensuring every Guest feels valued and welcomed.
They must also observe and enforce quality execution in each department, adherence to Plum Market Policies, and monitor all compliance requirements.
Employment is contingent upon a successful background check.

SmartExplore AI is experimental.

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Director of Clinical Informatics

Confidential

Miami, FL 33138

Onsite

A nurse leader (RN or APRN) licensed in Florida

SmartExplore AI is experimental.

New, Posted 2 hours ago

Junior Staff Accountant

CFS

Hollywood, FL 33024

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Information Technology Professional (IT Support)

U.S. Navy

Miami, FL 33130

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Senior Health Economics Analyst

ChenMed

Miami, FL 33169

Onsite

Minimum of four (4) years of related experience
Spoken and written fluency in English
This job requires use and exercise of independent judgment
Bachelor's degree: experience may substitute for education on a year-for-year basis above the minimum experience required

SmartExplore AI is experimental.

New, Posted 2 hours ago

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