408 Coding Auditor Educator jobs in Miami,FL

Investigator, Special Investigative Unit Coding-Miami Florida

Molina Healthcare

Miami Gardens, FL 33056

$21.82-$42.55/hr

~ 26 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.

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Property Director

CROWN RESIDENTIAL LLC

Miami Beach, FL 33141

~ 17 min Onsite

High school diploma or equivalent

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New, Posted 3 hours ago

Fire Alarm Installation Technician

Pye Barker

Miami, FL 33172

Bilingual Preferred

New, Posted 1 day ago

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Investigator, Special Investigative Unit

Molina Healthcare

Miami, FL 33135

$21.82-$42.55/hr

Onsite

At least 2 years of investigative experience in the health care industry, or equivalent combination of relevant education and experience.
Valid and unrestricted driver's license.
Proven investigatory skills including ability to organize, analyze, and effectively determine risk with corresponding solutions, and remain objective and separate facts from opinions.
Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
Knowledge of managed care and Medicaid, Medicare, and Marketplace programs.
Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
Understanding of datamining and use of data analytics to detect FWA.
Ability to research and interpret regulatory requirements.
Effective interpersonal skills and customer service focus; ability to interact with individuals at all levels.
Strong presentation skills with ability to create and deliver training, informational and other types of programs.
Strong logical, analytical, critical-thinking and problem-solving skills.
Strong sense of initiative, excellent follow-through, and persistence in locating and securing needed information.
Fundamental understanding of audits and corrective actions.
Ability to multi-task and operate effectively across geographic and functional boundaries.
Detail-oriented, self-motivated, and able to meet tight deadlines.
Ability to develop realistic, motivating goals and objectives, track progress and adapt to changing priorities.
Energetic and forward-thinking with high ethical standards and a professional image.
Collaborative and team-oriented.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software program(s) proficiency.

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Border Patrol Agent (Entry Level) – Up to $60,000 Hiring Bonus

United States Customs and Border Protection

Miami, FL 33174

$49,739-$89,518/yr

$60,000 bonus

Bilingual Preferred

New, Posted 1 day ago

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VP - CIB Loan Operations - Agency & Non-Agency Servicing Team Lead - Miami

Santander Holdings USA

Miami, FL 33131

Hybrid

Bachelor's degree in Finance, Business, or related field
5+ years of experience in loan operations, with experience in a management or supervisory or leadership role
Hands on experience with syndicated and non-agency loan products, servicing processes, and industry platforms (e.g. Syndtrak, Debtdomain, Trade Innovation)
Experience with Loan IQ and/or ClearPar
Experience with large corporate loans in a serving/operations capacity
Familiarity with regulatory frameworks such as FDPA, Regulation H and SOX
Experience working in a global banking environment
Proficiency in Excel, SQL, and workflow tools
Excellent analytical, organizational, and communication skills
Proven ability to manage multiple priorities and meet tight deadlines

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Sr. Accountant

ChenMed

Miami, FL 33169

Onsite

Bachelor's Degree in Accounting or Master's Degree in Accounting
Experience may substitute for education on a year-for-year basis above the minimum experience required
Minimum three (3) years of related experience
Extensive knowledge of accounting principles and auditing practices and procedures
Experience working within an internal control framework
Must have a high degree of independent judgment and initiative in identifying and resolving problems
Must be detail oriented & have exceptional organizational skills
Analytical thinking skills
Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint, Outlook, and database software
Ability and willingness to travel locally, regionally, and nationwide up to 10% of the time
Spoken and written fluency in English
This job requires use and exercise of independent judgment

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