853 Coding Integrity Auditor jobs in Miami,FL

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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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Call Center Sales Representative $17/hr + Uncapped Commission

Alorica

Hialeah, FL 33012

$17/hr

~ 21 min OnsiteUrgently HiringEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

High school diploma or GED
Strong computer navigational skills
Solid business and sales knowledge.
Conversational, patient, and confident, with a positive attitude.
Ability to build rapport quickly, overcome objections, and be persuasive to finalize the sale.
Must not be on any corrective action or performance plans
Must have held your current position for 6+ months
Must have relevant industry/program experience

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.

EHS Auditor / Consultant

Environmental & Occupational

Miami, FL 33196

$98,400-$135,300/yr

New, Posted 22 hours ago

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Fire Detection Systems Associate Tech 2

Johnson Controls

Miramar, FL 33023

OnsiteHealth InsuranceRetirement Benefit

High School Diploma or Equivalent
Three (3) years of experience in Fire Alarm or Integrated Security Systems maintenance.
Strong oral and written communication skills.
Electrical installation experience.
Excellent customer interaction skills.
Demonstrated ability to multi-task in a fast-paced environment.
Ability to troubleshoot and make repairs, unaided by management.
Self-starter needed that can work with minimum supervision.
Pass criminal background check and drug test.
Have a valid driver's license and a driving record that meets company requirements.
Be able to obtain and retain any licenses that are required by National, State and Local codes.

SmartExplore AI is experimental.

Culinary Agents

Pastry Cook

La Grande Boucherie - Miami

Miami Beach, FL 33139

New, Posted 8 hours ago

Recommended

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Senior Staff Accountant

DHL eCommerce

Miami, FL 33122

New, Posted 1 day ago

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FL, Deerfield Beach

RAMS Skilled Trades

Miami, FL 33122

OnsiteHealth InsurancePaid Time OffRetirement Benefit

3 + Years of Commercial Plumbing Experience
Must have ALL tools required for the trade
Must be able to pass background and drug test
Must have OWN reliable transportation
Ability to work a 40 hour workweek every week
Strong working knowledge of job site safety - OSHA 10 or 30 preferred
Interpret blueprints and building specifications to map layout for pipes, drainage systems, and other plumbing materials
Install pipes and fixtures, such as sinks and toilets, for water, gas, steam, air, or other liquids
Install supports for pipes, equipment, and fixtures prior to installation
Assemble fittings and valves for installation
Modify length of pipes, fixtures, and other plumbing materials as needed for a building
Follow health and safety standards and comply with building codes

SmartExplore AI is experimental.

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Fire Detection Systems Technician 2

Johnson Controls

Miramar, FL 33023

$20.48-$28.12/hr

OnsiteHealth InsuranceRetirement Benefit

High School Diploma or Equivalent
Two (2) years of experience in Fire Alarm or Integrated Security Systems maintenance and willing to learn
Electrical installation experience.
Pass criminal background check and drug test.
Have a valid driver's license and a driving record that meets company requirements.
Be able to obtain and retain any licenses that are required by National, State and Local codes.
Read and interpret blueprints, diagrams, submittals, specifications, software/systems, programs, schematics and operation/product manuals.
Knowledge of test equipment to include oscilloscope, multi-meters, digital analyzers, battery analyzers, frequency meters, decibel meters and communication devices.
Capable of performing physical labor to include carrying and moving equipment and tools weighing up to 40 pounds.
Able to work in unusual and sometimes difficult positions such as climbing a ladder, scaffolding, working within ducts, crawl spaces above ceilings, etc.

SmartExplore AI is experimental.

New, Posted 1 day 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.