452 Compliance Coding Analyst 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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Financial Analyst

FSA Federal

Miami, FL 33101

New, Posted 1 hour ago

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Inside Sales Support Analyst

Adecco

Miami, FL 33131

$70,000-$80,000/yr

OnsiteUrgently HiringHealth InsurancePaid Time OffRetirement Benefit

Minimum Bachelors Degree
Minimum Bachelors Degree and Preferred areas in Administration, Logistics, or Technical
2 or more years of insides sales or account management experience is required
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
San Francisco Fair Chance Ordinance
Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment

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New, Posted 1 hour ago

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Quality Improvement Analyst (Full Time, Days)

Nicklaus Children's Hospital Careers

Miami, FL 33186

New, Posted 1 hour ago

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Sr Analyst, People Research

The Walt Disney Company (Corporate) Careers

Miami, FL 33186

$109,800-$154,300/yr

New, Posted 20 hours ago

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CIB US Cash Payments Operator, Analyst

Santander Holdings USA

Miami, FL 33131

OnsiteBilingual Preferred

Experience with ACH and Wire Transfers.
Knowledge of checks in the US is preferable.
Knowledge of payment systems (e.g., SWIFT, ACH, Fedline, wire transfer systems), regulations, and compliance requirements.
Excellent analytical, problem-solving, and decision-making skills.
Spanish skills a plus
Excellent communication skills (verbal and written).
Organized and rigorous attention to detail with a control-oriented mindset
Strong organizational and analytical skills with the ability to multi-task
3 years minimum experience

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New, Posted 21 hours ago

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Sr Analyst, Healthcare, Health Plan Operations (Supports Florida Government Contracts)

Molina Healthcare

Fort Lauderdale, FL 33394

$54,922-$107,099/yr

~ 36 min Onsite

Associate's Degree or equivalent combination of education and experience
3-5 years

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New, Posted 15 hours ago

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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

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Clinical Research Associate II/ Bilingual Oncology/ Southeast US

Thermo Fisher Scientific

Miami, FL

OnsiteBilingual Preferred

Must live in the South/ SE region of the US and have a minimum of 1 year travel monitoring experience in Oncology
Must be Bilingual (English/ Spanish)
Bachelor's degree in a life sciences related fieldor a Registered Nursing certification or equivalent and relevant formal academic / vocational qualification
Previous experience that provides the knowledge, skills, and abilities to perform the job (comparable to 1 years as a clinical research monitor) or completion of PPD Drug Development Fellowship
Valid driver's license where applicable
Proven clinical monitoring skills
Demonstrated understanding of medical/therapeutic area knowledge and medical terminology
Demonstrated ability to attain and maintain a working knowledge of ICH GCPs, applicable regulations and procedural documents
Well-developed critical thinking skills, including but not limited to: critical mindset, in-depthinvestigation for appropriate root cause analysis and problem solving
Ability to manage Risk Based Monitoring concepts and processes
Good oral and written communication skills, with the ability to communicate effectively with medical personnel
Ability to maintain customer focus through the utilization of good listening skills, attention to detail and the ability to perceive customers' underlying issues
Good organizational and time management skills
Effective interpersonal skills
Attention to detail
Ability to remain flexibile and adaptable in a wide range of scenarios
Ability to work in a team or independently as required
Good computer skills: solid knowledge of Microsoft Office and the ability to learn appropriate software
Good English language and grammar skills
Good presentation skills
Frequent drives to site locations
Frequent travel, generally 60-80% but more for some individuals
May also include extended overnight stays
Exposure to biological fluids with potential exposure to infectious organisms
Personal protective equipment required such as protective eyewear, garments and gloves
Exposure to fluctuating and/or extreme temperatures on rare occasions

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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

SmartExplore AI is experimental.