• Responsible for auditing coding and billing accuracy. • Identifying trends/problems and making recommendations for improvement. • Providing education to clinical and administrative staff. • Coordinating with various departments for proper documentation of services.

Role Description The University of Miami/UHealth department of Neurology has an exciting opportunity for a Full Time Quality Assurance Auditor to work at the UHealth Medical Campus. The Quality Assurance Auditor conducts routine and focused audits of human subject research protocols to ensure compliance with federal and local regulations and guidelines, and research site specific standard operating procedures. The incumbent advises appropriate institutional officials of deficiencies and recommends necessary corrective actions, with follow up to ensure that needed actions have been implemented. - Remains in compliance with federal, state, and local regulations, and extramural agencies' requirements, and conducts inquiries of laboratory and research protocols. - Prepares reports of investigations and inquiries for internal or external use. - Assists with the preparation of educational programs and presents them to groups and individuals in the University’s research community. - Monitors new legislation or changes in regulations that might affect the University's compliance in conducting research and recommends changes to administrative policies and procedures. - Assists in the creation and maintenance of internal policies and standard operating procedures, as well as University-wide policies intended to assist University researchers in maintaining compliance with research standards and guidelines. - Maintains quality assurance related databases, and electronic and paper audit files. - Adheres to University and unit-level policies and procedures and safeguards University assets. Qualifications - Bachelor’s degree in relevant field required - Minimum 1 year of relevant experience required - Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands. - Teamwork: Ability to work collaboratively with others and contribute to a team environment. - Technical Proficiency: Skilled in using office software, technology, and relevant computer applications. - Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders. - Any relevant education, certifications and/or work experience may be considered. Requirements - Responsible for supporting regulatory compliance and quality assurance activities for the Brain Endowment Bank in alignment with NIH contract requirements. - Collaborate with the Brain Bank Executive Director and Operational Committee to ensure compliance with all regulatory and contractual requirements, including oversight of compliant biospecimen management practices. - Partner with the Brain Endowment Bank Executive Director and Research Laboratory Manager to review and update the Quality Management Plan (QMP) and Standard Operating Procedures (SOPs) to support continuous improvement and ensure compliance with NCI best practices and applicable local, state, and federal regulations. - Conduct quarterly internal audits and serve as the external auditor for the biennial audit process. - Oversee ongoing quality assurance activities, including review of procedures, outcomes, and investigations of nonconforming brain/tissue products and processes. - Collaborate with the Executive Director to report quarterly and biennial audit results and routine evaluations of QMP and SOP effectiveness to the Contracting Officer’s Representative (COR). Benefits - Competitive salaries - Comprehensive benefits package including medical, dental, tuition remission and more.

Role Description The Medical Coding Auditor/Educator will evaluate, prepare, and present audit results and educational instruction to physicians, coders, and other staff using corporate approved audit and education tools and materials. They will be responsible for accurate and compliant coding and documentation review of pertinent medical records and physician services to identify need for coding education; coding education to physicians, coders, and other staff involved in the coding and billing process. - Assists in the formulation and improvement of division medical coding audit and education plans, materials, and processes. - Reviews clinical documentation to ensure adherence to Government and third-party billing guidelines, AMA/AAP/CMS standards, Pediatrix algorithms, and internal coding policies. - Follows Medical Coding Audit & Education policies and procedures to provide compliant coding education to Pediatrix teams. - Provides instruction to physicians, coders, and staff on documentation standards and correct use of CPT‑4 and ICD‑10 codes. - Assists in developing and maintaining Committee‑approved standardized coding education materials. - Develops, reviews, and recommends updates to audit and education documents and templates to enhance overall auditing and education effectiveness. - Evaluates coding requirements and prepares materials for physicians and staff prior to education sessions in a timely and effective manner. - Produces accurate information when addressing coding inquiries and when preparing instructional session summaries. - Performs miscellaneous compliance audits and participates in company audit and education projects as assigned by senior management. - Resolves coding inquiries through coder email processes, patient dispute resolutions, and general education communication channels. - Participates in audit, education, and coding team meetings to identify solutions for coding guidance or presentation issues. - Meets or exceeds departmental deadlines and performance goals consistently. - Maintains strict confidentiality in accordance with HIPAA regulations and Company policies. Qualifications - Certified Professional Coder (CPC), Certified Coding Specialist – Physician (CCS-P) designation required with current active status. - 3-5 years of experience in hospital administration and/or multi-specialty physician practice, with full exposure to managing the accounts receivables, physician billing, and CPT-4/ICD-10 coding with medical terminology. - Ability to define problems, collect data, establish facts, and draw valid conclusions. - Ability to interpret an extensive variety of technical instructions and communicate them to physicians, coders, and other staff in a way that facilitates understanding. Requirements - Software: NextGen EHR/EPM, GoTo Meeting, Microsoft PowerPoint, Excel and Word, FirstClass. Benefits - Comprehensive benefits in a vast array of plans that fit your life and lifestyle. - Support for health and overall well-being, including Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, and HSAs. - 401k plan and Employee Stock Purchase Program. - Some benefits are provided at no cost, while others require a cost share between employees and the company. - Voluntary plans available, paid through convenient payroll deductions. Company Description Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.

Role Description The Cash Posting Coordinator is responsible for account reviews and data entry of information by performing administrative and clerical duties. Interact primarily with the cash posting and refund teams. Assist leadership in assuring confidentiality is maintained and HIPAA compliance is adhered to. - Download EOBs, ERAs (835), bank reports, bank details, external collection monthly statements, merchant batch details and reports from various websites; review and work appropriately, rename files per department guidelines if necessary - Index appropriate documents in electronic records program - Process live checks and credit card payments - Upload deposit details and refund submissions to CBS Portal per client guidelines (CBS only) - Manage Cash Posting incoming fax - Post Denials per daily report and/or incoming ERAs - Mail out Overpayment letters (PBS only) - Other Duties as assigned Qualifications - High school diploma or general education degree (GED); and one to two years’ related experience and/or training; or equivalent combination of education and experience. - Excellent organizational skills, detail oriented, ability to prioritize and multi-task and meet deadlines. - Excellent written and verbal communication skills - Dependable and self-motivated - Ability to be a team player with a professional attitude - Intermediate with Microsoft Office, including Word, Excel and Outlook Requirements - Regular scheduled attendance - Indicate the percentage of time spent traveling - 0% Benefits - For more information on our industry-leading benefits, please visit our benefits page here.