• Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse • Creates appropriate letters to substantiate the validity of claims • Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up • Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty • Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals • Researches payer policies and processes • Reviews clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment • Works assigned work queues and tasks and reviews remittance advice for rejections and accuracy of payment amounts as needed • Identifies invoices or claims that have been rejected per billing edits/criteria

• Coordinate with DCOQR to design, monitor, implement, and evaluate coding and quality assurance processes and programs • Support local clinical leaders at agencies located throughout the United States • Meet regulatory and accreditation requirements • Achieve the highest standard of care delivery system • Commit to providing superior service levels

Role Description In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required — your domain knowledge is what matters. - Design and implement checkers for competitive programming problems with multiple valid outputs, ensuring accuracy and robustness. - Evaluate and validate participant submissions against complex problem statements sourced from platforms like Codeforces. - Collaborate with the customer's team to fine-tune problem requirements and clarify ambiguous scenarios. - Develop clear, maintainable code in C++ to assess diverse outputs and edge cases efficiently. - Document checker logic and communicate intricacies or edge cases in both written and verbal form. - Provide feedback to problem setters and reviewers on potential improvements to test cases and checkers. - Stay updated with evolving competitive programming standards and incorporate best practices into checker development. Qualifications - Expertise in competitive programming and coding problem analysis. - Advanced proficiency in C++ for implementing robust checker solutions. - Strong analytical abilities to interpret complex problem constraints and multiple solution paths. - Exceptional written and verbal communication skills; ability to articulate technical details clearly. - Meticulous attention to detail in code validation and output consistency. - Experience working independently in a remote, collaborative environment. - Commitment to producing high-quality, well-documented code under tight deadlines. Requirements - Prior experience as a problem setter, tester, or checker on major competitive programming platforms.

Role Description The Central Business Office has an exciting opportunity for a full-time Sr. Medical Biller. The Sr. Medical Biller processes billing information in the appropriate system and assists supervising staff in maintaining quality control of data by identifying potential problems, and offering and implementing solutions. This position is remote. CORE JOB FUNCTIONS - Assists management with the training of new staff. - Runs reports weekly on accounts and monitors to keep the contents at a minimum. - Verifies all claims and ensures edits are collected and released in a timely fashion. - Reports edits by billing area to managing staff on a monthly basis. - Verifies that all controls are followed so that no charges are missed. - Verifies all payment reconciliation processes are followed at the clinics. - Ensures that all charges are entered in a timely fashion. - Reviews encounters received for all pertinent information. - Coordinates the correction of inaccurate vouchers, and prints daily voucher report to reconcile all vouchers. - Adheres to University and unit-level policies and procedures and safeguards University assets. Department Specific Functions - Reviews and releases all physician charges from the assigned WQ’s in a timely fashion. - Reviews encounters received for all pertinent information: patient demographic information, guarantor and insurance information, place of service, referrals, claim info record, and managed care authorization requirements. - Runs insurance eligibility and fixes registration issues. - Manually enters paper vouchers received for missing charges. - Reviews and fixes erroneous and/or rejected charges. - Distributes credits from patient payments as needed. - Assigns charges to cases and phases. - Performs other duties as assigned. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. Qualifications - High School diploma or equivalent required. - Minimum 3 years of relevant experience required. Requirements - Knowledge of generally accepted accounting procedures and principles. - Skill in completing assignments accurately and with attention to detail. - Ability to process and handle confidential information with discretion. - Ability to work independently and/or in a collaborative environment. - Ability to communicate effectively in both oral and written form. - Any appropriate combination of relevant education, experience and/or certifications may be considered. Benefits - Competitive salaries. - Comprehensive benefits package including medical, dental, tuition remission and more. Company Description UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the groundbreaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff