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Join our dynamic team as a Clinical Coding Analyst and contribute to the resolution of coding-related denials, ensuring accurate and compliant coding practices that maximize reimbursement and support optimal healthcare delivery.   . For over 20 years, we’ve been a leading middle market revenue cycle management (RCM) vendor, providing comprehensive financial and operational solutions to health systems, physician groups, or specialty medical practices.

Health Business Solutions

Clinical Coding Analyst - Florida payer experience preferred

PEMCO provides the following paid leave programs for benefits-eligible employees in their first year of PEMCO employment: Vacation accrues at a rate of 10 days for new hires and increases based on a schedule to a maximum annual accrual of 25 days based on tenure. Analytical and data-driven: Thinks analytically; a structured thinker who can put complex ideas into clear frameworks; uses data to conduct root cause analysis and develops high quality, consumable, and consistent metrics that drive strategic objectives and priorities is required.

YEAR

PEMCO Mutual Insurance Company

Senior Business Systems Analyst

In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Clinical Coding Analyst RN, Consultant

Maintain and validate service requests, notifications, orders, maintenance orders, confirmations, technician assignments, time recordings, parts, goods movements, subcontracting, contracts, warranty claims, billing, invoices, credit memos, and accounting postings. The primary focus is the relationship between service master data and transactions, including Service Contracts, Maintenance Plans, Billing Schedules, Service Products, installed bases, equipment, functional locations, customers and service orders.

Sciens Building Solutions, LLC

SAP MASTER DATA ANALYST - SERVICE MANAGEMENT

Working closely with the HR Technology & Payroll Operations team, the HR Technology Analyst supports day-to-day system administration and configuration in Paycom and related HR tools, supports module implementations and integrations, and enables reporting and analytics that empower HR leadership to make data-driven decisions. SUMMARY: The HR Technology Analyst serves as a functional resource for VSE Aviations HR systems and technology platforms, working at the intersection of HR technology and operations to drive platform optimization, data integrity, and seamless coordination between HR, Finance, and Payroll.

<h2 style="text-align: center">RAISE THE BAR</h2>
<p>At VSE, we believe in celebrating our vibrant 60-year history of delivering exceptional value while continuously raising the bar for our land, sea, and air customers. From excellence in service for our federal and commercial customers to creating a culture of accountability and growth for our employees to consistently delivering and improving for our partners and stakeholders, the VSE family of companies share a commitment to not just meeting expectations, but exceeding them. VSE is your partner for success in your critical missions on land, sea, and air.</p>

VSE Corp

HR Technology Analyst, Fixed Term (US) (2893)

BSA KYC Analyst BB Americas Bank is seeking an experienced BSA KYC Analyst to review and oversee new deposit account onboarding and loan-related KYC processes to ensure compliance with the Bank's BSA/AML and OFAC programs. This role partners closely with the BSA Officer, lenders, and branch teams to verify account documentation, support risk management initiatives, conduct customer due diligence, and ensure adherence to applicable regulatory requirements.

Banco do Brasil Americas

BSA KYC Analyst

FULL_TIME

Minimum 2-5 years of clinical experience (acute care, utilization review, case management, or similar role).Experience in medical claims review, appeals, or denial management within a hospital, managed care, or health system. POSITION SUMMARY Under the director of the CBO Director, the Post-Claims Denial Analyst RN is responsible for investigating, analyzing, and resolving clinical denied medical claims to optimize reimbursement.

Hialeah Hospital

Registered Nurse (RN) Post-Claims Denial Analyst, Full Time

Talent Acquisition

Assists in responding to internal and external audit requests, ensuring compliance with foreign tax withholding requirements for non-resident aliens, supporting Form 1042 processing, and reconciling W-2s with quarterly Form 941 filings. Oversees the payroll withholding tax function to ensure timely and accurate submission of tax filings, thereby preventing penalties and fines from federal, state, and local taxing authorities.

Nova Southeastern University

Payroll Tax Analyst - 993434

Job Requirements: Required Knowledge, Skills, & Abilities: Knowledge: Higher Education Student Financial Services - Working knowledge of financial aid, student accounts, bursar operations, enrollment management, and the student financial lifecycle within a higher education environment, including the interdependencies between these areas. Essential Job Functions: Collects, validates, and performs advanced analysis of data across Financial Aid, Student Accounts, and related areas to support strategic decision-making, enrollment management, and student success outcomes.

Data Analyst III - Student Financial Services - 991339

Conduct regular compliance audits and risk assessments to ensure adherence to regulatory requirements such as GDPR, HIPAA, PCI-DSS, and others. Collaborate with IT, legal, and business teams to address compliance gaps and security risks.

Ascension Federal Services

Security and Compliance Analyst

Epic HB certification required; additional Epic certifications (e.g., PB, Resolute, Resolute Hospital Billing Expected Reimbursement Contracts Administration, Resolute Hospital Billing Claims, and Electronic Remittance Administration) preferred. The Epic Analyst- Hospital Billing assists Associate Epic Analysts on the team and collaborates with key stakeholders, end-users, and application team members to optimize the application's configuration, function, and access.

University of Miami

Epic Analyst -Hospital Billing

ea_via_bold

Analyzes existing flow of people, activities, and materials, employee work methods and utilization, policies and procedures, staffing levels, supervisory structure, space utilization, supply and demand optimization methods, forms, equipment, and computerized systems to design improved work systems. The Business Systems Analyst, Revenue Integrity collects detailed data and provides analysis to assist in the development of technology plans and strategies that enhance overall performance, reduce costs, and increase efficiencies.

Business Systems Analyst, Revenue Integrity

Department Specific Functions: As an Epic Senior Analyst, Beaker you will report to the Senior Manager and will be responsible for: Providing oversight and leadership to Associate Clinical Analysts and Clinical Analysts on the team. The Epic Senior Analyst, Beaker initiates the implementation, builds, and modifies complex applications, and collaborates with key stakeholders, end-users, and application team members to optimize the application's configuration, function, and access.

Epic Senior Analyst, Beaker

This role partners closely with Business Risk Controls Officers (BRCO), Control Testing, and business stakeholders to enhance risk visibility, support Risk Control Self-Assessment (RCSA) processes, and ensure data quality and integrity across key risk and performance indicators. Overview: The Business Risk & Controls Data Analyst supports the First Line of Defense (1LOD) Risk Management function by delivering data-driven insights, maintaining risk reporting, and enabling effective governance through analytics, dashboards, and reporting.

City National Bank of Florida

Business Risk & Controls Data Analyst

[AW]-iCims

The role executes assigned business continuity and operational resilience activities, including business impact analyses, continuity planning, recovery strategies, dependency analysis, exercises and disaster recovery test coordination, crisis readiness, ServiceNow BCM data stewardship, third-party continuity support, issue tracking, regulatory evidence, and management reporting. Business impact analysis and continuity planning: Facilitate, document, and quality-review BIAs with business units, including impact over time, criticality, dependencies, recovery priorities, RTO, RPO, MTPOD, and recovery tiers, subject to accountable owner and Program Lead approval.

Operational Resilience Analyst

Experience with BSA/AML model management including scenario development, segmentation and threshold tuning; OFAC models including matching algorithms and fuzzy logic and Fraud models including wire, check, online banking and RTP models. JOB SUMMARY: The Model Analyst will be responsible for supporting the Financial Crimes Compliance ("FCC") business units through the utilization of technical and business knowledge to assist with model validations, maintain and update model documentation, recommend solutions that solve business problems and reporting needs, amongst other skill sets.

BankUnited Inc

FCC Model Analyst

Additional responsibilities may include documenting research findings and actions on cases for possible referrals for Suspicious Activity Reporting, Identity Theft Operations (ITO) and Suspected Financial Abuse and the analysis of fraud cases to identify possible trends and points of compromise and presents case analysis to Senior Fraud Operations Analyst and/or Management when needed. This position is responsible for performing detailed fraud monitoring and investigation of moderate to complex account activity and client behavior analyses, which includes but is not limited to online banking, wires, ACH, Check, Debit/ATM, and external transfer activity, while ensuring that all department procedures are followed.

Fraud Operations Analyst I

Ensure preventive measures are carried out to fully comply with current rules, regulations and internal policies relating to risks pertaining to BSA, USA Patriot Act, OFAC and other AML related issues. Provide ongoing assistance and AML guidance to Account Officers and other bank personnel to help ensure that the proper documentation is obtained to clear the reviews in a timely manner.

Amerant Bancorp Inc

Bank Secrecy Act Analyst I

JOB SUMMARY: The Client Care Operations Support Analyst supports the day-to-day operations of employee accounts and Client Care Center fulfillment, while also serving as a key resource for frontline staff by providing guidance on policies, procedures, and complex transactions. Analyzes and validates call center representatives' sales for bank products and services, including account openings, product upgrades, and certificate of deposit (CD) renewals, ensuring adherence to sales compliance requirements and accuracy in processing.

Client Care Operations Support Analyst

As a Case Manager Analyst you support optimal member health outcomes by coordinating care, providing education, and facilitating access to appropriate healthcare services. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

HOUR

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

Regulatory Analyst Jobs in Miami, FL

Clinical Coding Analyst - Florida payer experience preferred Health Business Solutions

Senior Business Systems Analyst PEMCO Mutual Insurance Company

Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield Association

SAP MASTER DATA ANALYST - SERVICE MANAGEMENT Sciens Building Solutions, LLC

HR Technology Analyst, Fixed Term (US) (2893) VSE Corp

BSA KYC Analyst Banco do Brasil Americas

Registered Nurse (RN) Post-Claims Denial Analyst, Full Time Hialeah Hospital

Payroll Tax Analyst - 993434 Nova Southeastern University

Data Analyst III - Student Financial Services - 991339 Nova Southeastern University

Security and Compliance Analyst Ascension Federal Services

Epic Analyst -Hospital Billing University of Miami

Business Systems Analyst, Revenue Integrity University of Miami

Epic Senior Analyst, Beaker University of Miami

Business Risk & Controls Data Analyst City National Bank of Florida

Operational Resilience Analyst City National Bank of Florida

FCC Model Analyst BankUnited Inc

Fraud Operations Analyst I BankUnited Inc

Bank Secrecy Act Analyst I Amerant Bancorp Inc

Client Care Operations Support Analyst BankUnited Inc

Bilingual Case Management Analyst - Field in Miami-Dade, Florida CVS Health Corp

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