- Synchrony (Altamonte Springs, FL)
- …ability to navigate ambiguity and escalate appropriately. **Desired Characteristics:** + Experience working in highly regulated industries (Finance, Healthcare , ... ideal candidate will bring a **strong technical foundation** with hands-on experience in code interpretation, troubleshooting, and solution architecture. As a… more
- Datavant (Tallahassee, FL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring...ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders,… more
- Elevance Health (Tampa, FL)
- …analysis of claims and medical records prior to payment. + Researches new healthcare related questions as necessary to aid in investigations. + Collaborates with the ... regarding approved interventions such as recovery of overpayment, pre-payment audit of claims or putting providers on notice. +...(AAPC or AHIMA) and minimum of 4 years related experience , including minimum of 1 year experience … more
- ChenMed (Miami, FL)
- …our Health Information Exchanges and payor census files + Responsible for quarterly audit of authorization files to ensure accurate capture of IP/Obs/Denials in HITS ... activities as needed in conjunction with the assigned care manager . + Documents inpatient/obs capture rate >95% + Inpt/obs...'s discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + 2 + years- experience in Post Acute Care Coordinator or similar role… more
- AssistRx (Maitland, FL)
- …and customer data. DUTIES AND RESPONSIBILITIES: + Assists the Compliance Manager with performing internal reviews, research and/or audits to verify compliance ... with government laws/regulations, client requirements, accreditations/certifications, audit frameworks, and/or organizational policies/procedures. + Documents findings and… more
- City of Boca Raton (Boca Raton, FL)
- …Location FL 33432, FL Job Type Full-Time Job Number 4258-02 Department City Manager - Admin, IT, MS Division Human Resources 04/02201 Opening Date 08/28/2025 Closing ... and retiree coverage. Under the administrative direction of the Benefits Manager , the Benefits Analyst applies professional expertise to analyze business processes,… more
- AdventHealth (Altamonte Springs, FL)
- …will contribute:** Under general supervision of the Clinical Documentation Integrity (CDI) Manager , and in some situations the supervision of the Director of ... nursing, care management and quality abstracters. The Quality Auditor Manager adheres to strict departmental and organizational goals, objectives, standards… more
- Intermountain Health (Tallahassee, FL)
- …management, and designated areas in the response process. 5. Assists manager with interviews, onboarding, monitoring and measuring goals, annual reviews and ... and compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation updates… more
- Walgreens (Orlando, FL)
- …Description:** **Job Summary:** Responsible for leading activities to achieve, maintain and audit all training requirements for the company. This role will support ... enterprise intake process and manage course assignments according to read time; manager the course assignment intake process, which involves uploading new courses,… more
- Elevance Health (Miami, FL)
- …claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Prepares correspondence to providers regarding ... BA/BS degree and a minimum of 2 years related experience ; or any combination of education and experience...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more