- Elevance Health (Miami, FL)
- …improvement, and quality oversight background. + Public accounting (eg, Big Four) audit experience. + Understanding of insurance company operations and ... and collaborate with team leadership, business management and external auditors on audit planning, testing and evaluation procedures, which includes working with the… more
- Elevance Health (Tampa, FL)
- …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical guidelines, ... and industry knowledge to substantiate conclusions. + Utilizes audit tools and auditing workflow systems and reference information to make audit determinations… more
- MyFlorida (Tallahassee, FL)
- …member of the Florida Retirement System and participates in the State Group Insurance Plan. POSITION SUMMARY This position is located in the Court-Appointed Audit ... Unit for payment if the billing meets all requirements. + Reject billings, issue audit deficiencies, prepare Letters of Objection or No Objection if the billings do… more
- Elevance Health (FL)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- Highmark Health (Tallahassee, FL)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Citigroup (Tampa, FL)
- The business risk senior manager accomplishes results through the management of processes. Integrates subject matter and industry expertise within a defined area. ... cause identification and resolution. * Ad hoc control / audit related requests as needed. * Serve as partner...related requests as needed. * Serve as partner on Manager Control Assessment (MCA) Quarterly Risk Assessment and the… more
- CHS (Clearwater, FL)
- …FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ensure validity, accuracy, and compliance ... procedures, and regulations + **Health, Dental, Vision, and Life Insurance as well as Paid Time Off and Paid...are in excess of payment authority limits in assigned audit queues. + Listen to and view all recorded… more
- Brightstar Lottery (Lakeland, FL)
- …for any security questions or inquiries from customers. The Compliance and Security Manager reports to the Director and is directly responsible for the Security ... and other certifications Brightstar Lottery pursues and maintains. The Quality Control Manager reports to the Director and is responsible for ensuring printed… more
- Monro Muffler/Brake (Tampa, FL)
- …to the Director of Operations Support, this individual will evaluate, inspect, audit , and determine the effectiveness of compliance and store operational tasks. This ... with Investigations. + On occasion, collaborate with the Director, Internal Audit and operational functions to develop remediation activities. + Develop… more
- FREEMAN (Orlando, FL)
- …to ensure completion of required documentation. + Work with the Client Solutions Manager and clients to gather specifications and enter the appropriate systems. + ... labor. Ensure labor tickets are signed by exhibitors. + Audit labor entries and clear pending tickets prior to...in specific benefits across regions. + Medical, Dental, Vision Insurance + Tuition Reimbursement + Paid Parental Leave +… more