- AdventHealth (Tampa, FL)
- …The Coding Quality Auditor, under the general supervision of the Outpatient Coding Manager , is responsible for the internal coding audit and clinical quality ... The Coding Quality Auditor will work in conjunction with the Outpatient Operations Manager to ensure the integrity of coded data, the education and training of… more
- Molina Healthcare (Miami, FL)
- …+ Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit , and overpayment recovery initiatives to ensure Health Plan SAI targets are ... + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in… more
- ManTech (Doral, FL)
- …and utilization are key responsibilities + The Senior Assessment Specialist conducts in-depth assessments of FMS implementations, evaluating their effectiveness ... degree. + 9+ years of position-specific relevant experience in IT systems assessment, audit , or a related role. + Knowledge of various IT domains, including… more
- TD Bank (Fort Lauderdale, FL)
- …. Leads Risk Management activities for AuthN/Z, addressing internal and external audit and Regulatory requests. **Education & Experience:** . Bachelor's degree is ... and project management skill . Certifications such as CAMS (Certified Anti-Money Laundering Specialist ) or CFE (Certified Fraud Examiner) are a plus. **Who We Are:**… more
- Guidehouse (Tampa, FL)
- …clinical education. + Serves as a technical expert/resource for department manager , staff, physicians, administrative, and external customers to provide information ... (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) + A inpatient coding background at a...as well as well as data management and coder audit and education experience. + Must maintain credential throughout… more
- Sciolex Corporation (Tampa, FL)
- …for use and review by authorized Govt and contractor personnel, as well as audit purposes. + Provide resourcing support to the development and maintenance of the ... program budget. The contractor shall provide recommended COAs to the program manager and appropriate J3 POCs. Programming Support Specifics: + Provide decision… more