- AdventHealth (Tampa, FL)
- …required + 5 years of relevent work experience required + 1-2 years of auditing experience preferred + Certified Coding Specialist (CCS) required. Will accept ... supervision of the Inpatient Operations Manager, is responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works in collaboration with… more
- Justice, Bureau of Prisons/Federal Prison System (Miami-Dade County, FL)
- …providing guidance for correcting computed inmate sentences. Experience in auditing and interpreting sentence computations or training Correctional Systems Officers ... regarding basic steps for sentence computation. Experience in providing oversight for all functions related to the Mailroom and Receiving and Discharge areas and Records Office, to include admission and release, physical processing, bus movement, and final… more
- Intermountain Health (Tallahassee, FL)
- …+ Detail oriented + Coding software + Interpersonal skills + Auditing + Computer skills + Analytical skills **Physical Requirements:** **Qualifications** ... **Required** + AHIMA CCS coding certification + Demonstrates expert level ability to understand and compliantly apply complex coding and billing requirements. + Demonstrates strong knowledge and understanding of medical terminology, medical acronyms,… more
- Molina Healthcare (Orlando, FL)
- …auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system ... requirements of customers as it pertains to contracting (benefit and provider), network management, credentialing, prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel… more
- Elevance Health (Tampa, FL)
- …unnecessary medical-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims ... and industry knowledge to substantiate conclusions. + Utilizes audit tools and auditing workflow systems and reference information to make audit determinations and… more
- Rubrik (Tallahassee, FL)
- …and implement privacy controls within our systems and applications. The specialist will focus on conducting technical privacy assessments of products, performing ... remains effective and up-to-date. **Key Responsibilities:** + **Monitoring, Review, and Auditing :** + Assess the performance of privacy risk management activities… more
- Elevance Health (FL)
- …The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the ... and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and… more
- MyFlorida (West Palm Beach, FL)
- …or a Certified Fraud Examiner (CFE); Certified Anti-Money Laundering Specialist (CAMS); and/or a Certified Public Accountant (CPA) designation. Preference: ... years of recent professional experience in analyzing, investigating, examining, or auditing financial data within the consumer finance, banking, insurance, or… more
- CVS Health (Tallahassee, FL)
- …Ideal candidates will bring a strong understanding of coding standards and auditing practices, along with a passion for continuous improvement. This position will ... and related experience in medical record documentation review, diagnosis coding, and/or auditing . + CPC (Certified Professional Coder) or CCS-P (Certified Coding … more
- MyFlorida (Tallahassee, FL)
- …years of recent professional experience in analyzing, investigating, examining, or auditing financial data within the consumer finance, banking, insurance, or ... management or a Certified Fraud Examiner (CFE); Certified Anti-Money Laundering Specialist (CAMS); and/or a Certified Public Accountant (CPA) designation. This… more