• Attorney Auditor

    Sedgwick (Jacksonville, FL)
    …provided to insurance carriers, corporate legal departments and government entities. The auditor will apply client specified billing guidelines and/or Generally ... Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor As an Attorney Auditor at Sedgwick,...**ESSENTIAL RESPONSIBILITIES** + Ability to understand and apply clients' billing guidelines and standards. + Work with client to… more
    Sedgwick (04/09/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... + Maintains up-to-date working knowledge on regulatory requirements associated with billing and claims processing, as well as HIPAA guidelines/established Encryption… more
    CHS (05/10/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Miami, FL)
    …Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue to provide all patients with ... want you to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on… more
    HCA Healthcare (04/17/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
    Elevance Health (05/22/25)
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  • Pharmacy Claims Auditor - Remote

    Prime Therapeutics (Tallahassee, FL)
    …passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims Auditor is responsible ... with department procedures and objectives Educate participating pharmacies on Prime's billing requirements and appropriate billing practices in alignment with… more
    Prime Therapeutics (05/22/25)
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  • Provider Auditor (RN/LPN Medical Coder…

    Elevance Health (Miami, FL)
    **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
    Elevance Health (05/23/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
    Highmark Health (05/09/25)
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  • Auditor -Coding

    Ascension Health (Jacksonville, FL)
    …and ongoing audits of claims to ensure accuracy of coding and billing , and sufficiency of supporting documentation. **Responsibilities:** + Audit specified number of ... + Develop corrective action plans to address opportunities for coding, billing and documentation improvement. + Identify trends and educational opportunities.… more
    Ascension Health (03/31/25)
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  • Manager, Consulting - Legal Bililing Operations

    Wolters Kluwer (Tampa, FL)
    …industry with 3+ years as an attorney, paralegal, legal spend analyst, legal bill auditor , legal bill reviewer, or billing coordinator for law firms. + Ability ... entries, where those line-item entries violate provisions of the relevant billing guidelines and documenting justification for such adjustments. Your role supervises… more
    Wolters Kluwer (05/14/25)
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  • Director of Rehab / DOR at CCRC

    Aegis Therapies (Naples, FL)
    …are met + Plan, develop, implement, and monitor appropriate provision, documentation, billing of clinical services and customer relations. + Identify and implement ... Minimum 1 year of therapy management experience. + Currently Credentialed Documentation Auditor (CDA) or ability to become credentialed within six (6) months. We're… more
    Aegis Therapies (04/30/25)
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