• Attorney Auditor

    Sedgwick (Tampa, 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 ** **This is a fully remote position, and...Ability to effectively communicate with law firms to discuss compliance with client's billing requirements. + Effectively… more
    Sedgwick (07/09/25)
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  • Inpatient Coding Quality Auditor

    HCA Healthcare (Orange Park, FL)
    …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This… more
    HCA Healthcare (08/28/25)
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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 ... claims and customer service calls to ensure validity, accuracy, and compliance with appropriate policies, procedures, and regulations + **Health, Dental, Vision, and… more
    CHS (06/14/25)
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  • Justice Administrative Commission- Auditor…

    MyFlorida (Tallahassee, FL)
    JUSTICE ADMINISTRATIVE COMMISSION- AUDITOR I - 21013472 Date: Aug 20, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... 859224 Agency: Justice Administrative Commission Working Title: JUSTICE ADMINISTRATIVE COMMISSION- AUDITOR I - 21013472 Pay Plan: Justice Admin Comm. Position… more
    MyFlorida (08/26/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Tallahassee, FL)
    …about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and ... validate the mitigation of compliance risk across the organization. This team ensures that...federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators,… more
    Humana (08/23/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
    Elevance Health (08/13/25)
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  • Charge Auditor Revenue

    AdventHealth (Tampa, FL)
    …and other diseases. **The ro** **le you'll contribute:** The Revenue Integrity Charge Auditor is responsible for reviewing accounts for accuracy via the use of the ... charge capture audit system in conjunction with Local, Federal and State compliance guidelines in addition to managed care reimbursement practices in order to… more
    AdventHealth (08/22/25)
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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 ... with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts… more
    Highmark Health (08/08/25)
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  • Financial Specialist Assistant - HR/Payroll

    NHS Management, LLC (Daytona Beach, FL)
    …and/or required by Administrator, Financial Specialists, Financial Specialist Consultants, Internal Auditor , or any other corporate or regulatory compliance ... and/or required by Administrator, Financial Specialists, Financial Specialist Consultants, Internal Auditor , or any other corporate or regulatory compliance … more
    NHS Management, LLC (07/31/25)
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  • Accounts Payable Clerk

    Aston Carter (Deerfield Beach, FL)
    …invoices and prepare summary reports for system uploads. + Serve as a backup auditor to ensure billing accuracy. + Communicate with carriers to resolve rate ... processing of inbound and outbound invoices, ensuring accuracy, timeliness, and compliance . You'll collaborate with carriers, resolve discrepancies, and support … more
    Aston Carter (08/30/25)
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