• 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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  • 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 - 21013462 Date: Jul 22, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... 857159 Agency: Justice Administrative Commission Working Title: JUSTICE ADMINISTRATIVE COMMISSION- AUDITOR I - 21013462 Pay Plan: Justice Admin Comm. Position… more
    MyFlorida (07/28/25)
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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 (07/29/25)
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  • Sr Professional Facility Auditor

    Nuvance Health (Pembroke Pines, FL)
    …PA, SC, TN, TX, and VA. *Job Title: Senior Professional Facility Auditor * *Company: Nuvance Health* *Department: Facility Charging and Coding* *Location: Remote* ... Role* Nuvance Health is seeking a detail-oriented and experienced *Senior Professional Facility Auditor * to join our Facility Charging and Coding team. In this role,… more
    Nuvance Health (07/18/25)
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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 (08/01/25)
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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 (05/09/25)
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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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  • Senior Government Accounting Manager

    GE Aerospace (Jacksonville, FL)
    …role is responsible for providing leadership in the areas of maintaining compliance of the North American Cost Accounting Standards Board (CASB) Disclosure Statement ... be integrated into the business to detect and ensure compliance regarding future business changes. The Senior Government Accounting...review, and publish indirect overhead and direct labor pricing, billing , and final (ICS) rates + Support ICS and… more
    GE Aerospace (06/17/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Jacksonville, FL)
    …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on… more
    HCA Healthcare (06/21/25)
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