- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …desired. + Auditor Certification preferred (ie American Society for Quality - Certified HACCP Auditor , Certified Quality Auditor , Certified ... CAPAs, Nutritional Documents, COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety & Product Quality audits at… more
- Highmark Health (Tallahassee, FL)
- … Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Siemens Energy (Orlando, FL)
- …of quality management systems, non-conformance management and continuous improvement systems. Internal Auditor certified is a plus point. + Ability to take ... and activities, compile/review final Quality Documentation packages for customer, warranty claim support. **What You Bring** + Bachelor's degree in engineering,… more
- Elevance Health (Tampa, FL)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- Sedgwick (Tampa, FL)
- …achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in ... Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Elevance Health (FL)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
- Humana (Tallahassee, FL)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with metrics and reporting… more
- MyFlorida (Tallahassee, FL)
- …of study in accounting or business administration, or possession of a Certified Public Accountant (CPA) Certificate;or Three years of professional experience as a ... Financial Examiner/Analyst I or Internal Auditor with the State of Florida. Professional or nonprofessional experience as described above can substitute on a… more