- 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
- Sedgwick (Jacksonville, FL)
- …or university is required. Major in accounting or technology field strongly preferred. Certified Internal Auditor (CIA), Certified Public Accountant (CPA), ... Certified Information Systems Auditor (CISA), or other professional certification designation is required....other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… 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
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