• Claims and Call Auditor (Call Center…

    CHS (Clearwater, FL)
    **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to determine proper category for benefit code...and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC)… more
    CHS (06/14/25)
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  • DRG Coding Auditor

    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...quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer… more
    Elevance Health (08/13/25)
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  • Inpatient Coding Auditor

    BayCare Health System (Tampa, FL)
    …AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses available!_ **Responsibilities** + ... The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related...related activities and services provided by the BayCare Health System HIM Coding Department. + Interacts directly with coders,… more
    BayCare Health System (08/08/25)
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  • Provider Auditor (Certified Medical Coder)

    Elevance Health (Tampa, FL)
    …with provider management team by presenting preliminary review results. + Verifies dollar amount on claim is correct in claims system and writes report of ... **Provider Auditor -** FRD > Audit **Hybrid 1:** This...itemized bills and providers contracts to ensure that a claim is paid in accordance with the contract, provider… more
    Elevance Health (08/16/25)
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  • Tax Auditor I

    MyFlorida (Tallahassee, FL)
    TAX AUDITOR I - 73002424 Date: Aug 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 859183 Agency: Department of Revenue Working Title: TAX AUDITOR I - 73002424 Pay Plan: Career Service Position...statements or reports to ensure correct processing of refund claims by the Department. MINIMUM REQUIREMENTS: + Two years… more
    MyFlorida (08/22/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems , provider billing guidelines, payer ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
    Elevance Health (08/23/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure… more
    Highmark Health (08/08/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    **Clinical Provider Auditor II** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while providing ... recover, eliminate and prevent unnecessary medical-expense spending. The Clinical Provider Auditor II is responsible for identifying issues and/or entities that may… more
    Elevance Health (08/19/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
    Elevance Health (08/13/25)
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  • Auditor , Food Safety & Food Quality

    Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
    …CAPAs, Nutritional Documents, COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety & Product Quality audits at ... investigation & resolution. + Enter Local Purveyor Concerns into Tracegains Customer Feedback system and ensure LPs receive follow-up calls as necessary. + Any other… more
    Boar's Head Brand/Frank Brunckhorst Co., LLC (07/01/25)
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