- Orlando Utilities Commission (Orlando, FL)
- …distributions, loans, hardships and compliance testing. + Assist in reviewing routine claims and auditing employee contributions and related payroll deductions; ... **,** is presently seeking a **Leave of Absence- Benefits Specialist ** to join the Employee Experience division. At OUC,...Prepare reports and support audits related to claims , leave requests, STD/LTD processes managed by third-party vendors.… more
- MyFlorida (St. Petersburg, FL)
- …action, equal employment opportunity, regulatory work as a paraprofessional or higher, claims adjusting, auditing , financial examining, land appraisal work, land ... INVESTIGATION SPECIALIST II - 64007449 Date: Aug 22, 2025...Estimator Tool (https://compcalculator.myflorida.com/) Department of Health Division of Medical Quality Assurance Bureau of Enforcement Investigative Services Unit -… more
- UNUM (Tallahassee, FL)
- …services. + Maintain Individual and Team performance metrics + Complete thorough Quality Assurance via review of metrics, auditing of calls, coaching/performance ... (UNUM Group's) portfolios to provide benefits education, retention of policies, quality assurance, technical support and assist with other project initiatives. **Job… more
- Elevance Health (Tampa, FL)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing , quality assurance, or recovery auditing . + Requires at ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
- Banner Health (FL)
- …different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of acute care ... team that values growth and development! This is a Quality position, not a day-to-day coding production role but...in your attached resume);** + **DRG and PCS Coding, Auditing experience;** + **Bachelors degree or equivalent;** + **Must… more
- Elevance Health (FL)
- …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing , quality assurance, or clinical documentation improvement, and a ... The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the… more
- Highmark Health (Tallahassee, FL)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… more