• Inpatient DRG Quality Auditor

    Humana (Tallahassee, FL)
    …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
    Humana (05/03/25)
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  • Auditor - Coding

    Ascension Health (Jacksonville, FL)
    …Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. **Responsibilities:** + Audit ... of records per coder as defined in the system coding audit plan. + Preparesaudit reports that are issued...+ Develop corrective action plans to address opportunities for coding , billing and documentation improvement. + Identify trends and… more
    Ascension Health (03/31/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Tallahassee, FL)
    …you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Quality Auditor like you to be a part of our team. **Job Summary ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Work from Home, you...and Qualifications** As a Coding Quality Audit Reviewer you will be responsible for… more
    HCA Healthcare (04/20/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (04/29/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    **Clinical Provider Auditor II** _Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live ... 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 (05/02/25)
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  • Provider Auditor (RN/LPN Medical Coder…

    Elevance Health (Tampa, FL)
    **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
    Elevance Health (04/29/25)
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  • Part-Time Night Auditor - Front Office…

    Hilton (Tampa, FL)
    …computer, confirmation of guest information and room rate, selection of rooms, coding electronic keys, promoting marketing programs, providing a welcome packet and ... **Job:** _Guest Services, Operations, and Front Office_ **Title:** _Part\-Time Night Auditor \- Front Office \- Hilton Tampa Downtown_ **Location:** _null_… more
    Hilton (04/26/25)
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  • Medical Coder-Outpatient

    The Arora Group (Tampa, FL)
    …Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT). + The ... MCPO completeness, productivity, and timeliness standards. + Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate… more
    The Arora Group (04/13/25)
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  • System CDI Quality & Compliance Team Leader

    AdventHealth (Altamonte Springs, FL)
    …practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres to strict departmental and organizational goals, objectives, ... and collaborates with them to resolves discrepancies with DRG assignments and other coding issues. + Leads out on CDI projects as project manager, strategically… more
    AdventHealth (03/07/25)
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  • IT Audit Project Manager Sr.

    First Horizon Bank (Miami Lakes, FL)
    …team focused on assigned audit, providing supervision and assignments to team members as Auditor In Charge as well as reviewing work papers completed by staff and ... Years related auditing experience Relevant IT industry knowledge (Infrastructure, Coding /Development, Information/Cyber Security, Technical Support, Provisioning/De-Provisioning, Data Centers, Backups,… more
    First Horizon Bank (02/18/25)
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