- Elevance Health (Tampa, FL)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and… more
- 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 ... all\! **Job:** _Guest Services, Operations, and Front Office_ **Title:** _Night Auditor \- Front Office \- Hilton Tampa Downtown_ **Location:** _null_ **Requisition… more
- Datavant (Tallahassee, FL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… more
- Datavant (Tallahassee, FL)
- …Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee ... Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Need to Succeed:** + 5+ years of… more
- Datavant (Tallahassee, FL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more
- NCH (Naples, FL)
- …potential missed opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code discrepancies, collaborate with ... process and/or provider education. The QI-CDIS will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department… more
- TEKsystems (Orlando, FL)
- …FULLY REMOTE Medical Coders. MUST HAVE: CPC- Certified Professional Coder, and Medical Coding experience. Must have a high school diploma or GED! Must be able ... for everyone to have experience in emergency services, inpatient coding , or DRG (diagnosis-related group) coding . This...are looking at. Does not have to be an auditor or a ton of experience, but just knowledge… more
- Coinbase (Tallahassee, FL)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more
- Molina Healthcare (FL)
- …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more