• Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
    CVS Health (09/26/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Orange Park, FL)
    …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first....Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** Parallon, offers a total rewards package… more
    HCA Healthcare (09/27/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …Daytona Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the ... inpatient or outpatient coding teams across the organization by completing both overall...overall and account-level quality reviews of inpatient and outpatient coding functions. Quality audits are inclusive of assessing staff… more
    AdventHealth (08/07/25)
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  • Auditor , HCC Risk Adjustment Coding…

    Datavant (Tallahassee, FL)
    …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across… more
    Datavant (08/08/25)
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  • Diagnosis Related Group Clinical Validation…

    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, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (09/30/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    **Clinical Provider Auditor II** **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II i** s responsible for identifying issues and/or entities that… more
    Elevance Health (09/30/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... Reviews Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to determine proper category for benefit...to thirty (30) pounds. ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** **… more
    CHS (09/13/25)
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  • Clinical Provider Auditor II

    Elevance Health (Miami, 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 (09/06/25)
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  • Provider Auditor (Certified 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 (09/24/25)
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  • Claims Auditor Senior

    Elevance Health (Tampa, FL)
    **Claims Auditor Senior** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... employment, unless an accommodation is granted as required by law._ The **Claims Auditor Senior** is responsible for auditing of high dollar claims across the stop… more
    Elevance Health (09/09/25)
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