• 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 (Jacksonville, 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 (06/21/25)
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  • Medical Records Technician (Coder) Auditor

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    … coding conventions and guidelines related to professional and facility coding . Responsibilities The Medical Records Technician (Coder) Auditor is responsible ... Summary The Medical Record Technician (Coder) Auditor position is located in the Health Information...of care provided. Auditors serve as experts of current coding conventions and regulations related to professional and facility… more
    Veterans Affairs, Veterans Health Administration (06/28/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
    Elevance Health (06/10/25)
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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 (06/14/25)
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  • Clinical Provider Auditor II

    Elevance Health (Miami, FL)
    **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... 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 (06/18/25)
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  • Provider Auditor (RN/LPN Medical Coder…

    Elevance Health (Miami, 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 (06/07/25)
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  • Professional Services Auditor and Educator

    Trinity Health (Fort Lauderdale, FL)
    …codes by providers. Monitors accuracy of centralized coders charge capture and coding . Partners with centralized coding and operational leadership to improve ... education. Responsible for practitioner education in areas related to coding , documentation, and compliance.** **ESSENTIAL FUNCTIONS** **Responsibilities, including but… more
    Trinity Health (06/13/25)
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  • Government Operations Consultant II

    MyFlorida (Tallahassee, FL)
    …of daily food costs to the Special Purpose Investment Account (SPIA); receipt, coding , and vouchering of vendor invoices; collection and recording of data for ... correspondence or via the telephone. Works with the Florida Office of the Auditor General, the USDA/FNS Regional Office and other programs or departments as… more
    MyFlorida (06/27/25)
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  • System CDI Quality and 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 (06/06/25)
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