• Sr Compliance RCM & Coding

    Humana (Tallahassee, FL)
    …about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and ... validate the mitigation of compliance risk across the organization. This team ensures that...healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience… more
    Humana (07/29/25)
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  • Inpatient Coding Auditor

    BayCare Health System (Tampa, FL)
    …_Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... 3:30 PM + **Days:** Monday - Friday The **Inpatient** ** Coding Auditor ** is a full-time remote position....facility Inpatient claims. + Acts as the Liaison for coding issues with the BayCare Compliance Department… more
    BayCare Health System (05/29/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing, coding and/or… more
    Highmark Health (05/09/25)
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  • Coding Quality Auditor

    Houston Methodist (FL)
    …must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
    Houston Methodist (07/12/25)
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  • Senior Inpatient Medical Coding

    Humana (Tallahassee, FL)
    …Inpatient medical coding , analytics, health record security and privacy, HIPAA compliance , and data governance. + Hold at least one of the following AHIMA ... help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (08/02/25)
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  • 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 ... Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (07/25/25)
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  • REMOTE Outpatient Facility Auditor

    TEKsystems (Orlando, FL)
    Description The Outpatient Facility Auditor is integral to maintaining coding accuracy and compliance with our standards. This role involves conducting ... educational sessions on code updates and rule changes. The auditor collaborates closely with the coding team,...Proficiency in coding software, particularly EPIC and coding compliance standards. Experience in denial analysis… more
    TEKsystems (08/02/25)
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  • Sr Professional Facility Auditor

    Nuvance Health (Pembroke Pines, FL)
    Auditor * *Company: Nuvance Health* *Department: Facility Charging and Coding * *Location: Remote* *Employment Type: Full-Time | Non-Exempt* *Salary Range: $28 ... Role* Nuvance Health is seeking a detail-oriented and experienced *Senior Professional Facility Auditor * to join our Facility Charging and Coding team. In this… more
    Nuvance Health (07/18/25)
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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 ... claims and customer service calls to ensure validity, accuracy, and compliance with appropriate policies, procedures, and regulations + **Health, Dental, Vision, and… more
    CHS (06/14/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, 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 (08/01/25)
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