• Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    …results to appropriate departments and management.** **Conducts process audits to ensure compliance with internal policies and procedures and existing CMS ... ICD coding and documentation requirements.** **Conducts process audits to ensure compliance with internal policies and procedures as well as regulatory… more
    CVS Health (07/18/25)
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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 ... Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal , concurrent, prospective and retrospective coding audit activities.… 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 ... coding guidelines. **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding /DRG requests. Responds promptly to Business… more
    Houston Methodist (07/12/25)
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  • Sr Compliance RCM & Coding…

    Humana (Tallahassee, FL)
    …the PCO compliance workplan throughout the year. + Regularly conducts compliance related audits to assess internal controls, examining healthcare records and ... 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… more
    Humana (07/19/25)
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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 ... caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and… more
    Humana (06/26/25)
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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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  • 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 (07/15/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Jacksonville, FL)
    …**Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews ... on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company … more
    HCA Healthcare (06/21/25)
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  • System CDI Quality Team Leader Educator

    AdventHealth (Altamonte Springs, FL)
    …reviews consist of, but are not limited to; concurrent, mortality, Retrospect and other internal CDI audits to ensure compliance to guidelines. + Understands and ... with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and quality physician… more
    AdventHealth (06/06/25)
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