- Sedgwick (Tampa, FL)
- …provided to insurance carriers, corporate legal departments and government entities. The auditor will apply client specified billing guidelines and/or Generally ... Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and...Ability to effectively communicate with law firms to discuss compliance with client's billing requirements. + Effectively… more
- MyFlorida (Tallahassee, FL)
- JUSTICE ADMINISTRATIVE COMMISSION- AUDITOR I - 21013472 Date: Aug 20, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... 859224 Agency: Justice Administrative Commission Working Title: JUSTICE ADMINISTRATIVE COMMISSION- AUDITOR I - 21013472 Pay Plan: Justice Admin Comm. Position… more
- Humana (Tallahassee, FL)
- …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , by ... data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional , you will develop and/or evaluate compliance … more
- Highmark Health (Tallahassee, FL)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code… more
- Elevance Health (Miami, FL)
- …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
- Elevance Health (Tampa, FL)
- …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor II** This role requires associates to be...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
- Aston Carter (Deerfield Beach, FL)
- …invoices and prepare summary reports for system uploads. + Serve as a backup auditor to ensure billing accuracy. + Communicate with carriers to resolve rate ... processing of inbound and outbound invoices, ensuring accuracy, timeliness, and compliance . You'll collaborate with carriers, resolve discrepancies, and support … more
- MyFlorida (Tallahassee, FL)
- …of professional experience as a Financial Examiner/Analyst I or Internal Auditor with the State of Florida. Professional or nonprofessional experience as ... finance, economics, insurance, or risk managementandone (1) year of professional experience in accounting, examining, analyzing, orauditing financial data within… more
- Datavant (Tallahassee, FL)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... + Implement process improvements to enhance accuracy, efficiency, and regulatory compliance . + Ensure coding is completed within established turnaround times to… more