• 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 ... determined to recover, eliminate and prevent unnecessary medical-expense spending. ​ The ** CLINICAL PROVIDER AUDITOR II** is responsible for identifying issues… more
    Elevance Health (05/29/25)
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  • Auditor Sr

    BayCare Health System (Clearwater, FL)
    …on a foundation of trust, dignity, respect, responsibility and clinical excellence. **Position Details:** **Location:** Clearwater, FL (Hybrid) **Status:** Full ... Time and Salaried **Shift Hours:** 8-4 **The Auditor Sr. is responsible for:** + Perform risk assessments and audit planning. Audit functions include evaluating the… more
    BayCare Health System (05/30/25)
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  • Inpatient Coding Auditor

    BayCare Health System (Tampa, FL)
    …position. _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... Health System HIM Coding Department. + Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or physicians. +… more
    BayCare Health System (05/29/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Miami, FL)
    …Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue to provide all patients with ... want you to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on… more
    HCA Healthcare (04/17/25)
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  • Inpatient DRG Quality Auditor

    Humana (Tallahassee, FL)
    …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (05/30/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
    Highmark Health (05/09/25)
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  • Coding Quality Auditor

    Houston Methodist (FL)
    …TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
    Houston Methodist (04/12/25)
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  • System CDI Quality & Compliance Team Leader

    AdventHealth (Altamonte Springs, FL)
    …FL **The role you will contribute:** Under general supervision of the Clinical Documentation Integrity (CDI) Manager, and in some situations the supervision of ... the Director of Clinical Documentation Integrity, and in collaboration with physicians, nursing...physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and… more
    AdventHealth (03/07/25)
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  • Senior Engineer, IT Privacy Compliance

    Cardinal Health (Tallahassee, FL)
    …data solutions for health care facilities. We are a crucial link between the clinical and operational sides of care, working with more than 4,500 sourcing and ... Risk, who will play a Program Lead role focused on driving IT Privacy Compliance for the organization. **_Job Overview:_** This role is a leader position within the… more
    Cardinal Health (05/23/25)
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  • Nurse Aide Evaluator QA Coordinator

    Kelly Services (Lake Mary, FL)
    **Nurse Aide Evaluator Quality Assurance Coordinator** Kelly(R) Science & Clinical is seeking an NAE QA Coordinator for a direct hire position at a leading client in ... standards and company guidelines. This position requires a blend of clinical nursing experience, quality assurance expertise, and strong interpersonal skills to… more
    Kelly Services (05/29/25)
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