• Clinical Provider Auditor II

    Elevance Health (Miami, FL)
    ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
    Elevance Health (09/06/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    ** Clinical Provider Auditor II** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while providing ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Clinical Provider Auditor II is responsible for identifying issues… more
    Elevance Health (09/04/25)
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  • Clinical Documentation Auditor

    AdventHealth (Orlando, FL)
    …Time **Shift** : Days **Location: Remote** **The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered ... Health Information Administrator with a high level of clinical proficiency necessary for the oversight of the Clinical Documentation team which is comprised of… more
    AdventHealth (08/18/25)
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  • Inpatient Coding Quality Auditor

    HCA Healthcare (Orange Park, FL)
    …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue...Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies… more
    HCA Healthcare (08/28/25)
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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 (08/08/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Tallahassee, FL)
    …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies… more
    Humana (08/23/25)
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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 (08/08/25)
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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 (07/12/25)
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  • Director, Clinical Data Acquisition (HEDIS…

    Molina Healthcare (St. Petersburg, FL)
    …* Nursing License (RN may be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... **Job Description** **Job Summary** The Director, Clinical Data Acquisition is responsible for the implementation, monitoring, and oversight of all chart collection… more
    Molina Healthcare (08/21/25)
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  • Manager, Information Security & Risk - IT…

    Cardinal Health (Tallahassee, FL)
    …customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories, physician offices and patients in the home. We ... as well as completes risk assessments. The IT Governance and Compliance function within the organization develops, enhances, and maintains security policies… more
    Cardinal Health (08/16/25)
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