- Highmark Health (Tallahassee, FL)
- …to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their ... Provides written audit guidance. Participates with management in the assessment of external audit findings and responds as needed. Attends meetings and interacts… more
- Travelers Insurance Company (Tallahassee, FL)
- …in accordance with company, industry, and state regulations. As a Sr Premium Auditor Associate, you will conduct audits of increasing complexity with less direct ... of changes and current information relative to premium auditing through internal and external resources. + Perform other duties as assigned. **What Will Our Ideal… more
- AdventHealth (Daytona Beach, FL)
- …**The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the inpatient or outpatient coding ... for potential organizational impact Assists with the facilitation of scheduled external audits Responds to inpatient or outpatient coding questions from assigned… more
- 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 ... guidelines. **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding/DRG requests. Responds promptly to Business Office requests… more
- Citigroup (Tampa, FL)
- The Senior Auditor is an intermediate level role responsible for performing moderately complex audits and assessments of Citi's risk and control environments in ... with transparency. **Qualifications:** + 5-8 years of relevant experience, internal/ external audit and/or Markets Operations + Effective verbal and written… more
- AdventHealth (Altamonte Springs, FL)
- …Medicare and Medicaid third party financial settlement to be audited by AHS external financial auditor for inclusion in the audited financial statements + ... Prepare annual Medicare Inpatient and Outpatient net revenue schedules used to prepare hospital annual operating net revenue budget + Maintain awareness of organizational administrative and operational changes that could impact the hospitals Medicare and/or… more
- Molina Healthcare (Miami, FL)
- …* Acts as an audit liaison with other departments, health plans, and external vendors * Develop and implement processes and procedures to ensure accuracy, ... monthly audit on internal Molina Coding Specialists * Audits external Molina Vendors. **Job Qualifications** **Required Education** Associates degree. **Required… more
- CVS Health (Tallahassee, FL)
- …inter-rater review audits of medical records coded by internal team, as well as external vendor (if applicable) to ensure the ICD codes that are submitted to the ... Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. + Proven… more
- Insight Global (Tampa, FL)
- …auditing, consulting and/or implementing IT controls solutions PREFERRED SKILLS * EXTERNAL AUDITING * INTERNAL CONTROLS * SYSTEMS CONTROLS * PROCESS CONTROLS ... * CISA * AUDIT/ACCOUNTING * THIRD PARTY AUDIT ROLE DESCRIPTION Our audits focus on assessing the design and operating effectiveness technology controls as part of a public company financial statement audit, as well as a broad range independent assurance… more
- Lincoln Financial (Tallahassee, FL)
- …activities of identified issues. * Serve as a point of contact for external auditors and regulators (such as the Departments of Insurance) regarding their audit ... requirements. * Foster a cohesive and collaborative team environment by interacting regularly with peers and maintaining strong relationships across the audit department and the company. * Partner with risk management and other first and second line partners… more