- Cardinal Health (Tallahassee, FL)
- …E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles and techniques; CMS ... with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, and… more
- LogixHealth (Dania, FL)
- …teams to provide cutting edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment and bring ... necessary, using software or other resource tools + Prepare audit results and keep department manager current of all...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- Molina Healthcare (St. Petersburg, FL)
- …Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes or healthcare compliance requirements **Ideal Candidate Attributes** ... Data Validation) team, assisting in the execution of CMS and internal audit activities. This position contributes to the development of chart retrieval chase… more
- Highmark Health (Tallahassee, FL)
- …related field **EXPERIENCE** **Required** + 7 years in compliance, privacy, government affairs, healthcare operations, risk, audit , or legal functions + 5 years ... role **Preferred** + 10 years in compliance, privacy, government affairs, healthcare operations, risk, audit , or legal functions + 5 years in Healthcare … more
- HCA Healthcare (Jacksonville, FL)
- …as a Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...difference. We are looking for a dedicated Coding Quality Audit Reviewer like you to be a part of… more
- Robert Half (Orlando, FL)
- JOB REQUISITION Orlando Technology Audit & Advisory Senior Consultant LOCATION ORLANDO ADDITIONAL LOCATION(S) JOB DESCRIPTION You Belong Here T he Protiviti Career ... We Need You: Protiviti is looking for a Technology Audit & Advisory Senior Consultant to join our grow...for medical, dental, and vision coverages, FSA and HSA healthcare accounts, life and accident insurance, adoption and fertility… more
- CVS Health (Plantation, FL)
- …remote or hybrid depending on candidate location.** **Minimum Requirements** + Minimum 4 years audit experience or in related field + Healthcare or TPA industry ... etc.** Engages all appropriate parties and **implements best practices and develops Audit Policies & Procedures.** + Assesses and validates the effectiveness of… more
- Healthfirst (FL)
- …problem-solving approaches in producing analyzing and interpreting reports on trending audit finding results and summarizing details to Operations leadership to ... address identified areas for improvement. + Serve as point of escalation for audit disputes. + Conduct comprehensive needs analysis to ensure that audit programs… more
- Elevance Health (Tampa, FL)
- ** Audit & Reimbursement Senior** **_Virtual:_** _This role enables associates to work virtually full-time, with the exception of required in-person training ... Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC)… more
- Cherry Bekaert (Tampa, FL)
- …and focused on the middle market. As our firm expands, we're seeking an ** Audit Partner** to help us continue to build our commercial audit strength ... be responsible for helping to lead the Tampa (https://www.cbh.com/locations/cpa-accounting-firm-in-tampa-fl/) audit practice focused on audit compliance and… more