- Elevance Health (Tampa, FL)
- …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical guidelines, ... and industry knowledge to substantiate conclusions. + Utilizes audit tools and auditing workflow systems and reference information...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Elevance Health (FL)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- Cardinal Health (Tallahassee, FL)
- **_Company Overview:_** Cardinal Health, Inc. (NYSE: CAH) is a global healthcare services and products company. We provide customized solutions for hospitals, ... healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories, physician...a high-performing team and work cross-functionally with legal, privacy, audit , and IT stakeholders to ensure the organization maintains… more
- Wolters Kluwer (Tampa, FL)
- …services. Professionals in the areas of legal, business, tax, accounting, finance, audit , risk, compliance and healthcare rely on Wolters Kluwer's market ... leading information-enabled tools and software solutions to manage their business efficiently, deliver results to their clients, and succeed in an ever more dynamic world. Wolters Kluwer combines deep domain knowledge with specialized technology. Our portfolio… more
- Highmark Health (Tallahassee, FL)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Highmark Health (Tallahassee, FL)
- …for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into ... Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment negotiations.Responsible for recovery/ savings of misappropriated… more
- Carrington (Jacksonville, FL)
- …Analyst I will be responsible for the provisioning documentation for various audit and exam documentation. Also responsible for compliance testing and monitoring ... into a complete loan "servicing file" to respond to regulatory compliance audit /exams + Perform assigned compliance testing as assigned and promptly escalate… more
- Highmark Health (Tallahassee, FL)
- …deliverables.Review all work prepared by less experienced team members to ensure audit quality standards are consistently met in all forms of documentation. + ... assessment results, engagement risks, and developassurance plans (eg, on-site audit , contract review, financials assessment, purchasing data analysis) to address… more
- Datavant (Tallahassee, FL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Humana (Tallahassee, FL)
- …Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This ... team ensures that healthcare providers align their operational practices with legal requirements...needed. You will participate in all phases of the audit process including evaluating control design and adequacy, testing… more