- 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
- City National Bank (Tallahassee, FL)
- …This role is responsible for managing all investor and agency audit responses, overseeing documentation flow across underwriting and operations, handling lender ... internal stakeholders to gather necessary documentation and ensure timely and accurate audit responses. * Maintain thorough records of audit findings,… 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
- Medtronic (Jacksonville, FL)
- …500 company. + IT experience including a combination of compliance, IT Audit and information security with healthcare or pharmaceutical industry experience ... can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down… 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