• Inpatient Coding Quality Auditor

    HCA Healthcare (Orange Park, FL)
    **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career ... your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home...+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family… more
    HCA Healthcare (08/28/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Tallahassee, FL)
    … auditing experience + Ability to analyze large data sets + Knowledge of healthcare compliance , mainly primary care and risk adjustment, pharmacy knowledge a ... conducts compliance related audits to assess internal controls, examining healthcare records and processes, and analyzing and reporting risks. + Influence… more
    Humana (08/23/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... claims and customer service calls to ensure validity, accuracy, and compliance with appropriate policies, procedures, and regulations + **Health, Dental, Vision, and… more
    CHS (06/14/25)
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  • Internal Auditor , Senior

    Elevance Health (Tampa, FL)
    **Internal Auditor , Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The **Internal Auditor , Senior** is responsible for conducting financial/operationalaudits, internal control… more
    Elevance Health (08/29/25)
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  • Internal Information Technology (IT)…

    Elevance Health (Tampa, FL)
    **Internal Information Technology (IT) Auditor Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... granted as required by law. The **Internal Information Technology (IT) Auditor Senior** is responsible for conducting Information Technology operational audits,… more
    Elevance Health (08/23/25)
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  • 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 per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… 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 ... recover, eliminate and prevent unnecessary medical-expense spending. The Clinical Provider Auditor II is responsible for identifying issues and/or entities that may… more
    Elevance Health (09/04/25)
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  • Auditor , Risk Adjustment (Remote)

    Molina Healthcare (Miami, FL)
    …Develop and implement processes and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS) regulations and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
    Molina Healthcare (07/25/25)
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  • Senior Auditor , Internal Controls

    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
    Datavant (09/04/25)
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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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