- 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 to make audit determinations… more
- MyFlorida (Tallahassee, FL)
- …member of the Florida Retirement System and participates in the State Group Insurance Plan. POSITION SUMMARY This position is located in the Court-Appointed Audit ... Unit for payment if the billing meets all requirements. + Reject billings, issue audit deficiencies, prepare Letters of Objection or No Objection if the billings do… more
- CHS (Clearwater, FL)
- **Overview** **Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... (TPA) which provides a wide range of administrative services to insurance companies, sharing organizations, insurance marketing organizations, and employers.… more
- MyFlorida (Tallahassee, FL)
- …decision making process. Recommends changes to processes, policies, and procedures. May audit and process accounts payable and/or receivable and related paperwork in ... compliance with state and Agency policies and procedures. Responsible for the pre- audit and payment processing of expenditures relating to purchases made by the… 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
- 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
- NBC Universal (Orlando, FL)
- …Concur business relationship, including contract management and oversight of the internal audit process. Standards and Controls + Own and enforce global T&E policies ... and compliance, including receipt thresholds, audit protocols, and exception workflows (eg, personal expenses on corporate cards). + Ensure 100% audit coverage… more
- MyFlorida (Tallahassee, FL)
- …the efficiency and effectiveness of operations. This includes the development of audit programs, work papers, and reports in compliance with the International ... maintains work papers that support work performed and complies with professional audit standards and internal procedures. The work papers should contain sufficient… more
- Carnival Cruise Line (Miami, FL)
- …company safety management system for CUK. The role will ensure that audit work fulfills the purposes and responsibilities established within the department; ... resources are efficiently and effectively employed; and audit work conforms to the Professional Standards established by Risk Advisory and Assurance Services (RAAS).… more
- Highmark Health (Tallahassee, FL)
- …for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into ... reports according to state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business + Coordinates data extracts… more