• DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …/ Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment ... CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable...minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires… more
    Elevance Health (07/22/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …Experience:** + A high school diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is ... (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ensure… more
    CHS (06/14/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a minimum of 5 years ... - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
    Elevance Health (07/17/25)
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  • Senior Inpatient Medical Coding…

    Humana (Tallahassee, FL)
    …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical ... in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG)… more
    Humana (06/26/25)
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  • Audit Specialist - Orlando - On-Site

    AssistRx (Orlando, FL)
    …details of audit agenda and evidence requests with Operations, Account Management, Quality Assurance , Tech Org, and other applicable departments. + Partners ... a key liaison between internal departments and external clients to uphold quality , legal, compliance, and operational standards. + Negotiates audit calendar with… more
    AssistRx (07/18/25)
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