- Zelis (St. Petersburg, FL)
- …DRG, IBR, and CCR claims. This is a production-based role with production and quality metric goals. What you'll do: + Review provider disputes for DRG Coding and ... teams regarding critical issues and trends. + Ensure adherence to quality assurance guidelines. + Monitor, research, and summarize trends, coding practices,… more
- AssistRx (Orlando, FL)
- …HIPAA, 21 CFR Part 11, OIG guidance). + Collaborate with legal, compliance, and quality teams to manage risk and maintain audit readiness. + Performance ... This may include offerings such as patient onboarding, financial assistance, nurse support, adherence programs, or digital engagement tools. You will drive… more
- Sedgwick (Tallahassee, FL)
- …providers to discuss employee's clinical status, progress and work status. + Achieves appropriate quality audit scores on a consistent basis. + Acts as clinical ... + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's… more
- GE Vernova (West Melbourne, FL)
- …and deliver the electricity that is vital to health, safety, security and improved quality of life. As the Senior Manager of Commercial Operations, you'll play a ... workflows. Ensure adherence to internal controls, regulatory requirements, and audit standards. + **Quote-to-Order Optimization:** Partner with Commercial Excellence… more
- Zelis (St. Petersburg, FL)
- …and concept trends and implement improvement strategies + Implement and conduct quality assurance program to ensure accurate results to our clients + Collaborate ... to Zelis standards regarding privacy What you'll bring to Zelis: + Registered Nurse licensure required + Inpatient Coding Certification required (ie, CCS, CIC, RHIA,… more