• Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …experience is preferred + Knowledge of medical terminology + Knowledge of medical coding systems + Knowledge of Medicaid/Medicare Guidelines + Knowledge of ... Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and...school diploma or equivalent is required + Experience in medical customer service, quality assurance, or insurance… more
    CHS (06/14/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Tallahassee, FL)
    …vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to...a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in… more
    Datavant (08/01/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Jacksonville, FL)
    …current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources to ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you...Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for… more
    HCA Healthcare (06/21/25)
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  • Quality Senior Analyst

    CVS Health (Tallahassee, FL)
    …CRC (Certified Risk Adjustment Coder) required. + CPMA (Certified Professional Medical Auditor ) **or** CDEO (Certified Documentation Expert Outpatient) ... Qualifications** + Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Experience… more
    CVS Health (08/08/25)
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  • System CDI Quality Team Leader Educator

    AdventHealth (Altamonte Springs, FL)
    …including attending physicians, allied health practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres ... to provide feedback to CDI Market Leaders + Performs quality reviews of the medical record for...them to resolves discrepancies with DRG assignments and other coding issues. + Leads out on CDI projects as… more
    AdventHealth (08/07/25)
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  • Practice Transformation Associate

    CVS Health (Tallahassee, FL)
    …achieves this goal through analyzing and sharing provider performance metrics related to quality , clinical outcomes, coding , and utilization used to support ABH ... of an internal, cross-functional team of clinical, analytics, provider relations and medical personnel. The PTA will work both internally and externally with some… more
    CVS Health (07/12/25)
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