• Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement more
    Elevance Health (08/01/25)
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  • Divisional Coding Quality Auditor

    AdventHealth (Altamonte Springs, FL)
    …Monday-Friday **The role you will contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the inpatient or ... and skills required to achieve industry best practice levels of performance. The Quality Auditor will adhere to AdventHealth's Compliance standards, as well as… more
    AdventHealth (07/01/25)
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  • Inpatient DRG Quality Auditor

    Humana (Tallahassee, FL)
    …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital...focus on DRG audits. You will also drive process improvement initiatives and develop educational materials. This is a… more
    Humana (07/25/25)
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  • Coding Quality Auditor

    Houston Methodist (FL)
    …live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis ... coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the… more
    Houston Methodist (07/12/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the inpatient or ... coding teams across the organization by completing both overall and account-level quality reviews of inpatient and outpatient coding functions. Quality audits… more
    AdventHealth (08/01/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops high quality , high value concept and or process improvement and efficiency ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ _This...Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical… more
    Elevance Health (07/22/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Tallahassee, FL)
    …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 ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to… more
    Datavant (08/01/25)
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  • Inpatient Coding Auditor Virtual

    AdventHealth (Tampa, FL)
    …Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the Inpatient Operations Manager, ... for the daily auditing of records. The Inpatient Coding Quality Auditor works in collaboration with the...are equally respectful to all. Works collaboratively with the Clinical Documentation Improvement team to ensure our… more
    AdventHealth (05/09/25)
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  • Program Director, Quality

    Molina Healthcare (FL)
    **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Program Director is a key Quality Improvement (QI) leader within the organization, empowered to… more
    Molina Healthcare (08/02/25)
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  • Senior Supplier Quality Engineer

    Danaher Corporation (Miami, FL)
    …an on-site role. In this role, you will have the opportunity to: + Quality Improvement : Collaborate with suppliers to implement corrective actions and continuous ... the speed of life. As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention to... improvement plans to resolve quality issues and… more
    Danaher Corporation (06/17/25)
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