• Claims and Call Auditor (Call Center…

    CHS (Clearwater, FL)
    **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... kneeling, stooping and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** PA123 **Job Locations**… more
    CHS (09/13/25)
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  • Analyst, Configuration Oversight ( Claims…

    Molina Healthcare (Orlando, FL)
    …accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure ... that the contracts are configured correctly in QNXT. The claims are reviewed to ensure that the configured services...to detect any gaps in the correct payment of claims Make recommendations for potential revision and updates *… more
    Molina Healthcare (09/17/25)
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  • Claims Auditor

    Insight Global (St. Petersburg, FL)
    …guidelines, performs random medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits in assigned audit ... and reporting requirements; Federal and state regulations; and timeliness of claims processing. Utilize Excel, prepares tracking and trending written audit reports… more
    Insight Global (10/07/25)
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  • Independent Adjuster Auditor

    Sedgwick (Orlando, FL)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you'll have the ... professional needs. **PRIMARY PURPOSE** **OF THE ROLE** The Independent Adjuster Auditor reviews Independent Adjuster and other Non-Legal Vendor invoices on behalf… more
    Sedgwick (09/16/25)
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  • Inpatient Medical Coding Auditor

    Humana (Tallahassee, FL)
    …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns… more
    Humana (09/24/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
    Elevance Health (10/03/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
    Elevance Health (09/30/25)
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  • Clinical Provider Auditor II (CPC)

    Elevance Health (Tampa, FL)
    **Clinical Provider Auditor II** **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II i** s responsible for identifying issues and/or entities that… more
    Elevance Health (10/07/25)
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  • Tax Auditor III

    MyFlorida (Margate, FL)
    TAX AUDITOR III - 79001095 Date: Oct 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 860414 Agency: Business and Professional Regulations Working Title: TAX AUDITOR III - 79001095 Pay Plan: Career Service Position Number: 79001095… more
    MyFlorida (10/02/25)
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  • Auditor , Food Safety & Food Quality

    Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
    …CAPAs, Nutritional Documents, COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety & Product Quality audits at ... training course. + SQF or any other GFSI Scheme certification desired. + Auditor Certification preferred (ie American Society for Quality - Certified HACCP … more
    Boar's Head Brand/Frank Brunckhorst Co., LLC (09/18/25)
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