- Health Advocates Network (Coral Springs, FL)
- …equivalent + Must have good analytical and comprehension skills + Ability to read patent records and decode + Expertise in medical terminology + Knowledge of DME ... workloads to ensure expedited cases are processed within defined timelines. Review medical information such as lab reports, provider visit notes, and prescriptions.… more
- Humana (Tallahassee, FL)
- …The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns appropriate codes (eg, ICD-10-CM, CPT). This role ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the...CICA, CHCA) + Prior experience reading and coding from medical records . + Strong critical thinking skills.… more
- Elevance Health (Tampa, FL)
- **Internal Auditor Senior - SOX & SOC1** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... adaptable workplace. Alternate locations may be considered. The **Internal Auditor Senior** is responsible for responsible for conducting financial/operational… more
- Elevance Health (Tampa, FL)
- **Internal Auditor , Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... adaptable workplace. Alternate locations may be considered. The **Internal Auditor , Senior** is responsible for conducting financial/operationalaudits, internal control… more
- Elevance Health (Tampa, FL)
- …considered._ The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... **DRG CODING AUDITOR ** **Location** : _This position will work virtually._...its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate… more
- Conduent (Orlando, FL)
- …of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to audit ... of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a wide variety of...CPhT, you will examine a wide variety of pharmacy records against our client's pharmacy claim data. This is… more
- ICW Group (FL)
- …want to be here! **PURPOSE OF THE JOB** The purpose of the Field Premium Auditor is to conduct insurance premium audits in the field to determine the actual ... premium to be charged for policy coverages. This role will audit policyholder's records and apply rules and company standards. This position exists to ensure… more
- Elevance Health (Tampa, FL)
- …and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **CLINICAL PROVIDER AUDITOR II** is… more
- Elevance Health (Tampa, FL)
- …Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- AdventHealth (Tampa, FL)
- …of the Inpatient Operations Manager, is responsible for the daily auditing of records . The Inpatient Coding Quality Auditor works in collaboration with the ... care tower which will ensure state of the art medical and surgical car for generations to come .Awarded...val** **ue you'll bring to the team:** . Reviews records for DRG and overall coding accuracy retrospectively and… more