• Staff Clinical Compliance…

    Danaher Corporation (Miami, FL)
    …our vision is to be the leading provider of seamlessly connected diagnostic solutions. The Staff Clinical Compliance Auditor (Global Focus - Remote) for ... to clinical study teams and other relevant staff on compliance requirements, best practices, and...if you also possess previous experience in: + Certified auditor (eg, ASQ CQA or ASQ CBA, GCP) +… more
    Danaher Corporation (09/19/25)
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  • Home Health Quality Assurance Auditor

    Humana (Miramar, FL)
    …1 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 1 work ... will also monitor QA dashboard metrics and provide actionable feedback to improve staff performance. The QA Auditor will identify trends in documentation errors… more
    Humana (10/01/25)
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  • Inpatient Medical Coding Auditor

    Humana (Tallahassee, FL)
    …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
    Humana (09/24/25)
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  • Divisional Coding Quality Auditor Educator…

    AdventHealth (Altamonte Springs, FL)
    …to achieve industry best practice levels of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as well ... coding and CDI team members on escalated accounts. + Collaborates with providers, AH Clinical , CDI, inpatient and outpatient coding staff to assist with or… more
    AdventHealth (09/17/25)
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  • Inpatient Coding Quality Auditor

    HCA Healthcare (Orange Park, FL)
    …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue...Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies… more
    HCA Healthcare (09/27/25)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (FL)
    … clinical expertise in either written or verbal forms including communication with clinical or coding staff , federal regulators and vendor coding resources. + ... risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal...+ Acts as mentor to provide education to internal staff based on audit findings; provides general education on… more
    CVS Health (10/02/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Tallahassee, FL)
    …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... works with external resources to present final audit findings to department staff , physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT… more
    Highmark Health (09/20/25)
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  • Healthcare Services Operations Support…

    Molina Healthcare (Miami, FL)
    …and cost-effective member care. Essential Job Duties * Performs audits of non- clinical staff in utilization management, care management, member assessment, ... address findings in audit results. * Meets minimum production standards related to non- clinical auditing. * May conduct staff trainings as needed. * Communicates… more
    Molina Healthcare (09/28/25)
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  • System CDI Quality Team Leader Educator

    AdventHealth (Altamonte Springs, FL)
    …other healthcare providers as necessary to ensure appropriate, accurate and complete clinical documentation. Communicates with HIM staff and collaborates with ... FL **The role you will contribute:** Under general supervision of the Clinical Documentation Integrity (CDI) Manager, and in some situations the supervision of… more
    AdventHealth (08/07/25)
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  • AVP, Quality Improvement (Remote in Georgia)

    Molina Healthcare (FL)
    …+ Certified Professional in Health Quality (CPHQ) + Nursing License + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are ... not be limited to: Quality Reporting, HEDIS Performance Measurement, Clinical Quality Interventions, and QI Compliance . +...+ Develops training, goals and coaching plans for Quality staff . + Ensures that quality assurance is performed for… more
    Molina Healthcare (09/18/25)
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