- Sevita (Tampa, FL)
- …new opportunities for the people we serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations ... and Revenue Cycle in auditing/monitoring compliance requirements across all Company business units and service...Company business units and service lines. Ensures that existing clinical audit standards and procedures are best practice according… more
- Elevance Health (Tampa, FL)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The RN, Compliance Nurse 2, Quality Assurance Auditor reviews utilization management activities and ... prevent and detect fraud, waste, and abuse. The RN, Compliance Nurse 2, Quality Assurance Auditor ensures...or training opportunities related to audit trends to the clinical operational teams + Coordinate special compliance … more
- BayCare Health System (FL)
- …in Florida, Georgia, or North Carolina. **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... **Shift:** 7:00 AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member must currently reside… more
- BayCare Health System (Clearwater, FL)
- …that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **Summary:** + Perform risk assessments and audit planning. + Audit ... and recommending changes to improve processes, strengthen controls, and ensure compliance . + Communicate with audit customers by preparing documentation and report… more
- Elevance Health (Miami, FL)
- Nurse Auditor Senior - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... to recover, eliminate, and prevent unnecessary medical-expense spending. The Nurse Auditor Senior is responsible for identifying, monitoring, and analyzing aberrant… more
- Houston Methodist (Miami, FL)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
- Baylor Scott & White Health (Tallahassee, FL)
- …**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards of ethical ... coding HCC issues and keeps abreast of coding and compliance changes as communicated by CMS, HHS, AHA, AMA...knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the… more
- Cardinal Health (Tallahassee, FL)
- …data solutions for health care facilities. We are a crucial link between the clinical and operational sides of care, working with more than 4,500 sourcing and ... will play a Lead role focused on identifying key IT controls and compliance requirements and confirming that controls are being designed and implemented as solutions… more
- Catalent Pharma Solutions (St. Petersburg, FL)
- **Sr. Compliance Specialist** **Position Summary** St. Petersburg is our primary soft gel development and manufacturing facility in North America with capacity of 18 ... is committed to a Patient First culture through excellence in quality and compliance , and to the safety of every patient, consumer and Catalent employee. The… more