Compliance Auditor Jobs in Florida

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21 Florida Compliance Auditor jobs found on Monster.

Jobs 1 to 20 of 21
MEDNAX Inc. Sunrise, FL
Description Job Summary: The Coding Compliance Auditor serves as a resource divisionally for expert knowledge in Anesthesia coding and documentation requirements. The successful candidate will possess knowledge of all coding resources (CPT, ICD-9, ICD-10, HCPC’s, ASA Crosswalks) and regulatory bodies with a foundational understanding of their use and application with regard to coding and documen...
Baptist Health South Florida Coral Gables, FL
Description Coordinate compliance of all Baptist Health entities with certain laws, regulations, rules and internal policies applicable to the healthcare industry and the submission of claims through the performance of independent audits of specific areas/functions in order to assess compliance with BHSF’s Code of Ethics. Not ready to apply for a position yet? Click on this link, http://car...
Baptist Health South Florida Coral Gables, FL, 33134
Coordinate compliance of all Baptist Health entities with certain laws, regulations, rules and internal policies applicable to the healthcare industry and the submission of claims through the performance of independent audits of specific areas/functions in order to assess compliance with BHSF’s Code of Ethics. Not ready to apply for a position yet? Click on this link, http://careers.baptisth...
Skills/Qualifications: Proven health care and coding audit experience. Ambulance coding a strong plus. Must be a Certified Coder – CPC, CCS or CAC Knowledge of applicable data privacy practices and laws. Excellent operational and creative problem-solving skills. Excellent understanding of the organization’s goals and objectives. Excellent listening, interpersonal, written, and oral communication s...
Centene Corporation Tampa, FL, 33602
Position Purpose: Lead the operations and vendor performance audits for all Medicare operations. Execute risk based Medicare processes, reporting, and business execution audits evaluating controls and processes for scalability, effectiveness, efficiency, and risk mitigation strategies for Medicare Operations Centrally, at the Plans, and for all Vendors Act as a consultant related to Medicare Pro...
Job Summary The Supervisor will work with the manager of MRR Quality in setting medical records review standards that are to be applied to individual health plan and vendor projects. Essential Functions • Works with the Manager of Quality to set medical records review (MRR) standards for HEDIS for quality assurance purposes; assist with writing P&Ps to document standards for review by external ...
Job SummaryThe Supervisor will work with the manager of MRR Quality in setting medical records review standards that are to be applied to individual health plan and vendor projects. Essential Functions • Works with the Manager of Quality to set medical records review (MRR) standards for HEDIS for quality assurance purposes; assist with writing P&Ps to document standards for review by external re...
Advance America Traveling Compliance Auditor -Florida Advance America Field Auditors enjoy working independently and are self-motivated, driven individuals who love to travel and enjoy the challenge of a fast paced environment. To be successful in this role, an Advance America Field Auditor must have a minimum of 1-3 years of compliance audit experience, the ability to multi task, and have strong...
Job Summary Responsible for using, training, monitoring, quality reporting software to meet Molina's quality assurance goals. Essential Functions • Assists with supervising staff in QI HEDIS dept. • Assist with training and managing project deliverables/deadlines across any QI staff projects and initiatives • Assist with pre-project testing and on-going monitoring of MRR staff to ensure compl...
MEDNAX Inc. Sunrise, FL
Description JOB SUMMARY: Under the direct supervision of the Director of Medical Coding Audit and Education, the Coding Compliance Auditor is responsible for accurate and compliant coding and documentation review of pertinent medical records and physician services to identify and report audit outcomes and need for coding education. Coding reviews include assessment of diagnosis and procedures per...
Boca Raton Regional Hospital Boca Raton, FL, 33427
POSITION SUMMARY: The Patient Financial Services (PFS) APC Edit Analyst position ensures compliant claims are sent to payers by reviewing, analyzing and correcting claim edits and coding discrepancies to meet governmental and payer specific requirements for claim reimbursement. POSITION EXPECTATIONS AND RESPONSIBILITIES: Expected to have an excellent attention to detail and perform quality erro...
University of Miami Miller School of Medicine Miami, FL, 33196
Position Number: 026197 Department/Hospital: MEDICAL COMPLIANCE: BILLING COMPLIANCE The University of Miami Miller School of Medicine-UHealth is home to some of the brightest minds in the world. Our Faculty teach students who represent the future of medicine. Our researchers are discovering breakthrough patient treatments. As an academic medical center, we are proud to serve South Florida, Lat...
Molina Healthcare Inc Miami, FL
Job SummaryThe Supervisor will work with the manager of MRR Quality in setting medical records review standards that are to be applied to individual health plan and vendor projects. Essential Functions • Works with the Manager of Quality to set medical records review (MRR) standards for HEDIS for quality assurance purposes; assist with writing P&Ps to document standards for review by external re...
Molina Healthcare Inc Miami, FL
Job Summary Responsible for using, training, monitoring, quality reporting software to meet Molina’s quality assurance goals. Essential Functions• Assists with supervising staff in QI HEDIS dept. • Assist with training and managing project deliverables/deadlines across any QI staff projects and initiatives • Assist with pre-project testing and on-going monitoring of MRR staff to ensure complia...
Mercantil Commercebank Coral Gables, FL, 33134
Provides day-to-day personalized customer service under quality standards defined by the Bank for this business segment. Ensures clients transactions are processed within service levels by all units of the Bank. Escalates to Relationship Managers issues related to transaction processing that need to be solved at higher level. Addresses and solves client concerns, claims and queries, ensuring tha...
Advance America, Cash Advance Centers, Inc. Orlando, FL, 32801
Advance America Traveling Compliance Auditor –Florida Advance America Field Auditors enjoy working independently and are self-motivated, driven individuals who love to travel and enjoy the challenge of a fast paced environment. To be successful in this role, an Advance America Field Auditor must have a minimum of 1-3 years of compliance audit experience, the ability to multi task, and have strong...
Molina Healthcare Miami, FL, 33196
Job Summary The Supervisor will work with the manager of MRR Quality in setting medical records review standards that are to be applied to individual health plan and vendor projects. Essential Functions • Works with the Manager of Quality to set medical records review (MRR) standards for HEDIS for quality assurance purposes; assist with writing P&Ps to document standards for review by external re...
Molina Healthcare Miami, FL, 33196
Job Summary Responsible for using, training, monitoring, quality reporting software to meet Molina’s quality assurance goals. Essential Functions • Assists with supervising staff in QI HEDIS dept. • Assist with training and managing project deliverables/deadlines across any QI staff projects and initiatives • Assist with pre-project testing and on-going monitoring of MRR staff to ensure complia...
Raytheon Global Business Services Estimating and Pricing is seeking a strong candidate for the Principal Proposal Analyst position. The qualified candidate will: Demonstrate and communicate a thorough understanding of the current regulatory environment relative to the submission of cost proposals to the Government (FAR, DFARS, TINA, CAS). Demonstrate a thorough understanding of the GBS Estimati...
Mednax Sunrise, FL
JOB SUMMARY: Under the direct supervision of the Director of Medical Coding Audit and Education, the Coding Compliance Auditor is responsible for accurate and compliant coding and documentation review of pertinent medical records and physician services to identify and report audit outcomes and need for coding education. Coding reviews include assessment of diagnosis and procedures performed with a...

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Business Career Tools

Compliance Auditor

Salaries

$35,360.00 - $110,000.00
Typical Salary for Compliance Auditor in Florida
(162 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
46%
Master's
21%
Some College Coursework Completed
13%
Associates
6%
High School
5%
Certification
3%
Doctorate
3%
Professional
3%
(100 Respondents)
Source: Monster.com Careerbenchmarking Tool

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