- Molina Healthcare (Tampa, FL)
- …(MAT), Health Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May also ... non-clinical system and process audits, as needed. + Assesses clinical staff regarding appropriate decision-making. + Reports monthly outcomes, identifies areas of… more
- The Arora Group (Tampa, FL)
- …completion. May educate and provide feedback to providers and other clinical staff to resolve documentation issues to support coding compliance. Assigns accurate ... of Medical Auditing Specialists (NAMAS) or the Certified Evaluation and Management Auditor (CEMA). This will satisfy the Evaluation and Management (E&M) Auditor… more
- Elevance Health (Tampa, FL)
- …and performance measures + Assist management on monitoring and training lower level staff + Analyze and interpret data with recommendations based on judgment and ... or related Medicare experience which includes previous experience at a Senior Auditor level in health care, public accounting, or a government agency; or… more