- Molina Healthcare (Miami, FL)
- …+ Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member ... Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and...NCQA, CMS, State and Federal requirements. May also perform non- clinical system and process audits, as needed. + Assesses… more
- Houston Methodist (Miami, FL)
- **Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** At Houston Methodist, the Coding Quality Auditor position is responsible ... and provides good feedback during coding section meetings, coding education in- services , and coder/CDMP meetings. Takes initiative to assist others and shares… more
- Houston Methodist (Miami, FL)
- **Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** At Houston Methodist, the Coding Apprentice position is responsible for ... and provides good feedback during coding section meetings and coding education in- services as well as takes initiative to assist others and shares knowledge… more
- ChenMed (Miami, FL)
- …expanding and we need great people to join our team. The Risk Adjustment Auditor works in a collaborative effort directly with physicians, their office staff, and ... other support departments to review medical records and other clinical documentation to identify appropriate medical charts and records for compliance with federal… more