• Auditor , Clinical Services

    Molina Healthcare (St. Petersburg, 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
    Molina Healthcare (01/25/25)
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  • Coding Auditor - Inpatient

    BayCare Health System (Tampa, FL)
    …search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career ... 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 in… more
    BayCare Health System (01/22/25)
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  • Medical Coder-Outpatient

    The Arora Group (Tampa, FL)
    …+ Have practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and ... medical specialties must include: medical diagnostic and therapeutic procedures; ancillary services (which includes but is not limited to, Laboratory, Occupational… more
    The Arora Group (01/12/25)
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