- Community Health Systems (Sarasota, FL)
- (Full-Time, Remote ) The Clinical Review Auditor is a professionally licensed nurse/LPN who is responsible for effectively managing the denial/appeal ... to patients in a dynamic changing environment. As an Clinical Review Auditor at Community...accounts by following HIPAA guidelines 13. **This is a remote position.** We know it's not just about finding… more
- Molina Healthcare (St. Petersburg, FL)
- …projects. **Job Duties** + Performs the lead role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and ... the abstraction team during the annual HEDIS medical record review as well as all other HEDIS/HEDIS like project,...as NCQA reviews, CAHPS and state audits by reviewing clinical documentation. + Provides data collection, presentations and report… more