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Compliance Auditor Jobs in Florida

14 jobs

Description Under general supervision of the Director of Corporate Compliance and Audit and other supervisory staff and following established policies, procedures and professional guidelines, the Compliance Auditor conducts reviews of TGH and its affiliates to identify opportunities for improving compliance with internal policies and procedures and federal, state and local regulations. Following...
The Home Care Nurse Compliance Auditor is responsible for the review of Home Health documentation to ensure CMS guidelines are met. This includes reviewing the Face to Face Encounter to ensure documentation meets guidelines. This position is also responsible for the review of documentation prior to releasing the information for medical records requests and processing as needed. This position will ...
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 documentation princ...
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...
Love what you do and make a difference in people’s lives at RNnetwork, a division of CHG Healthcare Services. Join a fast-paced and rewarding environment at RNnetwork in Boca Raton, FL, where we are known for our unique employee-centric culture, strong core values and providing outstanding customer service. RNnetwork is the #2 best mid-sized company to work for in FL, according to Florida Trend ma...
ID 2016-2613 # of Openings 1 Job Locations US-FL-Boca Raton Category Accounting/Finance Love what you do and make a difference in people’s lives at RNnetwork, a division of CHG Healthcare Services. Join a fast-paced and rewarding environment at RNnetwork in Boca Raton, FL, where we are known for our unique employee-centric culture, strong core values and providing outstanding customer service....
Company Description Convey Health Solutions is a BPO serving several Medicare Healthcare companies. We have over 2,500 employees and are growing, Job Description The Compliance Auditor is responsible for planning and executing internal audits, and will provide support to external audits. This position will evaluate operating and regulatory guidelines (CMS), policies and procedures and reports n...
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The Compliance Auditor at Baptist Health South Florida coordinatescompliance of all Baptist Health entities with certain laws, regulations, rulesand internal policies applicable to the healthcare industry and the submissionof claims through the performance of independent audits of specificareas/functions in order to assess compliance with Baptist Health South Florida’sCode of Ethics. Baptist Heal...
The Compliance Auditor at Baptist Health South Florida coordinates 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 Baptist Health South Florida’s Code of Ethics. Ba...
A Human Resources Compliance Auditor ensures that the Company’s employment and associate benefit practices and policies are in compliance with laws and regulations. This position will include conducting research, developing and monitoring local compliance processes and providing subject matter expertise on related procedure/policy implementations for the Company. The Human Resources Compliance Aud...
SUMMARY This position entails the auditing of departments of ongoing compliance with all the federal and State regulations as well as Leon Medical Centers Health Plans (LMCHP) Accreditation standards and compliance with the Medicare Program. The Internal Compliance Auditor reports directly to the VP of Member Administration. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. The candid...
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...
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...