- Current RN licensure with 3 years recent clinical experience or current LPN licensure with 3 years auditing experience.
- Medical audit experience and credentialed as a Certified Medical Audit Specialist (CMAS) from American Association of Medical Audit Specialists (AAMAS) preferred.
- Completion of the certification program within 2 years of hire is required.
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Health Plan Medical Claims Auditor
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ImageNetLLC Tampa, United StatesJob Description · Job Description Salary: $16.00-$18.00/hour · We are seeking a detail-oriented and experienced Medical Claims Auditor to join our team. As a Medical Claims Auditor, you will be responsible for reviewing and auditing medical claims to ensure accuracy, compliance ...
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Health Plan Medical Claims Auditor
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ImageNetLLC Tampa, United StatesJob Description · Job DescriptionSalary: $16.00-$18.00/hour · We are seeking a detail-oriented and experienced Medical Claims Auditor to join our team. As a Medical Claims Auditor, you will be responsible for reviewing and auditing medical claims to ensure accuracy, compliance wi ...
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Model Validator Lead
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USAA Tampa, United States Full timeWhy USAA? · Let's do something that really matters. · At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation's military, but we all share in the mission to g ...
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Night Auditor
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Night Auditor/front Desk Clerk
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Hilton Garden Inn St Pete Beach Saint Petersburg, United StatesOTO Development is pleased to announce a wonderful opportunity for a **Night Auditor.** · **What will you be doing most days?** · - Execute guest reservation, check-in, check-out, payment, and service procedures in compliance with brand quality assurance standards · - Maintain a ...
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Night Auditor
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Hotel Night Auditor
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Mckibbon Hospitality Tampa, United StatesWhat Makes a McKibbon Hotel Front Desk Night Auditor? · The hotel front desk night auditor is the main person to interact with guests during the overnight hours, typically 11pm -7am. As the face of the property, the night auditor has a relatable personality and a great desire to ...
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Internal Audit
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Citigroup Inc Tampa, United StatesThe IA Senior Business Execution Associate role serves as a support for Business Execution across IA Banking & International, Client and Legacy Franchises (BICLF) organization. The role is the liaison between in-country auditors across 93 countries, as well as global product and ...
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Compliance Auditor
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Moffitt Cancer Center Tampa, United StatesAt Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every ...
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ZephyrTech St. Petersburg, United StatesAbout Nipro PharmaPackaging Germany GmbH: · Nipro Europe Group Companies is part of Nipro Corporation Japan, a leading global healthcare company that was founded in St. Petersburg. With over 30,000 employees worldwide, Nipro serves the medical technology, pharmaceutical, and phar ...
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Compliance Business Control Group Manager
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Citigroup Inc. Tampa, United StatesThe Compliance Business Control Group Manager is accountable for management of complex/critical/large professional disciplinary areas with a focus on Control Reviews, Monitoring and Remediation. Leads and directs a team of professionals. Requires a comprehensive understanding of ...
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Financial Auditor
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Suncoast Credit Union Tampa, United StatesOverview: · Pay Transparency: $55,000 - $80,000 based on experience and credentials · Location Type: Remote · Position Type: Full Time · The Compliance Auditor conducts independent internal reviews of accounting, financial, and operational activities at Suncoast Credit Union. ...
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Internal Auditor
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AMIkids Tampa, United StatesEssential Job Duties · * Perform operational, financial, and compliance audits of all AMIkids Programs and Home Office, · * Complete audit procedures including review of records, evaluation of internal controls, assessment of compliance with policies, procedures, and various gran ...
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Internal Compliance Auditor
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Suncoast Credit Union Tampa, United StatesOverview: · Pay Transparency: $55,000 - $80,000 based on experience and credentials · Location Type: Remote · Position Type: Full Time · Schedule: Monday through Friday 8:00 AM 5:00 PM · The Compliance Auditor conducts independent internal reviews and appraisals of the opera ...
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Internal Compliance Auditor
1 week ago
Suncoast Credit Union Tampa, United StatesOverview: · Pay Transparency: · $55,000 - $80,000 · based on experience and credentials · Location Type: · Remote · Position Type: · Full Time · Schedule: · Monday through Friday 8:00 AM · 5:00 PM · The Compliance Auditor conducts independent internal reviews and appraisal ...
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Internal Auditor
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AMIkids Tampa, United StatesEssential Job DutiesPerform operational, financial, and compliance audits of all AMIkids Programs and Home Office, · Complete audit procedures including review of records, evaluation of internal controls, assessment of compliance with policies, procedures, and various grant requ ...
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Outpatient Coding Auditor Virtual
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AdventHealth Tampa, United States**All the benefits and perks you need for you and your family:** · Benefits from Day One · Paid Days Off from Day One · Student Loan Repayment Program · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support**Our promise to you:**Joining Adven ...
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Night Auditor
1 week ago
Aimbridge Hospitality Tampa, United StatesJob Summary · The Night Auditor is responsible for the preparation and disposition of all Night Audit work. Responsible for the front desk operation during the overnight shift (Typically 11pm-7am). Primary responsibilities include: registering guests making reservations preparing ...
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Senior Payroll Admininstrator
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AMIkids Tampa, United States· Position Summary · The Senior Payroll Administrator role coordinates the activities of the payroll process, establishes appropriate workflows and procedures; develop, and manage productivity and performance standards while abiding by AMIkids guidelines, compliance, and federal ...
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Citigroup Inc. Tampa, United StatesReview Job Description · We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply · Our pe ...
Medical Auditor - Tampa, United States - The Tampa General Hospital Foundation Inc
Description
Department Profile
Tampa General Hospital's Revenue Cycle department delivers comprehensive administrative and clinical services and comprises of four departments - Patient Accounts, Health Information Management, Patient Access, and CDI/Coding.
The Patient Accounts Department is a segment of the revenue cycle, responsible for the billing of hospital and professional claims to insurance carriers.
The Health Information Management department at Tampa General Hospital is the guard of the electronic health record, collaborating with contributors and customers of health information that include the Medical Staff, Clinical Operations, Information Technology and Finance.
While the physicians, nurse and health care team are taking care of patients and loved ones, Health Information Management professionals are the ones taking care of patients' health information- ensuring it is captured, complete, accurate, protected and made available when needed.
Patient Access provides scheduling services to all TGMG locations, radiology locations and other ancillary services. Financial clearance teams ensure scheduled services are authorized for all service lines.Patient access teams are positioned throughout Tampa General Hospital and in the TGH Emergency Department, TGH Brandon Healthplex, and Rehabilitation locations.
The call center is located at the WFLA News Station in downtown Tampa.Job Summary
Under general supervision and following established policies, procedures and professional guidelines, the Medical Auditor performs medical record reviews to establish the accuracy of patient billing, and to monitor departmental compliance to charge policies.
