8 auditor jobs found in Miami

About the job Medical Record Audit / Coding Auditor OUR CLIENT is a contracting and data management services organization dedicated to primary care physicians throughout Florida IN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity. To develop and Implement policies to support the clinical coding audit function Receive, review and communicate findings on patient billing coding related complaints. Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers Prepare reports as required relative to these monitoring and review...

Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33163 Shift Details: Monday to Friday, Days. This is a remote position and is only open to candidates in Florida. Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare...

A leading automotive service provider in Miami is seeking a Compliance Auditor to evaluate store operations and adherence to compliance standards. The ideal candidate will have over 4 years of experience in Retail Management and strong interpersonal and analytical skills. This role requires frequent travel to various locations and offers competitive compensation along with benefits like health insurance and a 401K plan. #J-18808-Ljbffr

Job Title: Registered Nurse (Rn) We are seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. This role involves claims analysis, provider audits, fraud detection, and regulatory enforcement to ensure compliance with state and federal regulations. Key Responsibilities: Analyze claims data, medical records, and provider documentation to identify discrepancies, fraud, or non-compliance. Conduct retrospective case reviews, on-site provider audits, and recipient interviews. Review billing practices for upcoding, duplicate billing, and unbundling of services using ICD-10, CPT, and HCPCS manuals. Prepare reports, case findings, and recommend sanctions when violations are identified. Coordinate and participate in teleconferences, hearings, and legal proceedings with the Office of General Counsel and other agencies. Respond to provider complaints and compliance inquiries via hotline,...

Candidate should ideally be located in Miami, FL or Orlando, FL Monro’s family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach.  Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company’s regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color.  Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry.  Do you have what it takes...

Job Description Job Description The Coding Network, LLC (TCN) is the country’s premier broker of remote coding and auditing services, structured as a virtual company connecting healthcare professionals and health systems across the country with over 800 US based single specialty coders and auditors. Flexible Hours: We understand that everyone’s schedule is different and, as such, auditors enjoy the flexibility to commit to as few as 15 hours a week to however many hours work for them to render auditing services. It is one thing to have the freedom to work from home, but TCN coders possess the freedom to utilize the full 24 hour clock and choose when to work beyond the traditional 9-5. Whether you’re looking for extra income in addition to your day job or to make a more robust commitment, we are able to accommodate you. Position & Responsibilities: In order to support the growing need for E&M services and surgical divisions, there are abundant opportunities for...

Job Description Job Description Patient Service Supervisor The Patient Service Supervisor – Food and Nutrition is responsible for overseeing the daily operations of the food and nutrition services team, ensuring the delivery of high-quality, nutritious, and safe meals to patients. This role includes supervising food service staff, ensuring compliance with healthcare regulations, and maintaining excellent patient satisfaction through effective communication, meal management, and coordination with dietary teams. The supervisor will work closely with the Food and Nutrition Manager to maintain standards for food safety, nutrition, and customer service. Key Responsibilities: Supervision and Team Leadership: Supervise, train, and lead a team of food service workers, including kitchen staff, diet aides, and meal delivery personnel. Schedule and assign daily duties, ensuring efficient workflow and adequate staffing levels. Provide performance feedback, conduct...

Client Summarization: TelevisitMD is a virtual practice/business in a box for doctors. TelevisitMD delivers patients, medical coverage, virtual workspace, EHR, E-prescribing, and virtual telehealth visit tools and functions that enable flexibility for the patient and the providers allowing remote visits, replacing the current brick and mortar practices and throwing away the "ball and chain" that come with it . We are seeking a Medical Coder who will assist us in coding medical documentation for insurance claims and for our databases. The Medical Coder will assign required current procedural terminology, healthcare standard procedure coding system, clinical modification, international classification of diseases, and American Society of Anesthesiologists codes. You will decide which codes and functions should be assigned in each instance. This can or will include diagnostic and procedural information, significant reportable elements, and other complex classifications....