Current jobs related to Clinical Audit Nurse - Tampa, Florida - Tampa General Hospital
-
Audit Manager
3 weeks ago
Tampa, Florida, United States RSM US LLP Full timeAbout the RoleWe are seeking a highly skilled and experienced Audit Manager to join our nonprofit assurance practice. As a key member of our team, you will be responsible for providing exceptional client service, leading audit engagements, and developing and implementing audit strategies.ResponsibilitiesProvide timely and high-quality client service, meeting...
-
Audit Manager
2 weeks ago
Tampa, Florida, United States RSM US LLP Full timeJob Title: Audit ManagerWe are seeking a highly skilled and experienced Audit Manager to join our Healthcare Assurance team in our office. As an Audit Manager, you will be responsible for leading audit teams and providing high-quality client service that meets or exceeds client expectations.Responsibilities:Lead audit teams and provide guidance on audit...
-
Audit Manager
2 weeks ago
Tampa, Florida, United States RSM US LLP Full timeJob Title: Audit ManagerWe are seeking a highly skilled and experienced Audit Manager to join our Healthcare Assurance team in our office. As an Audit Manager, you will be responsible for leading audit teams and providing high-quality client service that meets or exceeds client expectations.Responsibilities:Lead audit teams and coordinate the auditing of...
-
Risk Adjustment Audit Director
2 weeks ago
Tampa, Florida, United States CenterWell Primary Care Full timeJob SummaryCenterWell Senior Primary Care is seeking an experienced Associate Director, Risk Adjustment Audit to oversee quality assurance audits of medical records and ensure accurate and properly supported coding. This role requires a solid understanding of organization capabilities and interdepartmental relationships.Key ResponsibilitiesLead a team of...
-
Clinical Solutions Manager
2 weeks ago
Tampa, Florida, United States Apixio Full timeJob OverviewApixio is seeking a highly skilled Clinical Solutions Manager to join our team. As a key member of our clinical solutions team, you will be responsible for the development and management of our clinical solutions, including MS and APR-DRG validation.This role requires expertise in healthcare payment methodologies and audit and review criteria to...
-
Associate Director, Risk Adjustment Audit
4 weeks ago
Tampa, Florida, United States CenterWell Primary Care Full timeJob SummaryWe are seeking an experienced Associate Director, Risk Adjustment Audit to join our team at CenterWell Primary Care. This role will oversee quality assurance audits of medical records, ICD-10-CM, CPT, and HCPCS codes submitted to CMS, payers, and government agencies. The successful candidate will also be responsible for leading a team of coding...
-
RN Hospital Bill Audit/Appeal Lead
2 weeks ago
Tampa, Florida, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled RN Hospital Bill Audit/Appeal Lead to join our team at Elevance Health. As a key member of our Payment Integrity line of business, you will be responsible for leading a team of clinicians in identifying and analyzing aberrant patterns of utilization and/or fraudulent activities by healthcare providers.Key...
-
Associate Director, Risk Adjustment Audit
1 month ago
Tampa, Florida, United States CenterWell Primary Care Full timeJob Title: Associate Director, Risk Adjustment AuditJoin CenterWell Senior Primary Care, a leading provider of senior-focused primary care, as we seek an experienced Associate Director, Risk Adjustment Audit to lead our risk adjustment audit team. In this critical role, you will oversee quality assurance audits of medical records, ICD-10-CM, CPT, and HCPCS...
-
DRG Reviewer
2 weeks ago
Tampa, Florida, United States Apixio Full timeJob Title: DRG ReviewerApixio is seeking a highly skilled DRG Reviewer to join our team. As a DRG Reviewer, you will be responsible for performing DRG payment validation reviews of medical records and providing clinical/policy/regulatory support for payment determination.Key Responsibilities:Audit patient medical records using clinical and coding guideline...
-
Clinical Content Lead
2 weeks ago
Tampa, Florida, United States Apixio Full timeJob Title: Clinical Content LeadAbout the Role:The Clinical Content Lead is a critical position at Apixio, responsible for developing and managing our clinical solutions. This includes Readmissions, Place of Service, Level of Care, and APR-DRG validation clinical concepts. The ideal candidate will have expertise in healthcare payment methodologies and audit...
-
Clinical Content Lead
1 month ago
Tampa, Florida, United States Apixio Full timeJob Title: Clinical Content LeadApixio is seeking a highly skilled Clinical Content Lead to join our team. As a Clinical Content Lead, you will be responsible for developing and managing our clinical solutions, including Readmissions, Place of Service, Level of Care, and APR-DRG validation clinical concepts.Key Responsibilities:Develop innovative strategies...
-
Clinical Content Lead
6 days ago
Tampa, Florida, United States Apixio Full timeAbout the RoleWe are seeking a highly skilled Clinical Content Lead to join our team at Apixio. As a Clinical Content Lead, you will be responsible for the development and management of our clinical solutions, including Readmissions, Place of Service, Level of Care, and APR-DRG validation clinical concepts.This role requires expertise in healthcare payment...
-
Lead Clinical Content Strategist
2 months ago
Tampa, Florida, United States Apixio Full timeJob OverviewCompany Background:Apixio operates at the crucial junction of health plans and healthcare providers, innovating a premier Connected Care platform aimed at reducing reimbursement discrepancies while ensuring high-quality patient care. Our mission is to facilitate the transition towards value-based reimbursement models through a combination of...
-
Lead Clinical Content Strategist
2 months ago
Tampa, Florida, United States Apixio Full timeJob OverviewCompany Background:Apixio operates at the crucial intersection of health plans and healthcare providers, striving to develop a premier Connected Care platform aimed at reducing reimbursement discrepancies while promoting high-quality patient care. Our mission is to facilitate the transition towards value-based reimbursement models through...
-
Flight Nurse I
5 days ago
Tampa, Florida, United States Air Methods Clinical Full timeFlight Nurse I Job SummaryAs a Flight Nurse I with Air Methods Clinical, you will play a vital role in providing high-quality critical care to patients in need. This position requires a minimum of three years of recent critical care/emergency nursing experience within the last five years, with a strong focus on assessment, triage, and...
-
LPN School Nurse
1 month ago
Tampa, Florida, United States Clinical Staffing Resources Full timeJob Summary:Clinical Staffing Resources is seeking a skilled LPN to fill a school nurse position. As a school nurse, you will provide healthcare services to students and staff, ensuring a safe and healthy learning environment.Responsibilities:Provide health insurance and dental insurance to employeesOffer flexible scheduling to accommodate the needs of the...
-
Tampa, Florida, United States Clinical Staffing Resources Full timeJob Summary:Clinical Staffing Resources is seeking a skilled LPN to fill a school nurse position in Hillsborough County. As a school nurse, you will provide medical care and support to students, work closely with teachers and staff, and maintain a safe and healthy learning environment.Responsibilities:Provide medical care and support to students, including...
-
Licensed Practical Nurse
5 days ago
Tampa, Florida, United States Pulse Clinical Alliance Full timeJob SummaryWe are seeking a dedicated Licensed Practical Nurse to provide quality nursing care to patients under the direction of registered nurses and physicians. The ideal candidate will possess a valid LPN license, personal transportation, and a smartphone for clocking in and out of shifts. The successful candidate will be able to work overtime,...
-
Medicare Risk Adjustment Educator
2 weeks ago
Tampa, Florida, United States MAXhealth Full timeJob OverviewMaxHealth is seeking a highly skilled Medicare Risk Adjustment Educator to join our team. As a clinical expert, you will play a crucial role in ensuring the accuracy and completeness of medical records, while also providing education and training to healthcare professionals on HCC coding and risk adjustment best practices.The ideal candidate will...
-
Tampa, Florida, United States Clinical Staffing Resources Full timeJob Summary: Clinical Staffing Resources is seeking a dedicated and compassionate LPN to join our team as a School Nurse in Tampa. As a School Nurse, you will be responsible for providing high-quality patient care to students in a school setting. Responsibilities: Provide medical care and first aid to students as needed Develop and implement...
Clinical Audit Nurse
2 months ago
In this role, the Medical Auditor operates under general supervision while adhering to established protocols, procedures, and professional standards. The primary responsibility includes conducting thorough reviews of medical records to verify the accuracy of patient billing and to ensure compliance with departmental charge policies. The auditor identifies recurring errors or trends and provides recommendations for corrective actions to departmental leadership. Additionally, this position serves as a representative of the hospital in matters concerning billing, documentation, and reimbursement with third-party payers, patients, and hospital staff. The Medical Auditor is expected to perform all duties in alignment with the mission, vision, and values of Tampa General Hospital.
Qualifications
- Active RN licensure with a minimum of 3 years of recent clinical experience, or active LPN licensure with 3 years of auditing experience.
- Experience in medical auditing is preferred, along with certification as a Certified Medical Audit Specialist (CMAS) from the American Association of Medical Audit Specialists (AAMAS).
- Completion of the certification program is required within 2 years of employment.
