Top 139 Auditor Jobs in Key Biscayne, Fl

Auditor, Risk Adjustment
Oscar Health —Miami, FL
- $82,717 - $108,566 a year
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
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Controller
Young Musicians Unite —Miami, FL
- $110,000 - $130,000 a year
- Full-time
- Google Workspace
- 6 years
- CPA
- Paid holidays
- Health insurance
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Audit Senior
Verdeja & Alvarez, LLP —Coral Gables, FL
- Full-time
- Background check
- Microsoft Outlook
- Management
- Health insurance
- Dental insurance
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2d
Pharmacy Technician - Internal Auditor - PT - Days - MSP
Memorial Healthcare System —Miramar, FL
- Part-time
- Customer service
- 5 years
- Mid-level
Premium Auditor
Davies Risk Services —Bunche Park, FL
- Choose your own hours
- Microsoft Outlook
- No experience needed
- Analysis skills
Quick Apply
Senior Accountant #1013194
Dexian —Hollywood, FL
- $33 - $35 an hour
- Contract
- CPA
- Mid-level
- Office
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1d
Brand Rep - Audits, Merchandising and Quality Control
ThirdChannel —Miami, FL
- From $24 an hour
- Urgently hiring
- Merchandising
- Reliable transportation
- Entry level
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Coding Quality Auditor
Houston Methodist —Florida
- Full-time
- Anatomy knowledge
- English
- Mid-level
14d
Auditor
Contact Government Services, LLC —Miami, FL
- $50,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Auditor, Clinical Services
Molina Healthcare —Miami, FL
- $29.05 - $56.64 an hour
- Full-time
- RN License
- HIPAA
- Mid-level
- Health insurance
Research Quality Assurance Auditor
University of Miami —Coral Gables, FL
- Full-time
- Hybrid work
- English
- Mid-level
- Master's degree
Financial Analyst
Molson Coors Brewing Company —Miami, FL
- $69,800 a year
- Hybrid work
- Spanish
- Public speaking
- English
- Wellness program
- Paid holidays
QUALITY CONTROL AUDITOR
Ready Mortgage Lenders —Miami, FL
- Microsoft Excel
- Microsoft Outlook
- Research
Senior Auditor
Contact Government Services, LLC —Miami, FL
- $80,000 - $150,000 a year
- Full-time
- Hybrid work
- CPA
- 5 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Audit & Assurance Senior - Pricing & Profitability CoE
Deloitte —Miami, FL
- $72,900 - $149,700 a year
- Full-time
- Research
- Finance
- Analysis skills
8d
Accountant 1
University of Miami —Miami, FL
- Full-time
- Hybrid work
- ERP systems
- Mid-level
- University
- Health insurance
- Dental insurance
Accounting Clerk
Hersha Hospitality Management, LP —Miami, FL
- Part-time
- Hotel
- High school diploma or GED
- Ability to sit for extended periods
- Wellness program
- Commuter assistance
Premium Insurance Field Auditor
EXL Service —Miami, FL
- Full-time
- Hybrid work
- Microsoft Outlook
- No experience needed
- Office
- Paid training
- Paid parental leave
Income Auditor
Gale Hotels —Miami, FL
- Full-time
- Mid-level
- Analysis skills
- Ability to sit for extended periods
- Employee discount
Quick Apply
Fund Accounting Associate
Blackstone Group —Miami, FL
- $100,000 - $140,000 a year
- Full-time
- CPA
- Bachelor of Science
- Mid-level
- Health insurance
- Dental insurance

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Auditor, Risk Adjustment

Oscar Health -
Miami, FL

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Job Details

$82,717 - $108,566 a year

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Parental leave
Vision insurance
Paid sick time

Qualifications

Certified Professional Coder

Full Job Description

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified clinical documentation improvement opportunities. You will work with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs.

You will report into the Manager, Risk Adjustment.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts.
Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation
Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented.
Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business.
Manage the implementation process improvements that will maximize risk adjustment factor increases.
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

Bachelor's degree in a relevant field of study or commensurate work experience.
Certified professional coder (CPC)
3+ year(s) retrospective risk adjustment coding experience.
1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience

Bonus points:

Certified Risk Adjustment Coder (CRC) or similar certification
Experience coding in a variety of different Electronic Medical Record (EMR) systems.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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Refine Your Search

auditor jobs in key biscayne, fl

Auditor, Risk Adjustment

Controller

Audit Senior

Pharmacy Technician - Internal Auditor - PT - Days - MSP

Premium Auditor

Senior Accountant #1013194

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Coding Quality Auditor

Auditor

Auditor, Clinical Services

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Financial Analyst

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Senior Auditor

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Accountant 1

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Premium Insurance Field Auditor

Income Auditor

Fund Accounting Associate

I want to receive the latest job alert for auditor in key biscayne, fl

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