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Remote Data Auditor Jobs in Florida (NOW HIRING)

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · Remote

Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor ... The company processes millions of claims and multiples of related structured and unstructured data ...

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · On-site +1

Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor ... The company processes millions of claims and multiples of related structured and unstructured data ...

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported ...

Orlando Health

Physician Coding Auditor

Orlando, FL · Remote

Remote Location: Orlando, FL Title: Physician Coding Auditor Summary: The Physician Coding Auditor ... data to manager. Qualifications Education/Training: • High School diploma or equivalent • ...

AdventHealth Corporate

Inpatient Coding Auditor

Tampa, FL · Remote

$24.50 - $27.75/hr

... remote setting. [Required] • Critical thinking and problem-solving skills [Required] • ... data. [Required] • Possesses knowledge about patient safety indicators, SOI/ROM, and the ...

L3HHCM20

Senior Specialist, Internal Audit

Melbourne, FL · On-site +1

$88K - $164K/yr

Melbourne, FL; Remote Opportunity Job Schedule: 9/80: Employees work 9 out of every 14 days ... Proposal Development; Truthful Cost Or Pricing Data * Independently and objectively plan and ...

&Barr

Paid Search Specialist (Remote)

Orlando, FL · On-site +1

*Remote available for candidates further than 75 miles from the office in Orlando Who we are: &Barr ... auditing and conducting analysis on paid search data. Required Qualifications: 1-2 years paid ...

Jobot

Senior Audit Manager (Remote)

Tampa, FL · On-site +1

$150K - $200K/yr

... auditing, continuously improving our audit methodology and procedures. Qualifications: To be ... Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You ...

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Remote Data Auditor information

What is the difference between Remote Data Auditor vs Remote Data Analyst?

AspectRemote Data AuditorRemote Data Analyst
Required CredentialsCertifications in auditing, data quality, or compliance (e.g., CDMP, CISA)Certifications in data analysis or statistics (e.g., CAP, Microsoft Data Analyst)
Work EnvironmentFocus on data accuracy, compliance audits, and validation processesFocus on data interpretation, reporting, and insights generation
Employer & Industry UsageUsed in finance, healthcare, and compliance sectors for data integrityUsed across various industries for business intelligence and decision-making

Remote Data Auditors primarily focus on verifying data accuracy and compliance, often requiring auditing certifications. Remote Data Analysts interpret data to provide insights, typically holding analysis certifications. While both roles work remotely and handle data, their core responsibilities and certifications differ, catering to distinct organizational needs.

What are the key skills and qualifications needed to thrive as a Remote Data Auditor, and why are they important?

To thrive as a Remote Data Auditor, you need strong analytical skills, attention to detail, and knowledge of auditing principles, typically supported by a degree in accounting, finance, or a related field. Familiarity with data analysis tools such as Excel, SQL, and audit management software, along with certifications like CISA or CIA, is often required. Exceptional communication, organizational skills, and self-motivation are crucial for collaborating virtually and managing tasks independently. These skills ensure data integrity, regulatory compliance, and effective remote audit processes.

What are some common challenges Remote Data Auditors face and how can they overcome them?

Remote Data Auditors often encounter challenges such as maintaining clear communication with teams, ensuring data security, and managing time effectively while working independently. To overcome these, auditors should leverage collaboration tools, follow strict data protection protocols, and set a structured daily routine. Regular check-ins with team members and ongoing training in audit technologies also help maintain efficiency and accuracy in a remote environment.

What is a Remote Data Auditor?

A Remote Data Auditor is a professional who reviews, evaluates, and verifies data for accuracy and compliance while working from a remote location. They typically audit digital records, databases, or documentation to ensure adherence to company policies, industry regulations, or quality standards. Their responsibilities may include identifying discrepancies, recommending process improvements, and preparing audit reports. Remote Data Auditors use various software tools to access and analyze data securely from home or other offsite locations.
What are the most commonly searched types of Data Auditor jobs in Florida? The most popular types of Data Auditor jobs in Florida are:
What are popular job titles related to Remote Data Auditor jobs in Florida? For Remote Data Auditor jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Data Auditor jobs in Florida look for? The top searched job categories for Remote Data Auditor jobs in Florida are:
What cities in Florida are hiring for Remote Data Auditor jobs? Cities in Florida with the most Remote Data Auditor job openings:
Remote Data Auditor jobs near you
Claims Quality Auditor - Remote

Claims Quality Auditor - Remote

Imagenet

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

Claims Quality Auditor| Remote


Job Type: Full time

Work Setup: Remote

Reports to: Claims Supervisor

Position Summary:

TheClaims Quality Auditor plays a key role in ensuring the accuracy, compliance, and effectiveness of claims processing and provider dispute resolution. The ideal candidatehas hands on experience withEZCap,auditing claims, analyzing dispute claims and evaluating internal policies and regulatory requirements, with a particular focus on Medi-Cal and commercial health plans.This role is responsible to partners closely with cross-functional teams to drive continuous improvement and operational excellence.

Key Duties:

  • Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy and compliance with provider contracts and regulatory guidelines.
  • Analyze provider disputes for patterns or recurring issues.
  • Identify root causes and work with relevant teams to implement corrective actions and process improvements.
  • Develop and track performance related to claims accuracy, turnaround time, and dispute resolution efficiency.
  • Conduct thorough root cause analyses on high-impact errors or escalations.
  • Support training initiatives by identifying knowledge gaps and assisting in the development of updated procedures and documentation based on audit results.
  • Ensure all reviewed processes align with applicable regulatory requirements. Participate in internal and external audits as needed.

Qualifications:

  • High school diploma or equivalent
  • At least 3-5 years of Quality Analyst in healthcare,TPA, or health plan settings/ healthcare claims or in a claims processing/adjudication environment
  • Hands-on experience with EZCap (strongly preferred)
  • Familiarity with Medi-Cal and Commercial insurance claim
  • Strong analytical and problem-solving skills
  • Excellent verbal and written communication
  • Attention to detail in documentation and compliance
  • Ability to manage multiple tasks and meet deadlines
  • Experience with other claim adjudication platforms and provider systems.
  • Familiarity with DHCS, DMHC, CMS dispute handling regulations.

What We Offer

  • Remote work offered
  • Equipment provided
  • Paid training to set you up for success
  • Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


COMPANY OVERVIEW:

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.

The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.

Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

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