Tampa, Florida, United States · On-site
Job DetailsJob Location: Tampa, FL 33603Position Summary:The Quality & Compliance Specialist supports the organization’s quality assurance and compliance efforts through ongoing auditing and monitoring of patient records…
Skills: Quality Assurance, Compliance Auditing, Chart Review, Regulatory Standards, Documentation Accuracy
Tampa, Florida, United States · On-site
$17/hr–$19/hr
Overview The Customer Service Specialist is the first point of contact for patients and other patrons arriving at the medical centers. This position assists with patient check-in, check-out, answering phones and entails …
Skills: Customer Service, Phone Etiquette, Computer Literacy, Data Entry, Written Communication
Miami, Florida, United States · Remote OK
This is what you will do: The Senior Clinical Research Associate (Sr. CRA) has local responsibility for the delivery of the studies at allocated sites and is an active participant in the local study team(s). The Sr. CRA …
Skills: Clinical Research, ICH-GCP, Monitoring, Site Management, Regulatory Compliance
Tampa, Florida, United States · On-site
$64k–$80k/yr
At Zimmer Biomet, we believe in pushing the boundaries of innovation and driving our mission forward. As a global medical technology leader for nearly 100 years, a patient’s mobility is enhanced by a Zimmer Biomet produc…
Skills: Salesforce.com, Microsoft Office Suite, Word, Excel, PowerPoint
Aspen, Colorado, United States · On-site
$19/hr–$22/hr
At Aspen Dental, we put You First, offering the security and job stability that comes with working with a world-class dental service organization (DSO). Our best-in-class training program, competitive compensation, and f…
Skills: Patient Service, Insurance Verification, Team Supervision, Scheduling, Analytical Thinking
Tampa, Florida, United States · On-site
Overview Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace…
Skills: Security patrol, Emergency response, Customer service, Incident reporting, Access control
Washington, District of Columbia, United States · Remote OK
$129k–$178k/yr
Become a part of our caring community Humana is seeking a self-driven and collaborative Lead Software Engineer to join our Interactive Voice Response (IVR) team. In this role, you will deliver innovative IVR solutions an…
Skills: API development, API security, Generative AI, Machine learning, Intelligent automation
Tampa, Florida, United States · Hybrid
$107k/yr
Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Tampa, FL. About the job Thriveworks is a mental health care company founded by clinicians in 2008 and stil…
Skills: Psychology, Telehealth, Clinical documentation, EHR tools, Evidence-based care
Orlando, Florida, United States · Hybrid
$101k–$203k/yr
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our except…
Skills: Internal audit, Healthcare risk consulting, Regulatory compliance, Risk assessment, Process improvement
Huntsville, Alabama, United States · Remote OK
Job Description Are you energized by leadership, education, and the development of partnerships with key External Experts and Professional Bodies? If so, this Field Based Medical Science Liaison role could be an ideal op…
Skills: Hepatology, Medical Science Liaison, Scientific Exchange, Stakeholder Management, Clinical Development
Tampa, Florida, United States · On-site
$16/hr–$26/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Order fulfillment, Packaging, Inventory management, Warehouse operations, Data entry
Tampa, Florida, United States · Hybrid
$52k/yr
Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Tampa, FL. About the job Thriveworks is a mental health care company founded by clinicians in 2008 and stil…
Skills: Telehealth, Mental health counseling, EHR tools, Clinical documentation, Evidence-based practice
Tampa, Florida, United States · On-site
$18/hr–$35/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Pharmacy operations, Order entry, Medication dispensing, Dosage calculation, Customer service
Orlando, Florida, United States · Remote Solely
$60k–$65k/yr
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the…
Skills: Inside Sales Management, Territory Management, Account Management, Customer Relationship Management, Salesforce
Tampa, Florida, United States · On-site
Job DetailsJob Location: Tampa, FL 33615At ClareMedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the C…
Skills: Vital signs measurement, Phlebotomy, Patient history taking, Clinical support, EMR systems
Tampa, Florida, United States · On-site
Job DetailsJob Location: Tampa Campus - Tampa, FL 33619Nursing Instructor About Jersey College Jersey College is an institution of higher learning dedicated to excellence and innovation in nursing education. Our vision i…
Skills: Nursing education, Clinical instruction, Student evaluation, Simulation training, Communication skills
Miami, Florida, United States · Hybrid
Anticipated End Date: 2026-09-23 Position Title: Actuarial Analyst II Job Description: Actuarial Analyst II Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connect…
Skills: Data analysis, Risk reporting, Forecasting, Claims liability reserves, Merit rating factors
Tampa, Florida, United States · On-site
$15/hr–$19/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Customer service, Cashiering, Inventory management, Communication, Attention to detail
Tampa, Florida, United States · Hybrid
$96k/yr
Thriveworks is currently seeking Licensed Clinical Social Workers to provide a mix of telehealth and face-to-face sessions in Tampa, FL. About the job Thriveworks is a mental health care company founded by clinicians in …
Skills: Clinical social work, Mental health counseling, Telehealth, Evidence-based care, EHR tools
Hartford, Connecticut, United States · Hybrid
$74k–$147k/yr
Company:Mercer Description: At Mercer, we make a difference in the lives of more than 110 million people every day by advancing their health, wealth, and careers. We’re in the business of creating exciting and rewarding …
Skills: Actuarial science, Financial modeling, Data analysis, Project management, Health benefits strategy
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The Quality and Compliance Specialist conducts routine audits of patient records to ensure documentation meets regulatory, accreditation, and insurance requirements. They collaborate with interdisciplinary teams to identify deficiencies, implement corrective actions, and maintain audit readiness.
Candidates must have experience in compliance, quality assurance, or healthcare, with strong skills in auditing and documentation review. Proficiency in regulatory standards such as The Joint Commission and ASAM is highly preferred.
Job DetailsJob Location: Tampa, FL 33603Position Summary:The Quality & Compliance Specialist supports the organization’s quality assurance and compliance efforts through ongoing auditing and monitoring of patient records. This position is responsible for ensuring documentation is complete, accurate, timely, and compliant with applicable state licensing requirements, accreditation standards, organizational policies, and insurance/payer contractual requirements. This position also serves as the primary point of contact for chart-related quality assurance and compliance matters and works collaboratively with the interdisciplinary team to identify, communicate, correct, and monitor documentation deficiencies.
Essential Duties and Responsibilities:To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Maintain working knowledge of The Joint Commission, ASAM, Florida Department of Children and Families (DCF), and other applicable regulatory and accreditation standards, and apply these requirements when conducting chart audits, monitoring compliance, and identifying documentation deficiencies.
Conduct routine and targeted audits of patient records for completeness, accuracy, timeliness, and compliance.
Monitor documentation for compliance with applicable state licensing requirements, accreditation standards, organizational policies and procedures, and insurance/payer contractual requirements.
Identify missing, incomplete, inconsistent, or non-compliant documentation and communicate findings to the appropriate team members.
Work collaboratively with Clinical, Medical, Utilization Review, Billing, and other interdisciplinary team members to facilitate timely correction of identified deficiencies.
Notify appropriate departments and leadership of audit findings or discrepancies that may impact patient care, medical necessity, authorization, billing, reimbursement, or regulatory compliance.
Review, track, and follow up on chart-related corrective actions resulting from internal audits, payer audits, Corrective Action Plans (CAPs), regulatory surveys, accreditation surveys, or other external reviews.
Assist with chart preparation, documentation review, and corrective actions associated with payer, regulatory, accreditation, and internal audits or surveys.
Monitor completion of required corrections and maintain appropriate documentation of audit findings, corrective actions, and follow-up.
Identify recurring documentation deficiencies, compliance trends, and potential areas of risk and communicate findings to leadership.
Serve as the primary point person for chart-related quality assurance, compliance, and audit readiness.
Perform other quality assurance and compliance duties as assigned.
Experience in compliance, quality assurance, healthcare, or a health and human services-related field.
Experience conducting audits, chart reviews, quality assurance reviews, or other compliance monitoring activities.
Strong attention to detail with the ability to identify documentation deficiencies, discrepancies,and areas of noncompliance.
Strong organizational skills with the ability to track findings, required corrections, and follow-up through completion.
Strong written and verbal communication skills.
Ability to communicate audit findings, deficiencies, and compliance concerns professionally, clearly, and collaboratively.
Ability to work effectively with members of an interdisciplinary team.
Ability to maintain confidentiality and appropriately safeguard patient and protected health information.
Experience in behavioral health and/or substance use disorder treatment.
Knowledge of The Joint Commission, Florida Department of Children and Families (DCF), and ASAM standards and requirements.
Familiarity with insurance/payer contracts, documentation requirements, and payer audits.
Familiarity with regulatory and accreditation surveys and corrective action processes.
#riversiderecovery
"Your new life starts here" Riverside Recovery of Tampa is a 68 bed substance abuse treatment center located in Tampa, FL. We are licensed by The Florida Department of Children & Families (DCF) and the Florida Agency For Healthcare Administration (AHCA). We are accredited by The Joint Commission. We are CARF certified for ASAM level of care 3.5 and 3.7. Additionally we are a certified member of the National Association of Treatment Providers (NAATP). We offer all levels of care under one roof including Medical Detoxification, Residential Programming, Day/Night (Partial Hospitalization), Intensive Outpatient Programming, Outpatient Programming, Aftercare and Family Programming. The professional and multidisciplinary team at Riverside Recovery use evidence-based practices combined with experimental and integrative therapies to treat the whole person. Riverside Recovery is situated on the beautiful Hillsborough River and located 5 minutes from Tampa International Airport and Downtown Tampa. Some of our amenities include: *Full Gym *Weight room *Cardio machines *Yoga *Meditation *Sound Therapy *Biofeedback *Basketball *Large Pool *Fishing on Hillsborough River *So much more! For more information, please call 813-575-4141 or visit www.rrtampa.com. You can also email us at [email protected].
Offices: 4004 N Riverside Dr, Tampa, Florida 33603, US
There are currently 2,732 open healthcare positions in Tampa, FL listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Tampa General Hospital, University of South Florida - School of Social Work, Elevance Health, UnitedHealth Group, CVS Health, among others. Browse the listings above to see every active employer.
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