Florida Licensed Compliance Auditor

To support ongoing compliance efforts, the remote Florida Licensed Compliance Auditor will conduct audits and reviews of coding accuracy and medical necessity documentation while collaborating with management to enhance compliance processes. Key responsibilities Conduct compliance-focused monitoring and audits related to coding accuracy and medical necessity documentation Perform ad hoc reviews based on identified high-risk areas and maintain compliance data metrics Provide management with reports on compliance metrics and audit findings as requested Required qualifications RN or LPN required Three to five years of experience with Medicare, Medicare Advantage, and/or Commercial Payers preferred Strong knowledge of Florida statutes, Medicare & Medicaid conditions of participation, and commercial payer guidelines preferred Ability to accurately interpret regulations and coding guidelines Experience working independently while maintaining confidentiality and exercising discretion