Role Description The Physician Coding Auditor performs coding related audits to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Auditor is responsible for analyzing Physician and Coder charges for Surgical, procedural and E/M based coding. - Responsible for internal auditing and analyzing professional coding for all service lines. - Monitor the audit results closely to identify any potential coding inaccuracy. - Provides the Educators the needed support in identifying coding errors. - Provides results or trends with Education Team for physician education. - Review medical records to ensure coding accuracy. - Identify and communicate physician documentation and coding opportunities for improvement. - Provides feedback to physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office regarding best practices to ensure physician coding compliance. - Collaborates with Physician Coding Education Team to ensure appropriate and complete coding accuracy for payor guideline reimbursement. - Utilizes resource material available in department, CMS, AMA, AHCA and federal registry to support coding practices. - Maintains patient and coder confidentiality audit results. - Collaborate with physician coding leadership for monitoring coding quality. - Participate in Health Plan Audits. - Follow and adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies. - Perform physician queries for coding and documentation clarification during concurrent chart review process. - Serves as a resource to new coders. - Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress. - Proficiency in coding including ICD-10, CPT, E/M, modifiers while maintaining a 90% accuracy. - Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. - Maintains compliance with all Orlando Health policies and procedures. - Attends payor, departmental and interdepartmental meetings as required. - Other duties as assigned based on organization needs and projects. - Works in collaboration for testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned. - Conducts focused physician reviews as needed and provides data to manager. Qualifications - High School diploma or equivalent. - Exceptional knowledge in Microsoft Office Suite. - Thorough knowledge of official coding guidelines as per AMA, AHCA, and CMS as evidenced by results of coding skills test of 90% or better. Requirements - Must maintain one (1) of the following nationally recognized certifications: - CPMA certification required through the American Academy of Professional Coders (Five (5+) years auditing experience in lieu of CPMA with expectation to acquire CPMA within 1 year of hire). - Coding Credential Required: AHIMA or AAPC credential. - CEMA certification via National Alliance of Medical Auditing Specialists. - Five (5+) years of professional based coding experience in multiple specialties is required. Benefits - Competitive Pay. - Evening, nights, and weekend shift differentials offered for qualifying positions. - All Inclusive Benefits (start day one): - Student loan repayment. - Tuition reimbursement. - FREE college education programs. - Retirement savings. - Paid paternity leave. - Fertility benefits. - Back up elder and childcare. - Pet insurance. - PTO/Holidays, and more for full time and part time employees. - Forbes Recognizes Orlando Health as a Best-In-State Employer. - Employee-centric environment.

Role Description The Senior Clinical Quality Auditor will be responsible for supporting care management products and operations reporting to the Manager of Quality for UMR. You will provide general support in reviewing and researching program processes for overall staff compliance. In addition to fostering teamwork and collaboration, much of your work will involve review of calls and documentation of elements of the call. Solid auditing skills are essential. You will also need effective communication skills, and the ability to effectively collaborate with your team members. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Participate in audit preparation, analysis and review complex business processes, systems, workflows, SOPs, policies and procedures to identify and document risks and trends that may be non-compliant with contracts and or statutory requirements. - Monitor Program staff for compliance to established processes, policies, and guidelines; and identify opportunities to improve process performance. - Implement and complete UMR UM and care management quality audits and provide coaching to staff and program management based on evaluation results. - Participate in effective analysis of audit results and identify trends impacting program compliance. - Collaborate in the design, creation and implementation of quality improvement projects and initiatives. - Utilize applicable systems/tools to maintain and document Quality metrics/outcomes. - Participate in Inter-Rater Reliability sessions with internal stakeholders to ensure evaluation consistency. - Other responsibilities as assigned. Qualifications - Current, unrestricted RN license in state of residence. - 3+ years of proven experience in health plan quality improvement identifying areas of opportunity. - Demonstrated experience auditing clinical programs in a managed care setting. - Intermediate proficiency with Microsoft Word, Excel and PowerPoint. Requirements - Experience working for UMR. Soft Skills - Solid interpersonal skills and high level of professionalism. - Excellent problem-solving skills with strong attention to detail. - Excellent written and verbal communication skills. - Ability to work independently in a remote environment and deliver exceptional results. - Excellent time management and work prioritization skills. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). Salary Information The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

• Ejecución de auditorías SGSST. • Auditorías de cumplimiento legal SST. • Inspecciones de campo. • Verificación documentaria. • Elaboración de informes y hallazgos. • Seguimiento de levantamiento de observaciones. • Emisión de constancias de auditoría. • Coordinación con CSST del cliente.

Role Description Lead Quality Systems Auditor will act as a Subject Matter Expert (SME) in inspection activities for Quality System (QM) audits required by the corporate quality systems audit program, including planning, preparation, execution, follow-up, closure, and trend analysis. Responsible for continuous improvement of the audit program with an emphasis on maintaining compliance with applicable regulations, standards, and pertinent Fresenius Medical Care policies and procedures to drive continuous quality improvement. Support external quality management inspections at Fresenius Medical Care sites and distribution centers as SME, including preparation, conduct and follow-up, and coordinate with various sites and local quality heads, to ensuring readiness for inspections. Qualifications - Bachelor’s degree or an equivalent combination of education and experience required (advanced degree preferred) - 3rd party auditor training (e.g. ASQ-CQA, ASQ-CBA, RABQSA, ISO 9001:2015) or equivalent education and experience required - Minimum 10+ years’ experience in quality management, regulatory compliance, quality engineering and auditing in the pharmaceutical or medical device sector or related industries - Several years of practical experience in FDA inspections and cooperation with US regulatory authorities (experience with additional Health Authorities preferred) - Knowledge of current regulations for pharmaceutical and medical devices (e.g., 21 CFR Part 820, Part 210/211, Part 11, Part 803, Part 806, Canadian SOR/98-282, Mexican NOM-241-SSA1, MDSAP, CE Marking) required - Knowledge of current standards and guidelines for pharmaceutical and medical devices (e.g., ISO 13485, ICH Q7/Q10, ISO 14971, ISO 10993, IE 62366, GxP) required - In-depth knowledge in the interpretation of FDA guidelines, Good Manufacturing Practices (GMP) and relevant quality standards for pharmaceuticals and medical devices - Expertise in reviewing, revising, and writing Standard Operating Procedures (recent auditing expertise preferred) - Demonstrated expertise in specialized processes related to drug and device manufacturing, particularly in areas of sterilization, bag manufacturing, NC/CAPA, corrections and removals and formulation (experience outside of auditing/inspecting desired) - Profound experience with best practices in product design / design change, risk management and CAPA management - Demonstrated broad expertise related to the principles and application of quality conformity and regulatory compliance - Strong analytical and conceptual skills - Ability to identify risks and compliance gaps and develop appropriate actions - Strong problem-solving skills - Experience in training and mentoring staff - Excellent communication and writing skills when interacting with interdisciplinary teams, international authorities and other stakeholders - Ability to work both independently with direction and within project teams to attain goals - High level of commitment, flexibility and sense of responsibility - Willingness to travel internationally - Proficiency in using Microsoft Office applications required Requirements - Responsible for quality systems audits, schedules, plans, conducts, and leads audits in accordance with the global QS audit program - Lead and manage internal and corporate audit program for all assigned sites, with a focus on planning, scheduling, and implementation in close coordination with sites and local quality heads - Perform QM audits required by the corporate quality systems audit program, including planning, preparation, execution, follow-up, closure, and trend analysis - Works on complex issues where analysis of situations or data requires an in-depth evaluation of variable factors. Exercises judgment in selecting methods, techniques and evaluation criteria for obtaining results - Ensures audit activities are in compliance with FME policies and procedures and applicable regulatory requirements - Develop and maintain audit processes and documentation to ensure conformity with FME policies and procedures and compliance with applicable regulations - Track, manage, and resolve Non-Conformances (NC’s) and Corrective and Preventive Actions (CAPAs) arising from audits - Provide status reports on overdue, open, and closed audit outcomes to relevant stakeholders - Recommend modifications to existing quality or production systems to optimize product quality while ensuring compliance with regulatory requirements and internal Fresenius procedures - As a SME, support FME sites and with gap analysis for projects or local QM implementations - As a SME, serve as the primary support for inspection readiness, ensuring sites are well-prepared for inspections - Support training and qualification initiatives for new auditors, ensuring they are adequately prepared to conduct internal audits in accordance with FME policies and procedures - Performs other related duties as assigned Benefits - Base Rate: $105,000 - $160,000 - Comprehensive benefits package including medical, dental, and vision insurance - 401(k) with company match - Paid time off - Parental leave - Potential for performance-based bonuses depending on company and individual performance