- Providence (Beaverton, OR)
- …best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for conducting ... clinical quality audits for the Quality Department + Identify...Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence… more
- The County of Los Angeles (Los Angeles, CA)
- … services programs to ensure, proper utilization of funds and provision of services . + Consults with clinical , administrative, and program planning staff in ... through the allocation of various categorical funds available to specific contract service agreements. + Evaluates proposals for contract services ; supervises… more
- UPMC (Pittsburgh, PA)
- …and non-physician practitioners. This presentation must be well prepared and the auditor must have a thorough understanding of all issues cited in audit ... **UPMC is hiring a full-time Senior Medical Auditor to join their Department of Pediatrics team!...expertise to review staff to ensure that all physicians, clinical , billing and coding staff are adhering to all… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …diversity and excellence of our academic community. **Description** Performs audits of clinical trials to ensure compliance with federal and state laws and ... policies and procedures relating to conduct and practices within Clinical Trials. JOB DESCRIPTION: + Conducts audits to assure...the study team. + When noncompliance is found, the auditor works with the study team to identify root… more
- Molina Healthcare (Jackson, MS)
- …+ Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member ... Team (MAT), Health Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of ... the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works directly with revenue producing departments… more
- Ascension Health (Wichita, KS)
- …specifics._ **Responsibilities** Develop, implement, and has oversight over the Clinical Documentation Integrity (CDI) audit plan, utilizing audit findings to ... staff feedback; implement and facilitate this training with CDI staff, physicians, clinical and ancillary staff to improve the overall quality and completeness of… more
- Johns Hopkins University (Baltimore, MD)
- …in the development of medical record documentation standards and requirements related to clinical services billing. + Keeps current with third party regulations ... across all clinical specialties. Works in close collaboration with the clinical departments, Physicians Billing Service , and the Johns Hopkins Health System… more
- State of Colorado (Denver, CO)
- …II- Quality Assurance Policy Specialist/ Auditor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4713263) Apply Health Professional ... II- Quality Assurance Policy Specialist/ Auditor Salary $57,564.00 - $80,592.00 Annually Location Denver, CO...Number IIB 06255 11/01/2024 Department Colorado Department of Human Services Division OBH - CMHIP Opening Date 11/01/2024 Closing… more
- Fallon Health (Worcester, MA)
- …is continually rated among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences, life ... auditing risks identified in the organization. The Senior Internal Auditor plays a key role in implementing the annual...Plan, including areas such as Compliance, IT and Care Services . + Develop audit programs to identify areas of… more
- RWJBarnabas Health (Oceanport, NJ)
- …to this position with oversight by the Audit Director, Business Operations. The Internal Auditor Senior II must be well organized with an eye for detail ... FT Internal Auditor Senior II (Remote- Hybrid)Req #:0000158945 Category:Professional /...accounting principles and practices, and preferred business practices + Must possess strong interpersonal and customer service … more
- Henry Ford Health System (Troy, MI)
- Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding, charge entry, ... review, presentation of staff education and other related activities. The RI Auditor coordinates processes between clinical operations and revenue cycle… more
- Penn State Health (Hershey, PA)
- …love to meet you and explore the possibilities together! As a Senior Internal Auditor at PSH, you will be actively engaged in utilizing your best-in-class auditing, ... professionalism and confidence. In addition to audit work, the Senior Internal Auditor will work closely with department and organizational management to help… more
- BayCare Health System (GA)
- …search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career ... Tampa Bay area. **Position Details:** + **Location:** Fully Remote ( must reside in the State of Florida, Georgia, or...PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member… more
- Catholic Health Initiatives (Chattanooga, TN)
- …Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private ... to include review, education and necessary follow-up to help ensure that clinical documentation and coding services meet government and organizational policies… more
- R1 RCM (Detroit, MI)
- …appropriate code assignments on services provided (CPT/HCPCS codes). The Auditor must have a comprehensive understanding of medical terminology, coding, ... that may include trauma, orthopedics, cardiology, interventional radiology, and neurology. + Must possess a demonstrated knowledge of clinical processes; … more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Staff Auditor II Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: Nov. 27, 2024 Apply with Linkedin Apply Department of Health ... and Human Services (DHHS)Opening Date: October 31, 2024Closing Date: November 27,...to its staff. ABOUT THE POSITION: As a Staff Auditor II you will: + Perform independent and complex… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... and provides good feedback during coding section meetings, coding education in- services , and coder/CDMP meetings. Takes initiative to assist others and shares… more
- Providence (OR)
- …and much more. Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence that provides a variety ... **Description** **Revenue Cycle Auditor RN \*Remote * Candidates residing in AK,...they're invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person… more
- TEKsystems (Jacksonville, FL)
- The Outpatient Medical Coding Auditor - is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the organization. This ... to verify adherence to coding guidelines and regulations. The Medical Coding Auditor plays a crucial role in minimizing coding errors, preventing fraudulent… more