• Medicare Clinical Auditor

    Medical Mutual of Ohio (OH)
    …experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Medicare Clinical Auditor ** + **Audits outpatient, inpatient and ... payment recovery staff.** + **Performs other duties as assigned.** **Senior Medicare Clinical Auditor ** + **Audits outpatient, inpatient and professional claims… more
    Medical Mutual of Ohio (11/15/24)
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  • Intermediate Clinical Auditor

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday ... US Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance and Operational… more
    UPMC (11/01/24)
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  • Clinical Research Auditor

    Actalent (Philadelphia, PA)
    Job Title: Clinical Research Auditor Job Description We are seeking a highly experienced Clinical Research Auditor with a minimum of 7 years of ... practices in clinical research. Essential Skills + 7 years of clinical research experience as a monitor/ auditor , research nurse, research coordinator,… more
    Actalent (11/19/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Morristown, NJ)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... 50 miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to… more
    Elevance Health (11/08/24)
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  • Clinical Nurse Auditor , HEDIS…

    Providence (WA)
    …retain the 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...This posting is for multiple openings of a Nurse Auditor , HEDIS + This position is affiliated with Providence… more
    Providence (10/30/24)
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  • Clinical Provider Auditor II

    Elevance Health (Columbus, OH)
    ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
    Elevance Health (11/13/24)
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  • Sr Auditor , Clinical Trials

    MicroVention, Inc. (Aliso Viejo, CA)
    **12071BR** **Title:** Sr Auditor , Clinical Trials **Job Description:** Provide support to all aspects of the Clinical Quality Assurance (CQA) function ... technology for communication and handling confidential information. **External-Facing Title:** Sr Auditor , Clinical Trials **Posting Country:** US - United… more
    MicroVention, Inc. (10/12/24)
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  • RN Clinical Documentation Auditor

    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
    Ascension Health (11/02/24)
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  • Lead Clinical Documentation Auditor

    Vanderbilt University Medical Center (Nashville, TN)
    …* Conducts audits to ensure accurate and complete data for the clinical documentation improvement program. Advises staff with regards to clinical ... correct diagnosis and procedure codes. * Identifies areas for improvement for clinical documentation workflow, clinical query compliance, data integrity and… more
    Vanderbilt University Medical Center (11/22/24)
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  • RN Auditor Clinical Appeals…

    HonorHealth (Scottsdale, AZ)
    …urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, ... Learn more at HonorHealth.com. Responsibilities Job Summary Performs post payment clinical auditing in defense of hospital charges. This position audits patient… more
    HonorHealth (11/20/24)
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  • Nurse Auditor / Revenue Cycle, FT, Mon…

    Omaha Children's Hospital (Omaha, NE)
    …complete requests for account audits by third party agencies. The Nurse Auditor position ensures clinical documentation supports all patient billing, verifies ... and procedures. This position will complete audits to ensure that the clinical documentation contained within the patient chart supports items and services included… more
    Omaha Children's Hospital (10/04/24)
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  • Clinical Research Monitoring Specialist…

    University of Pennsylvania (Philadelphia, PA)
    …Cancer Center Department of Operations, Compliance and Monitoring (DOCM) is seeking a clinical research monitor/ auditor to support our clinical research ... field preferred. Minimum of seven years of experience as a clinical research monitor/ auditor , research nurse or research coordinator with at least three years'… more
    University of Pennsylvania (10/03/24)
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  • Clinical Trials Applications Specialist II

    AdventHealth (Orlando, FL)
    …of experience in clinical research in a related role, such as a clinical research coordinator, monitor, auditor , clinical data analyst, or research ... ** Clinical Trials Applications Specialist II - AdventHealth Orlando**...(Certifications and Degrees without out-of-pocket tuition expense) - Nursing Clinical Ladder Program* - Sign-on Bonus* - Relocation Bonus*… more
    AdventHealth (11/26/24)
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  • Revenue Integrity Auditor /Full Time/Hybrid

    Henry Ford Health System (Troy, MI)
    …review, presentation of staff education and other related activities. The RI Auditor coordinates processes between clinical operations and revenue cycle ... Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding, charge entry, and… more
    Henry Ford Health System (09/25/24)
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  • Diagnosis Related Group Auditor

    Hackensack Meridian Health (Hackensack, NJ)
    …serve as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code ... includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in… more
    Hackensack Meridian Health (09/06/24)
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  • Senior Charge Capture Auditor - TxCtr-Admin…

    Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
    …the general nature, level and purpose of the job. The Senior Charge Capture Auditor works closely with clinical departments to ensure compliance with government, ... payer, and internal charge capture policies; provides education to the clinical departments. This position works with Med Assets software to manage clinical more
    Lucile Packard Children's Hospital Stanford (11/26/24)
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  • Senior Medical Auditor - Pediatrics (Work…

    UPMC (Pittsburgh, PA)
    **UPMC is hiring a full-time Senior Medical Auditor to join their Department of Pediatrics team! This position will join our Pediatrics administrative team, which ... external coding audits when requested.** As the Senior Medical Auditor , you will provides technical expertise to review staff...expertise to review staff to ensure that all physicians, clinical , billing and coding staff are adhering to all… more
    UPMC (11/17/24)
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  • Head Contract Program Auditor / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    HEAD CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4448498) Apply  HEAD ... CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Salary $103,751.04 - $139,817.52...of funds and provision of services. + Consults with clinical , administrative, and program planning staff in developing contract… more
    The County of Los Angeles (11/16/24)
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  • Coding Auditor /Educator

    Health Advocates Network (Phoenix, AZ)
    Contract to Hire **Job # 24415 Coding Auditor /Educator** **A** **cclivity Healthcare - Your personable, proven partner!** Since 1999, Acclivity Healthcare has served ... the value of better talent. **Compensation and Schedule for the Coding Auditor /Educator** Coding Auditor /Educator - Full-time, work-from-home, $33-$37 per hour,… more
    Health Advocates Network (11/16/24)
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  • Social Compliance Lead Auditor

    Eurofins (Des Moines, IA)
    …discovery pharmacology, forensics, advanced material sciences and in the support of clinical studies, as well as having an emerging global presence in Contract ... also has a rapidly developing presence in highly specialised and molecular clinical diagnostic testing and in-vitro diagnostic products. In over 30 years, Eurofins… more
    Eurofins (11/19/24)
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