- 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 ... Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of...regarding the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and… more
- Actalent (Philadelphia, PA)
- …Skills + 7 years of clinical research experience as a monitor/ auditor , research nurse, research coordinator, regulatory affairs, quality control, and ... Job Title: Clinical Research Auditor Job Description We...candidate will have a deep understanding of human subjects clinical research and the principles of conducting compliance… more
- MicroVention, Inc. (Aliso Viejo, CA)
- …to the medical device industry to contribute to overall quality and regulatory compliance objectives. Encompass a broad spectrum of responsibilities including ... **12071BR** **Title:** Sr Auditor , Clinical Trials **Job Description:** Provide...reporting, root cause analysis investigation, and closure. Provide comprehensive compliance direction to clinical study teams and… more
- UPMC (Pittsburgh, PA)
- … clinical , billing and coding staff are adhering to all guidelines for compliance as set forth by governmental, regulatory agencies and third party payors. ... regulatory issues as they arise. + Assist the Compliance Manager and Compliance Officer with quality...unique audit findings and recommendations as requested by the Compliance Manager. It is the Auditor 's responsibility… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education ... development and delivering educational and training programs for professional billing and clinical compliance based on the latest Federal and State regulations… more
- Gilead Sciences, Inc. (Foster City, CA)
- …for resolution. + Promote, awareness across the biologics commercial and clinical manufacturing platform(s) of current regulatory agency requirements and ... Supplier Quality Management and Audits, within the Global Quality Systems & Compliance department. The role is highly visible, offer tremendous growth potential, and… 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
- Vanderbilt University Medical Center (Nashville, TN)
- …of correct diagnosis and procedure codes. * Identifies areas for improvement for clinical documentation workflow, clinical query compliance , data integrity ... * Conducts audits to ensure accurate and complete data for the clinical documentation improvement program. Advises staff with regards to clinical … more
- Omaha Children's Hospital (Omaha, NE)
- …requirements. The Nurse Auditor will work collaboratively within Revenue Cycle, Compliance and Clinical departments to ensure the capturing of appropriate ... 3 days post discharge to ensure accuracy and in compliance with regulatory requirements, hospital and system...for account audits by third party agencies. The Nurse Auditor position ensures clinical documentation supports all… more
- HCA Healthcare (Nashville, TN)
- …Nurse Auditor evaluates medical record documentation for evidence of clinical information to support charges, observation hours, status orders, charge orders ... hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part...to obtain missing documentation when applicable. Ability to associate clinical and coding information to national and local coverage… more
- Fujifilm (College Station, TX)
- …integral member of the Global Supplier Quality Management team, the Supplier Quality Auditor Lead will be responsible for managing and leading the Supplier auditors ... in support of supplier integrity and oversight. The Supplier Quality Auditor Lead is responsible forsupporting all associated supplier quality management and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …coding and documentation programs that ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/ clinical billing compliance ... and reviews to investigate adherence with inpatient hospital/ clinical billing compliance policies, legal and regulatory requirements, and to identify and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for compliance with billing ... compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in filing… more
- J&J Family of Companies (Cincinnati, OH)
- …Meet and exceed the expectations of our customers; and achieve and maintain compliance with regulatory expectations. To support business objectives, a successful ... to assure adherence to corporate policies, internal standards/requirements and compliance with applicable regulatory GxP requirements. Non-routine audits… more
- BayCare Health System (NC)
- …Carolina. _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... 7:00 AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member must currently reside in… more
- RWJBarnabas Health (Oceanport, NJ)
- FT Internal Auditor Senior II (Remote- Hybrid)Req #:0000158945 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate ... internal and external risks to the organization. Work assigned to the Internal Auditor Senior II will often be well-defined but may require developing work plans… more
- IQVIA (Ithaca, NY)
- We are seeking a **Quality Assurance Auditor 1** to join IQVIA Laboratories in our Ithaca, NY office (hybrid). We hire passionate innovators who drive healthcare ... and accelerate research and development. As a Quality Assurance Auditor 1, you will assist lead auditors and audit...in the database, preparing and releasing guidance documents with compliance information, and maintaining the QA repository with … more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …of the job. The Senior Charge Capture Auditor works closely with clinical departments to ensure compliance with government, payer, and internal charge ... pertain to coding, charge items, charge capture, and billing operations and communicates regulatory changes in a timely manner to clinical departments. +… more
- Trinity Health (Boise, ID)
- …the highest quality of care. We are looking for a new **Revenue Integrity Auditor ** to join our team, working in coordination with Revenue Liaison and Revenue ... monitoring revenue cycle operations. This will include but is not limited to: regulatory reviews, audit reviews of pre-service, time of service and post service… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement to the health ... service issues. + Participates as a member of the chargemaster team, providing clinical support and expertise on compliance related charge functioning. +… more