- 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 ... Pittsburgh's US Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance and… more
- 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 ... execution, reporting, root cause analysis investigation, and closure. Provide comprehensive compliance direction to clinical study teams and cross-functional… more
- Lilly (Indianapolis, IN)
- …make life better for people around the world. **Position Brand Description:** The Quality Auditor is part of the Global Quality Auditing and Compliance (GQAAC) ... of internal and external audits in support of pharmaceutical development, non- clinical and clinical research, product commercialization, pharmacovigilance and… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a **Sr. Compliance Auditor ** **Trainer** who will provide on-going training and support to physicians, non-physician providers, professional fee ... of both people and functions within the department, the Clinical Practice Association and JHHS Compliance Office....five years of related experience. Classified Title: Sr. Billing Compliance Auditor Job Posting Title (Working Title):… more
- Elevance Health (MD)
- ** Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Location: This position will work a hybrid model (remote and office). The ... insightful analytics to improve the delivery of care. The ** Clinical Provider Auditor I** is responsible for...will you make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies… more
- Elevance Health (Houston, TX)
- ** Clinical Provider Auditor Senior** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one ... of our PulsePoint locations. The ** Clinical Provider Auditor Sr** will be responsible...you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …the 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... Trials. JOB DESCRIPTION: + Conducts audits to assure compliance with study or sponsor SOPs, GCP, and expectations… more
- UPMC (Pittsburgh, PA)
- …update or discuss unique audit findings and recommendations as requested by the Compliance Manager. It is the Auditor 's responsibility to seek out meetings ... expertise to review staff to ensure that all physicians, clinical , billing and coding staff are adhering to all... Auditor , Junior Medical Auditor and Auditor Analyst as required or as requested Compliance… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The Research Compliance Auditor is a key contributor to HMH's Research Compliance ... compliance with applicable policies, regulations, and best practices. The Research Compliance Auditor is also responsible for identifying and developing… more
- Catholic Health Initiatives (Chattanooga, TN)
- …connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding ... are met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to...assist with educating providers on quality opportunities as well. Clinical background preferred but not required. **Essential Key Job… more
- The County of Los Angeles (Los Angeles, CA)
- …Contract Program Auditor * monitoring and evaluating health services contracts for compliance , two (2) years' of which experience must have been in a supervisory ... Program Auditor * monitoring and evaluating health services contracts for compliance . If you do not have this experience please indicate "Not Applicable".… more
- Gilead Sciences, Inc. (Foster City, CA)
- …Supplier Quality Management and Audits, within the Global Quality Systems & Compliance department. The role is highly visible, offer tremendous growth potential, and ... or testing, software, warehouse / distribution in support of Gilead's clinical and commercial oral and parenteral dosage formulations and associated medical… 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 ... staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works directly with revenue...to communicate effectively verbally and in written format to clinical and non- clinical staff and individuals +… 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
- 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
- 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
- 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 policies and...for account audits by third party agencies. The Nurse Auditor position ensures clinical documentation supports all… more
- Adecco US, Inc. (Chicago, IL)
- Adecco Healthcare & Life Sciences is hiring a DRG Validation RN Auditor ! This role is work from home / remote. Please see below and apply today for further ... **Pay:** $40.50 to $42.76 an hour **Responsibilities of the** **DRG Validation RN Auditor :** . Conduct MS-DRG and APR-DRG coding reviews to verify the accuracy of… 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 Job Type Full Time Job Number IIB 06255 11/01/2024… more
- J&J Family of Companies (Cincinnati, OH)
- Manager, Quality Assurance (QA) Preclinical Auditor - 2406217771W **Description** Johnson & Johnson MedTech is recruiting a **Manager, Quality Assurance (QA) ... Preclinical Auditor ** to be located in **Santa Clara, California** or...the expectations of our customers; and achieve and maintain compliance with regulatory expectations. To support business objectives, a… more