- Unknown (Newark, NJ)
- Head of Clinical Quality Assurance About the Company Globally renowned biopharmaceutical company Industry Pharmaceuticals Type Privately Held About the Role The ... Company is seeking a Clinical Quality Director to lead all GxP audits and...plus. A minimum of 10 years' experience in quality auditor roles with significant exposure to GCP/GLP is required.… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor /Analyst Intermediate! The Clinical Auditor /Analyst Intermediate is an integral part ... establishes and revises better best practice within the department. The Clinical Auditor /Analyst Intermediate creates, maintains and analyzes auditing reports… more
- Bloom Healthcare (Lakewood, CO)
- RN Clinical Auditor - Location: Mostly Remote (Work from Home) Occasional in-office, field, or education support as directed About Bloom: Bloom Healthcare is a ... to delivering high-quality, compliant, and patient-centered end-of-life care. The RN Clinical Auditor plays a vital role in supporting clinical excellence,… more
- Baylor Scott & White Health (Dallas, TX)
- …vary based on position type and/or level **Job Summary** In this job, as a Clinical Auditor RN, you'll perform charge capture accuracy audits by reviewing and ... analyzing clinical documentation from the Electronic Health Record (EHR) compared...+ Manage planning, organizing, and executing audit tasks in clinical departments/functions. + Evaluate clinical documentation for… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the ... financial health and compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the… more
- Elevance Health (Chicago, IL)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records… more
- Centene Corporation (New York, NY)
- …and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding ... and assist in development of training and audit tools. The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation… more
- St Croix Hospice (Mendota Heights, MN)
- …an extraordinary team of caregivers, then come work where you matter. Compliance Auditor ( Clinical ) Position Overview The Compliance Auditor is responsible ... and working cross-functionally to implement corrective actions. The Compliance Auditor will lead risk assessments, internal audits and compliance investigations… more
- UNC Health Care (Chapel Hill, NC)
- …from entity to entity across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during ... we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or… more
- Cleveland Clinic (Cleveland, OH)
- …most respected healthcare organizations in the world. As a Senior Internal Auditor , you will conduct audit procedures for assigned audits, including evaluating the ... across Cleveland Clinic, its subsidiaries, and affiliates. This role leverages both clinical expertise and auditing skills to ensure that clinical documentation,… more
- Centene Corporation (Atlanta, GA)
- …preferred. **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation, and modify business processes to measure member outcomes. ... Assess provider performance and quality of care through clinical case reviews. + Lead clinical audits for provider medical records both remotely via electronic… more
- Insight Global (Plano, TX)
- …years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN RHIT or ... DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Aveanna Healthcare (Homestead, FL)
- …with Investigators, multi-disciplinary research team and Client Company representatives (eg, Clinical Research Associate (CRA), auditor ) Provide support to ... Clinical Research Nurse - Illingworth (RN) ApplyRefer a...Nursing Salary: $50.00 - $55.00 per hour Position Details CLINICAL RESEARCH NURSE - Illingworth (RN) Job Overview: Aveanna… more
- Elevance Health (Atlanta, GA)
- **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the ... Requirements:** + Requires AS in nursing and minimum of 4 years of clinical nursing experience; or any combination of education and experience, which would provide… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation and independent… more
- Actalent (Paramus, NJ)
- Job Title: GCP Auditor /Senior Auditor , Quality AssuranceJob Description This position focuses on ensuring GXP compliance with regulatory authorities, driving and ... and providing support to the GXP QA Director across clinical operations, non- clinical , and manufacturing sectors. Responsibilities...team currently consists of four people, including one GCP auditor and one PV auditor , with additional… more
- Adecco US, Inc. (Bradenton, FL)
- …education and training to healthcare providers. **Responsibilities of the Coding Auditor and Educator:** . Facilitates optimal clinical documentation performance ... Healthcare & Life Sciences is looking for a **Coding Auditor and Educator** for our client in **Bradenton, FL!**...dual role in promoting the quality and accuracy of clinical documentation by providing education and training to healthcare… more
- Eurofins US Network (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
- St. Luke's University Health Network (Allentown, PA)
- …or coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with ... regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and… more
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