• 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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  • 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 I…

    Elevance Health (MD)
    ** Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Location: This position will work a hybrid model (remote and office). The ... and insightful analytics to improve the delivery of care. The ** Clinical Provider Auditor I** is responsible for identifying issues and/or entities that may… more
    Elevance Health (10/24/24)
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  • Clinical Provider Auditor Senior

    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 for identifying issues and/or entities that may pose potential risk… more
    Elevance Health (10/16/24)
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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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  • Auditor , Clinical Trials Audit…

    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
    Emory Healthcare/Emory University (10/03/24)
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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 (10/16/24)
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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 (08/27/24)
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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 (10/22/24)
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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 (11/12/24)
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  • Quality Auditor - Global Quality Auditing…

    Lilly (Indianapolis, IN)
    …life better for people around the world. **Position Brand Description:** The Quality Auditor is part of the Global Quality Auditing and Compliance (GQAAC) division ... of internal and external audits in support of pharmaceutical development, non- clinical and clinical research, product commercialization, pharmacovigilance and… more
    Lilly (10/05/24)
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  • CDM Analyst RI Auditor

    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
    Chesapeake Regional Healthcare (10/26/24)
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  • Revenue Integrity Auditor RN

    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
    HCA Healthcare (10/10/24)
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  • QA Supplier Lead Auditor

    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
    Fujifilm (10/05/24)
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