- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Ascension Health (Indianapolis, IN)
- **Details** + **Department:** Clinical Documentation Integrity, CDI Experience required + **Schedule:** Full Time Days, Monday - Friday, 8:00am - 4:30pm + ... for additional specifics._ **Responsibilities** Supervise the daily operations of the clinical documentation department. + Train, coach, and evaluate assigned staff… more
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
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