- Elevance Health (Columbus, GA)
- **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
- Actalent (Philadelphia, PA)
- …Title: Clinical Research AuditorJob Description We are seeking a highly experienced Clinical Research Auditor to join our team. The ideal candidate will have ... integrity of research data. Essential Skills + Minimum of 7 years of clinical research experience as a monitor/ auditor , research nurse, research coordinator,… more
- Community Health Systems (Sarasota, FL)
- (Full-Time, Remote) The Clinical Review Auditor is a professionally licensed nurse/LPN who is responsible for effectively managing the denial/appeal process via ... care delivered to patients in a dynamic changing environment. As an Clinical Review Auditor at Community Health Systems, you'll play a vital role in supporting… more
- Elevance Health (Hanover, MD)
- ** Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Lo_ _cation: This is a field position expected to be in clinic 60% of 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
- Robert Half Accountemps (Los Angeles, CA)
- …Hospital near Los Angeles is seeking a detail-oriented and experienced Medical Clinical Trial Claims Auditor . This role involves meticulous oversight and ... auditing of claims related to our clinical trials to ensure compliance with contract terms, federal...and waste. Key Responsibilities: + Perform comprehensive audits of clinical trial costs, ensure billing aligned with protocol, consent… more
- Ascension Health (Wichita, KS)
- …the offer._ **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
- Novant Health (Wilmington, NC)
- Job Summary The Clinical Research Quality Assurance/Education Coordinator is a clinical research professional working under the direction of the Supervisor ... Clinical Research Quality Assurance/Education to ensure quality assurance activities...ensure quality assurance activities and staff education involving NH Clinical Research studies across the system are met. The… more
- Molina Healthcare (Reno, NV)
- …+ Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member ... Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and...NCQA, CMS, State and Federal requirements. May also perform non- clinical system and process audits, as needed. + Assesses… 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
- Kelly Services (Scott Township, PA)
- Kelly(R) Science & Clinical is seeking **a Senior QA Auditor ** for **a direct hire, permanent** position at cutting-edge clinical research and ... 1-2 days/week WFH **Schedule:** 1 st shift, M-F **SUMMARY** The Senior QA Auditor is responsible for carrying out systematic and independent examination (ie, audit)… 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
- Houston Methodist (Houston, TX)
- …accurately support reasons for treatment, billing, payment or operations. The Nurse Auditor position ensures clinical documentation supports all patient billing, ... At Houston Methodist, the Nurse Auditor position is responsible auditing and reconciling patient...This position will complete audits to ensure that the clinical documentation contained within the patient chart supports items… 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* - Team Based Nursing Model* _*… 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
- Lilly (Indianapolis, IN)
- …Brand Description:** The Sr. Principal Associate - Quality Due Diligence Assessment Auditor (QDDA) 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
- TEKsystems (Chesapeake, VA)
- …With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/CDM Analyst is responsible for performing audits of itemized ... billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/CDM Analyst works directly with revenue producing departments regarding… more
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