- Medical Mutual of Ohio (OH)
- …RN experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** ** Clinical Auditor ** + **Audits outpatient, inpatient and ... more senior levels to implement changes.** + **Interacts with internal or external auditors or vendors on claim coding...recovery staff.** + **Performs other duties as assigned.** **Sr Clinical Auditor ** + **Audits outpatient, inpatient and… more
- LA Care Health Plan (Los Angeles, CA)
- Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Audit Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for...processes in place for compliance. Prepares the Delegation Oversight Clinical Audit team for internal audits and… more
- Fallon Health (Worcester, MA)
- …and plays a key role in auditing risks identified in the organization. The Senior Internal Auditor plays a key role in implementing the annual audit plan. The ... nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences,...Senior Internal Auditor conducts audits and related projects… more
- Sevita (Baltimore, MD)
- …opportunities for the people we serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations and ... legal and regulatory requirements; payer requirements and expectations; and external and internal standards. Executes clinical audits with the aim of identifying… more
- Penn State Health (Hershey, PA)
- …we would love to meet you and explore the possibilities together! As a Senior Internal Auditor at PSH, you will be actively engaged in utilizing your ... and confidence. In addition to audit work, the Senior Internal Auditor will work closely with department...impact with one of the leading research, teaching, and clinical healthcare systems in the country. Through a combination… more
- RWJBarnabas Health (Oceanport, NJ)
- FT Internal Auditor Senior II (Remote- Hybrid)Req #:0000158945 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health ... external risks to the organization. Work assigned to the Internal Auditor Senior II will often be...patient care, education, and research to address both the clinical and social determinants of health. At RWJBarnabas Health,… more
- Elevance Health (Indianapolis, IN)
- **Pharmacy Internal Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ... -first lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Internal Auditor ** is responsible for driving service quality excellence… more
- Fallon Health (Worcester, MA)
- …+ Perform all aspects of audits following departmental standards and procedures. **The Internal Auditor will perform or assist in the following:** + Supports ... administration is preferred **License/Certifications:** Willingness to pursue a CIA-Certified Internal Auditor certification, or industry certification **Experience:**… more
- Actalent (St. Louis, MO)
- Quality Improvement Auditor (RN) Position Purpose: Lead medical record audits, monitor and analyze clinical documentation, and modify business processes to ... outcomes. Assess provider performance and quality of care through clinical case reviews. * Lead clinical audits...complaint and quality of care trends * Coordinate with internal teams to assure audit requests are fully understood,… more
- Actalent (St. Louis, MO)
- The Quality Improvement Auditor RN will be responsible for leading medical record audits, monitoring and analyzing clinical documentation, and modifying business ... for assessing provider performance and quality of care through clinical case reviews. Other duties include: + Leading ...complaint and quality of care trends + Coordinate with internal teams to assure audit requests are fully understood,… more
- Kelly Services (Eau Claire, WI)
- **Title:** Internal Compliance Auditor **Location:** Eau Claire, WI **Salary:** $75-85,000 + benefits **Description Overview** The Internal Compliance ... Auditor position is responsible for conducting internal audits of Quality, Food Safety, Operations and Maintenance...the Kelly Talent Community. Why Kelly (R) Science & Clinical ? Kelly Science & Clinical is your… more
- SSM Health (MO)
- …is compliant with regulatory requirements and standards are maintained. Performs clinical audits within Care Transformation operations by supporting the Clinical ... and reporting for all areas of Care Transformation operations: Clinical Documentation Improvement; Utilization Management and Status Review; Case Management… more
- Veterans Affairs, Veterans Health Administration (Roanoke, VA)
- …of business law; A certificate as Certified Public Accountant or a Certified Internal Auditor , obtained through written examination; or Completion of the ... for executing Generally Accepted Government Auditing Standards (GAGAS) audits for VHA's internal audit program. This position is a key component of VHA's Third… more
- ICON Clinical Research (Lexington, KY)
- Senior Auditor , Quality Assurance-United States-Remote ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to ... us on our mission to shape the future of clinical development. At ICON, it's our people that set...sector, and you'll be helping shape an industry. **Senior Auditor , QA- Can be remote** Recognize, exemplify and adhere… more
- University of Colorado (Aurora, CO)
- Fiscal Compliance Auditor (open rank - Entry thru Senior) - 34658 University Staff **Description** **University of Colorado Anschutz Medical Campus** **Department: ... Financial Services - Fiscal Compliance** **Job Title:** **Fiscal Compliance Auditor (open rank - Entry thru Senior)** **Position #: 00826462 - Requisition #: 34658**… more
- Houston Methodist (Cypress, 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
- Catalent Pharma Solutions (Greenville, NC)
- …non-routine Quality Assurance tasks with minimal supervision. The Quality Assurance Auditor will support internal non-commercial clients, external clients and/or ... **Quality Assurance Auditor , Manufacturing** **Position Summary** Catalent is a global,...of all cGMP activities. Ensure compliance to all compendial, internal and client-specific requirements (ie SOPs, Quality Agreements, General… more
- BayCare Health System (Clearwater, FL)
- …- Business Admin - Preferred **Credentials:** + Required - CPA (Accounting) + Or - CIA ( Internal Auditor ) + Preferred - CFE (Fraud) + Preferred - CISA (IS ... that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **Summary:** + Perform risk assessments and audit planning. + Audit… more
- Rush University Medical Center (Chicago, IL)
- …against clinical documentation, code rules and charging methodologies for internal purposes along with external audits * Works with external vendors, interfaced ... 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge… more
- UTMB Health (Galveston, TX)
- Nurse Auditor - Revenue Cycle, Patient Accounts **Galveston, Texas, United States** **New** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2404547 ... **Nurse Auditor ** **Minimum Qualifications:** RN designation with current Texas license required. Minimum of two years experience in direct patient care in hospital… more