- Ascension (Wichita, KS)
- …department, including performing concurrent and retrospective reviews of the medical records , utilizing evidence-based knowledge, protocols, and documentation ... additional specifics.Responsibilities Develop, implement, and has oversight over the Clinical Documentation Integrity (CDI) audit plan, utilizing audit findings to… more
- Ascension (Austin, TX)
- …department, including performing concurrent and retrospective reviews of the medical records , utilizing evidence-based knowledge, protocols, and documentation ... additional specifics.Responsibilities Develop, implement, and have oversight over the Clinical Documentation Integrity (CDI) audit plan, utilize audit findings to… more
- UPMC (Pittsburgh, PA)
- …revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records , creates, maintains, and analyzes ... UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality...of audit findings. **Responsibilities:** + Review and analyze claims, medical records and associated processes related to… more
- Actalent (Philadelphia, PA)
- …Qualifications + Nursing degree (RN/BSN) or BSN/MSN. + Strong understanding of medical records /patient charts organization and terminology. + Detail-oriented and ... Job Title: Clinical Research Auditor Job Description We...regulatory affairs and quality control standards. + Maintain detailed records of audits and prepare comprehensive reports. + Collaborate… more
- Elevance Health (Morristown, NJ)
- …Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Providence (WA)
- …Set (HEDIS) program + Conduct Audits, which include review of outpatient medical records , hospital records , clinical lab and pharmacy records + ... must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** +...prior to performing chart abstractions + Maintain all collected records in a confidential manner + Perform all duties… 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, ... defend external coding audits when requested.** As the Senior Medical Auditor , you will provides technical expertise...expertise to review staff to ensure that all physicians, clinical , billing and coding staff are adhering to all… more
- Elevance Health (MD)
- ** Clinical Provider Auditor I** **Supports Payment...control. + Reviews and conducts analysis of claims and medical records prior to payment and uses ... and depression, and insightful analytics to improve the delivery of care. The ** Clinical Provider Auditor I** is responsible for identifying issues and/or… 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)
- …documentation quality reviews of coded ambulatory services and professional fee assignment of medical records to verify the accuracy and specificity of assigned ... Contract to Hire **Job # 24415 Coding Auditor /Educator** **A** **cclivity Healthcare - Your personable, proven...well as to enhance knowledge and skills - Review medical records for appropriate diagnosis/EM/CPT/HCPCS codes and… more
- Ascension Health (Wichita, KS)
- …department, including performing concurrent and retrospective reviews of the medical records , utilizing evidence-based knowledge, protocols, and documentation ... specifics._ **Responsibilities** Develop, implement, and has oversight over the Clinical Documentation Integrity (CDI) audit plan, utilizing audit findings to… more
- 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 ... itemized charges versus the patient medical record and other applicable hospital documentation, assigning modifiers...staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works directly with revenue… more
- Rising Medical Solutions (Chicago, IL)
- …by giving clients the information they need to determine case value based on evaluation of medical records and medical billing statements, and will: + Audit ... business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor...medical and billing records to determine if services provided are reasonable, appropriate… more
- TEKsystems (Jacksonville, FL)
- …of medical coding practices within the organization. This role involves auditing medical records , coding data, and billing information to verify adherence to ... The Outpatient Medical Coding Auditor - is responsible...standards and requirements. Key Responsibilities to include: + Audit Medical Records : Review and audit medical… more
- Johns Hopkins University (Baltimore, MD)
- …billing requirements. Using auditing and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers ... We are seeking a **Sr. Compliance Auditor ** **Trainer** who will provide on-going training and...medical record documentation standards and requirements related to clinical services billing. + Keeps current with third party… more
- Omaha Children's Hospital (Omaha, NE)
- …concurrent reviews of all selected discharges by reconciling billed charges to clinical records , making appropriate corrections based on results and ... for account audits by third party agencies. The Nurse Auditor position ensures clinical documentation supports all...to ensure that all information utilized in patient accounts, medical records and billings is accurate and… more
- Henry Ford Health System (Troy, MI)
- …preferred. * Knowledge of medical coding (facility and professional), related medical terminology, use of medical records , billing claim forms, ... Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding, charge entry,… 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 ... Meridian** **_Health_** includes: + Performs data quality reviews on Inpatient Clinical Documentation Improvement (CDMP) records . + Validates the (International… more
- State of Colorado (Denver, CO)
- …II- Quality Assurance Policy Specialist/ Auditor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4713263) Apply Health Professional ... II- Quality Assurance Policy Specialist/ Auditor Salary $57,564.00 - $80,592.00 Annually Location Denver, CO...development and maintenance of policy and procedure, and maintaining records for the division. The goal of the QA… more
- Providence (OR)
- …Set (HEDIS) program + Conduct Audits inclusive of review of outpatient medical records , hospital records , clinical lab and pharmacy records + ... them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting... auditing experience + 3+ years' experience with extracting clinical data points from medical records… more
