- Baylor Scott & White Health (Dallas, TX)
- …vary based on position type and/or level **Job Summary** In this job, as a Clinical Auditor RN, you'll perform charge capture accuracy audits by reviewing and ... and provide counsel to Revenue Integrity team members and/or clinical departments/functions. + Documents and tracks audit findings for account corrections and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the ... financial health and compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the… more
- Elevance Health (Los Angeles, CA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... an accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records… more
- Elevance Health (Los Angeles, CA)
- ** Clinical Quality Auditor Lead** Must Have An Active Clinical License.** Location: **Virtual** - This role enables associates to work virtually full-time, ... 4:30 pm Or 9 am to 5:30 pm** The ** Clinical Quality Auditor Lead** is responsible for...Writes policies and procedures and assists with development of provider manuals, audit tools, and guidelines. + Responsible for… more
- UNC Health Care (Chapel Hill, NC)
- …from entity to entity across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during ... we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or… more
- Insight Global (Plano, TX)
- …years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN RHIT or ... DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on… 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
- Catholic Health (Buffalo, NY)
- …consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for reporting. The Auditor /Educator will monitor ... with coding conventions, billing rules and Federal and State regulations. The Auditor /Educator will also provide timely education and feedback for Clinicians,… more
- Elevance Health (Atlanta, GA)
- **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the ... providers through prepayment claims review, post payment auditing, and provider record review. **How you will make an impact:**...AS in nursing and minimum of 4 years of clinical nursing experience; or any combination of education and… more
- Actalent (Paramus, NJ)
- Job Title: GCP Auditor /Senior Auditor , Quality Assurance The GCP Quality Assurance Auditor /Senior Auditor will play a crucial role in ensuring compliance ... will conduct both internal and external GXP audits and provide day-to-day support to the GXP QA Director in... day-to-day support to the GXP QA Director in clinical operations, non- clinical , and manufacturing processes. This… more
- Hartford HealthCare (Hartford, CT)
- …become part of Connecticut's most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office of Compliance and ... Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or...billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal,… more
- Kelly Services (Lancaster, SC)
- **Quality Assurance Auditor ** **Location: Lancaster, South Carolina** **Schedule: Monday-Friday 8:30am-5pm** **Salary: $70,000-$95,000/year with a discretionary ... work up to 12% of YTD earnings** **Position Summary** The Quality Assurance Auditor plays a key role in supporting and maintaining internal compliance programs to… more
- Elevance Health (Chicago, IL)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on… more
- Elevance Health (Norfolk, VA)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
- Northwell Health (Lake Success, NY)
- **Req Number** 174853 Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in ... make a real impact? FlexStaff is seeking a dynamic, detail-oriented Lead Compliance Auditor to join our client's team and lead the charge in safeguarding healthcare… more
- Integra LifeSciences (Princeton, NJ)
- …status of the facilities audited. This role as a Subject Matter Expert (SME), will provide internal consultancy on area(s) of expertise to the audit team as well as ... initiatives as a representative of Global quality organization. + Provide review and support to individuals, working groups or...GLP or GCP (as applicable) audits as a Lead Auditor for multi-national manufacturing companies in the medical devices… more
- Cedars-Sinai (Los Angeles, CA)
- …America's Best Hospitals. **What will I be doing in this role?** The Coding Auditor works under the general direction of the Coding Supervisor. A Coding Auditor ... and external partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM), and Compliance Revenue… more
- Northwell Health (Lake Success, NY)
- **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in ... Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and… more
- Rush University Medical Center (Chicago, IL)
- …on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and ... charge capture to solve complex charging scenarios, provide education and assistance to operational departments, support fellow team members, and develop… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare ... include E/M, procedure, and ICD-10 reviews, as well as any needed provider or staff education. Also provides consulting services to the organization's management… more
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