• Director of Clinical Denials Management…

    BrightSpring Health Services (Louisville, KY)
    …of Clinical Denials Management and Audit supervises a team of RN/LPN clinical reviewers as well as Support staff managing all areas of clinical ... training, and ensure the denial department provides subject matter expertise around clinical denial management. This position will also support detailed level… more
    BrightSpring Health Services (11/22/24)
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  • Director Revenue Cycle Inpatient Clinical

    Henry Ford Health System (Detroit, MI)
    *The Director Revenue Cycle Inpatient Clinical Documentation Improvement & Payer Audit is a Remote OR Hybrid role with Henry Ford Health (HFH). Our HFH office ... Improvement (CDI) Program Director to provide concentrated daily oversight of Inpatient Clinical Documentation Improvement and Payer Audit teams. The Program… more
    Henry Ford Health System (11/05/24)
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  • Head of Quality Audit

    ThermoFisher Scientific (Waltham, MA)
    …monitor compliance across all company organization. + Lead, mentor and develop a high-performing quality audit team to support both internal and external ... stakeholders, driving change management, and implementing a robust, effective, and strong quality audit framework. **How you will make an impact:** Becoming… more
    ThermoFisher Scientific (11/15/24)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Nashville, TN)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Coding Quality Audit Reviewer with Work from Home you can be a part ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...our organization. We are looking for an enthusiastic Coding Quality Audit Reviewer to help us reach… more
    HCA Healthcare (11/21/24)
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  • Consumer Products Assurance Audit Manager…

    Eurofins (Lancaster, PA)
    …managing executions in the region and participating as a member of the global audit management team to support audit activities across global markets. ... support inquiries and provides subject matter expertise to support audit service delivery in key execution...of social compliance auditors consistent with APSCA requirements + Support application of global quality and integrity… more
    Eurofins (11/11/24)
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  • QI Nurse - Document Audit Specialist - Home…

    Children's Mercy Kansas City (Kansas City, MO)
    …and regulatory requirements as they pertain to clinical services. The Quality Improvement Nurse - Documentation Audit Specialist is accountable and ... children beyond the walls of our hospital. Overview The Quality Improvement Nurse - Documentation Audit Specialist,...responsible for clinical audit review that supports TJC and CMS requirements and… more
    Children's Mercy Kansas City (11/13/24)
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  • Senior Internal Auditor - Internal Audit

    Penn State Health (Hershey, PA)
    …Central PA **SUMMARY OF POSITION:** Penn State Health is transforming its Internal Audit Function and seeking passionate and talented individuals to join our team. ... and maintains the highest levels of professionalism and confidence. In addition to audit work, the Senior Internal Auditor will work closely with department and… more
    Penn State Health (10/29/24)
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  • IT Internal Audit Intern - Summer

    Charles River Laboratories (Wilmington, MA)
    …development. Charles River also provides a suite of products and services to support our clients' clinical laboratory testing needs and manufacturing activities. ... about. **Job Summary** We are seeking an **IT Internal Audit Intern** for our Corporate site to be located...locations. + Follow established standards to document workpapers in support of engagements. + Participate in interviews of key… more
    Charles River Laboratories (11/17/24)
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  • Director, Internal Audit

    Bon Secours Mercy Health (Columbia, SC)
    …audits according to the audit plan and develops appropriate documentation to support audit work performed. + Measures and tracks the results of audits ... Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are… more
    Bon Secours Mercy Health (08/30/24)
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  • Associate Director, Risk Adjustment Audit

    CenterWell (Tallahassee, FL)
    …+ Establish relationship with post-visit/offshore coding leadership. + Develop continuous quality improvement initiatives to support improved documentation and ... and help us put health first** The Associate Director, Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, & HCPCS codes that are… more
    CenterWell (10/30/24)
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  • Internal Audit Intern - Summer

    Charles River Laboratories (Wilmington, MA)
    …development. Charles River also provides a suite of products and services to support our clients' clinical laboratory testing needs and manufacturing activities. ... passionate about. **Job Summary** We are seeking an **Internal Audit Intern** for our Corporate site to be located...locations. + Follow established standards to document workpapers in support of engagements. + Participate in interviews of key… more
    Charles River Laboratories (11/17/24)
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  • Fraud Waste and Abuse (FWA) Audit Manager

    Fallon Health (Worcester, MA)
    …among the nation's top health plans for member experience, service, and clinical quality . We believe our individual differences, life experiences, knowledge, ... summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical records pertaining to FWA… more
    Fallon Health (11/09/24)
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  • Audit and Appeals Specialist

    UCLA Health (Los Angeles, CA)
    …Leverage your expertise to support UCLA Health's commitment to accuracy and quality in claim processing. As an Audit and Appeals Specialist, you will: ... addressing billing standards, regulatory updates, and potential operational gaps + Support reporting on audit trends, outcomes, and compliance initiatives… more
    UCLA Health (11/06/24)
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  • QA Consultant - GCP Compliance for FDA…

    System One (Durham, NC)
    …an experienced QA Consultant to assist a biotech company in preparing for an FDA audit with a strong focus on Good Clinical Practice (GCP) compliance. The ideal ... + Conduct mock audits and prepare teams for potential audit scenarios. + Review clinical trial data,...processes, and vendor qualifications for adherence to GCP. + Support the company in compiling and organizing audit more
    System One (10/12/24)
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  • ROI & Audit Technician

    Cambridge Health Alliance (Everett, MA)
    ROI & Audit Technician Apply Refer a Friend Back **Date Posted:** 08/08/2024 **Requisition Number:** 8239 **Location:** CHA Everett Hospital **Work Days:** 8:30 AM ... to 5PM **Category:** Clerical and Administrative Support **Department:** Health Information Management **Job Type:** Full time **Work Shift:** Day **Hours/Week:**… more
    Cambridge Health Alliance (11/01/24)
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  • Mgr., Internal Audit / Office of Compliance…

    Children's Hospital Los Angeles (Los Angeles, CA)
    …care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a ... Summary:** Responsible for organizing, coordinating, conducting, and leading the internal audit activities of CHLA to ensure compliance with hospital policies,… more
    Children's Hospital Los Angeles (11/07/24)
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  • Accreditation and Audit Director - Hybrid…

    Fallon Health (Worcester, MA)
    …among the nation's top health plans for member experience, service, and clinical quality . We believe our individual differences, life experiences, knowledge, ... from the Vice President and Senior Medical Director of Quality and Population Health, the Director of Accreditation and... and Population Health, the Director of Accreditation and Audit ensures that the health plan is compliant with… more
    Fallon Health (11/02/24)
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  • Supervisor- Audit , Education Analyst…

    Henry Ford Health System (Troy, MI)
    The Audit , Education, Analytics, & Technology Supervisor, in conjunction with physicians, coders, and clinical staff, will utilize documentation and coding ... expertise to facilitate the quality and completeness of medical record documentation of outpatient...will be documentation that accurately and completely captures the clinical picture/severity of illness/complexity of the patient while providing… more
    Henry Ford Health System (10/24/24)
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  • Associate Director, Global Clinical

    Teva Pharmaceuticals (West Chester, PA)
    Associate Director, Global Clinical Quality Date: Nov 21, 2024 Location: West Chester, United States, Pennsylvania, 19380 Company: Teva Pharmaceuticals Job Id: ... with. **The opportunity** As a leader in the Global Clinical Quality department, serves a critical role...compliance issues that may affect multiple projects. + Independently review/ audit clinical trial related documents. + Complete… more
    Teva Pharmaceuticals (11/22/24)
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  • Senior Manager, Clinical Quality

    United Therapeutics (Silver Spring, MD)
    …**How you'll contribute** This role is responsible for the management and execution of clinical quality oversight activities in support of the organization's ... policies and procedures. This role shall interact closely with clinical project team members to provide compliance support...office and 2 days/week work from home. + Develop Clinical Quality Assurance (CQA) Standard Operating Procedures… more
    United Therapeutics (10/12/24)
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