- Molina Healthcare (Jackson, MS)
- …+ 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
- Providence (Beaverton, OR)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for conducting ... clinical quality audits for the Quality Department + Identify...Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence… more
- Medical Mutual of Ohio (OH)
- …RN experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** ** Clinical Auditor ** + **Audits outpatient, inpatient and ... recovery staff.** + **Performs other duties as assigned.** **Sr Clinical Auditor ** + **Audits outpatient, inpatient and...keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
- Vanderbilt University Medical Center (Nashville, TN)
- …* Conducts audits to ensure accurate and complete data for the clinical documentation improvement program. Advises staff with regards to clinical ... correct diagnosis and procedure codes. * Identifies areas for improvement for clinical documentation workflow, clinical query compliance, data integrity and… 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 ... Corporate Services Department:Internal Audit Location: System Business Office, 2 Crescent...risks to the organization. Work assigned to the Internal Auditor Senior II will often be well-defined but may… more
- Fallon Health (Worcester, MA)
- …is continually rated among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences, life ... auditing risks identified in the organization. The Senior Internal Auditor plays a key role in implementing the annual...Plan, including areas such as Compliance, IT and Care Services . + Develop audit programs to identify areas of… more
- Providence (OR)
- **Description** **Revenue Cycle Auditor RN \* Remote * Candidates residing in AK, WA, MT, OR, CA, TX or NM are encouraged to apply.** The Nurse Auditor is ... a Bachelor's Degree - Nursing. + 5 years - Clinical experience in an acute care setting. + 3...Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence… more
- Fallon Health (Worcester, MA)
- …is continually rated among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences, life ... of audits following departmental standards and procedures. **The Internal Auditor will perform or assist in the following:** +...plans by working under the direction of the Lead Auditor or Audit Manager. + Prepare detailed work papers… more
- Rising Medical Solutions (Chicago, IL)
- …born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment. Join ... compliance, over-utilization, and erroneous charges. We pride ourselves on outstanding customer service and work hard to keep our impeccable reputation in the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …diversity and excellence of our academic community. **Description** Performs audits of clinical trials to ensure compliance with federal and state laws and ... policies and procedures relating to conduct and practices within Clinical Trials. JOB DESCRIPTION: + Conducts audits to assure...the study team. + When noncompliance is found, the auditor works with the study team to identify root… more
- ThermoFisher Scientific (Greenville, NC)
- …role? + Conducts and/or leads a variety of client-requested GCP audits ( clinical sites globally), site inspection readiness visits and regulatory inspections support ... QA audits or activities (eg, documentation review, database audits, clinical study report audits, SOP development support). + Leads...+ Leads process audits and may participate as a co- auditor in more complex system audits + Performs other… more
- Houston Methodist (Austin, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... and provides good feedback during coding section meetings, coding education in- services , and coder/CDMP meetings. Takes initiative to assist others and shares… more
- BayCare Health System (GA)
- …7:00 AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member must currently reside ... Team Member who is passionate about providing outstanding customer service to our community. We are looking for an...the Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the State of Florida, Georgia,… more
- Elevance Health (Roanoke, VA)
- …-first lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Internal Auditor ** is responsible for driving service quality excellence by ... **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… 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
- University of Michigan (Ann Arbor, MI)
- …capture or redesigning templates. + Identify documentation trends to be shared with clinical services and physician advisors for clinician education. + Prepare ... DRG Compliance Auditor (DCA) Apply Now **Job Summary** Review and...guidelines set by the Centers for Medicare & Medicaid Services and the American Hospital Association. Provide ongoing feedback… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. ** Remote Opportunity** **Full Time - Days** ... **Summary** The 340B Auditor is responsible for the auditing and monitoring of...Program for compliance with federal requirements/guidelines. This position will service locations as assigned by the 340B Program Manager… more
- AdventHealth (Maitland, FL)
- **Coding Auditor Outpatient** **Top Reasons to work at AdventHealth** **Orlando** * Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth ... one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000...125,000 outpatients each year **Work Hours:** + Full Time Remote **You Will Be Responsible For:** + Performs quality… 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, ... Revenue Cycle 1.0 FTE, 8 Hour Day Shift, Onsite-Not Remote At Stanford Children's Health, we know world-renowned care begins with world-class caring. That's why we… more
- ICON Clinical Research (Salt Lake City, UT)
- …business needs. AUDITING Responsibilities: * Plan and conduct regular internal audits of clinical research unit and/or early phase CRO service , contract audits ... Quality Assurance Auditor II - US, Salt Lake City, UT Hybrid: Office/ Remote ICON plc is a world-leading healthcare intelligence and clinical research… more