- Actalent (Philadelphia, PA)
- …Title: Clinical Research AuditorJob Description We are seeking a highly experienced Clinical Research Auditor to join our team. The ideal candidate will have ... This role requires a strong understanding of human subjects clinical research and the principles of conducting compliance...data. Essential Skills + Minimum of 7 years of clinical research experience as a monitor/ auditor , research… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a **_Sr. Compliance Auditor Trainer_** who will provide on-going training and support to physicians, non-physician providers, professional fee ... years of experience. + Additional coding certifications. Classified Title: Sr. Billing Compliance Auditor Job Posting Title (Working Title): Sr. Compliance… more
- Eurofins (Des Moines, IA)
- …substances and products. The core responsibility of the Consumer Products Assurance Social Compliance Lead Auditor will be to execute assigned social ... forensics, advanced material sciences and in the support of clinical studies, as well as having an emerging global...clients - primarily in the US. As a lead auditor , the role will involve managing and developing social… more
- Elevance Health (Hanover, MD)
- ** Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Lo_ _cation: This is a field position expected to be in clinic 60% of the ... insightful analytics to improve the delivery of care. The ** Clinical Provider Auditor I** is responsible for...will you make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The Research Compliance Auditor is a key contributor to HMH's Research Compliance ... compliance with applicable policies, regulations, and best practices. The Research Compliance Auditor is also responsible for identifying and developing… more
- Robert Half Accountemps (Los Angeles, CA)
- …Hospital near Los Angeles is seeking a detail-oriented and experienced Medical Clinical Trial Claims Auditor . This role involves meticulous oversight and ... auditing of claims related to our clinical trials to ensure compliance with contract terms, federal regulations, and guidelines. The ideal candidate will be… more
- Catholic Health Initiatives (Chattanooga, TN)
- …connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding ... are met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to...assist with educating providers on quality opportunities as well. Clinical background preferred but not required. **Essential Key Job… more
- UPMC (Pittsburgh, PA)
- …update or discuss unique audit findings and recommendations as requested by the Compliance Manager. It is the Auditor 's responsibility to seek out meetings ... expertise to review staff to ensure that all physicians, clinical , billing and coding staff are adhering to all... Auditor , Junior Medical Auditor and Auditor Analyst as required or as requested Compliance… more
- The County of Los Angeles (Los Angeles, CA)
- …Contract Program Auditor * monitoring and evaluating health services contracts for compliance , two (2) years' of which experience must have been in a supervisory ... Program Auditor * monitoring and evaluating health services contracts for compliance . If you do not have this experience please indicate "Not Applicable".… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ensure ... or training opportunities related to audit trends to the clinical operational teams + Coordinate special compliance ...past 3 years + Experience as a Utilization Management Auditor + Health Plan experience working with large carriers… more
- Kelly Services (Scott Township, PA)
- Kelly(R) Science & Clinical is seeking **a Senior QA Auditor ** for **a direct hire, permanent** position at cutting-edge clinical research and ... all disciplines (examples of disciplines include Method Validations, Non- Clinical GLP Studies). + Performs in-life audits, process audits,...facility audits to ensure that the facility is in compliance with regulations. + Acts as lead auditor… more
- Lilly (Indianapolis, IN)
- …Brand Description:** The Sr. Principal Associate - Quality Due Diligence Assessment Auditor (QDDA) is part of the Global Quality Auditing and Compliance ... of internal and external audits in support of pharmaceutical development, non- clinical and clinical research, product commercialization, pharmacovigilance and… more
- Novant Health (Wilmington, NC)
- Job Summary The Clinical Research Quality Assurance/Education Coordinator is a clinical research professional working under the direction of the Supervisor ... Clinical Research Quality Assurance/Education to ensure quality assurance activities...research with a keen focus on ethics, safety, quality, compliance , and stewardship. This is an onsite position requiring… more
- Molina Healthcare (Reno, NV)
- …Team (MAT), Health Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. ... + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member… more
- TEKsystems (Chesapeake, VA)
- …With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/CDM Analyst is responsible for performing audits of itemized ... billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/CDM Analyst works directly with revenue producing departments regarding… 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 ... staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works directly with revenue...to communicate effectively verbally and in written format to clinical and non- clinical staff and individuals +… more
- Fujifilm (College Station, TX)
- …integral member of the Global Supplier Quality Management team, the Supplier Quality Auditor Lead will be responsible for managing and leading the Supplier auditors ... in support of supplier integrity and oversight. The Supplier Quality Auditor Lead is responsible forsupporting all associated supplier quality management and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/ clinical ... and coding. **Primary duties and responsibilities:** + Prepares and oversees inpatient hospital/ clinical billing and coding components of the Compliance work… more
- Hackensack Meridian Health (Hackensack, NJ)
- …The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for compliance with billing ... compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in filing… more
- Omaha Children's Hospital (Omaha, NE)
- …requirements. The Nurse Auditor will work collaboratively within Revenue Cycle, Compliance and Clinical departments to ensure the capturing of appropriate ... 3 days post discharge to ensure accuracy and in compliance with regulatory requirements, hospital and system policies and...for account audits by third party agencies. The Nurse Auditor position ensures clinical documentation supports all… more
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