• Intermediate Clinical Auditor

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday ... Pittsburgh's US Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance and… more
    UPMC (11/01/24)
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  • Clinical Research Auditor

    Actalent (Philadelphia, PA)
    Job Title: Clinical Research Auditor Job Description We are seeking a highly experienced Clinical Research Auditor with a minimum of 7 years of ... candidate will have a deep understanding of human subjects clinical research and the principles of conducting compliance...clinical research. Essential Skills + 7 years of clinical research experience as a monitor/ auditor , research… more
    Actalent (11/19/24)
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  • Sr Auditor , Clinical Trials

    MicroVention, Inc. (Aliso Viejo, CA)
    **12071BR** **Title:** Sr Auditor , Clinical Trials **Job Description:** Provide support to all aspects of the Clinical Quality Assurance (CQA) function ... execution, reporting, root cause analysis investigation, and closure. Provide comprehensive compliance direction to clinical study teams and cross-functional… more
    MicroVention, Inc. (10/12/24)
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  • Sr. Compliance Auditor Trainer

    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 ... of both people and functions within the department, the Clinical Practice Association and JHHS Compliance Office....five years of related experience. Classified Title: Sr. Billing Compliance Auditor Job Posting Title (Working Title):… more
    Johns Hopkins University (10/15/24)
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  • Social Compliance Lead Auditor

    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
    Eurofins (11/19/24)
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  • Clinical Provider Auditor II

    Elevance Health (Columbus, OH)
    ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
    Elevance Health (11/13/24)
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  • Senior Medical Auditor - Pediatrics (Work…

    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
    UPMC (11/17/24)
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  • Research Compliance Auditor

    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
    Hackensack Meridian Health (09/19/24)
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  • Sr Coding Compliance Auditor

    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
    Catholic Health Initiatives (10/25/24)
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  • Head Contract Program Auditor / Emergency…

    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
    The County of Los Angeles (11/16/24)
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  • Professional Coding Compliance

    Emory Healthcare/Emory University (Atlanta, GA)
    …mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education ... development and delivering educational and training programs for professional billing and clinical compliance based on the latest Federal and State regulations… more
    Emory Healthcare/Emory University (11/14/24)
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  • Director, Quality Assurance Compliance

    Gilead Sciences, Inc. (Foster City, CA)
    …Supplier Quality Management and Audits, within the Global Quality Systems & Compliance department. The role is highly visible, offer tremendous growth potential, and ... or testing, software, warehouse / distribution in support of Gilead's clinical and commercial oral and parenteral dosage formulations and associated medical… more
    Gilead Sciences, Inc. (09/30/24)
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  • Coding Auditor /Educator

    Health Advocates Network (Phoenix, AZ)
    Contract to Hire **Job # 24415 Coding Auditor /Educator** **A** **cclivity Healthcare - Your personable, proven partner!** Since 1999, Acclivity Healthcare has served ... the value of better talent. **Compensation and Schedule for the Coding Auditor /Educator** Coding Auditor /Educator - Full-time, work-from-home, $33-$37 per hour,… more
    Health Advocates Network (11/16/24)
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  • Lead Clinical Documentation Auditor

    Vanderbilt University Medical Center (Nashville, TN)
    …of correct diagnosis and procedure codes. * Identifies areas for improvement for clinical documentation workflow, clinical query compliance , data integrity ... * Conducts audits to ensure accurate and complete data for the clinical documentation improvement program. Advises staff with regards to clinical more
    Vanderbilt University Medical Center (11/22/24)
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  • CDM Analyst RI Auditor

    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
    Chesapeake Regional Healthcare (10/26/24)
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  • QA Supplier Lead Auditor

    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
    Fujifilm (10/05/24)
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  • Revenue Integrity Auditor RN

    HCA Healthcare (Nashville, TN)
    …Nurse Auditor evaluates medical record documentation for evidence of clinical information to support charges, observation hours, status orders, charge orders ... hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part...to obtain missing documentation when applicable. Ability to associate clinical and coding information to national and local coverage… more
    HCA Healthcare (10/10/24)
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  • Diagnosis Related Group Auditor

    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
    Hackensack Meridian Health (09/06/24)
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  • RN Auditor Clinical Appeals…

    HonorHealth (Scottsdale, AZ)
    …urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, ... Learn more at HonorHealth.com. Responsibilities Job Summary Performs post payment clinical auditing in defense of hospital charges. This position audits patient… more
    HonorHealth (11/20/24)
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  • Nurse Auditor / Revenue Cycle, FT, Mon…

    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
    Omaha Children's Hospital (10/04/24)
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