- UPMC (Pittsburgh, PA)
- …of QA/OI department policies and procedures as needed. + Perform audit peer reviews for Clinical Auditor /Analysts. Provide new-hire training to Clinical ... UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality... care, documentation, and health plan business rules. + Provide a clinical opinion for special projects… more
- 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 ... prepare comprehensive reports. + Collaborate with research teams to provide guidance on compliance issues. + Stay updated on...clinical research. Essential Skills + 7 years of clinical research experience as a monitor/ auditor , research… more
- Elevance Health (Denver, CO)
- **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... 50 miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to… more
- Providence (WA)
- …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...This posting is for multiple openings of a Nurse Auditor , HEDIS + This position is affiliated with Providence… more
- Elevance Health (MD)
- ** Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Location: This position will work a hybrid model (remote and office). The ... insightful analytics to improve the delivery of care. The ** Clinical Provider Auditor I** is...or any combination of education and experience, which would provide an equivalent background. + Must achieve coding certification… more
- Elevance Health (Houston, TX)
- ** Clinical Provider Auditor Senior** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The ** Clinical Provider Auditor Sr** will...or any combination of education and experience, which would provide an equivalent background. + Requires coding certification (CPC,… more
- 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 ... etc.); and planning, execution, reporting, root cause analysis investigation, and closure. Provide comprehensive compliance direction to clinical study teams and… more
- Ascension Health (Wichita, KS)
- …specifics._ **Responsibilities** Develop, implement, and has oversight over the Clinical Documentation Integrity (CDI) audit plan, utilizing audit findings to ... staff feedback; implement and facilitate this training with CDI staff, physicians, clinical and ancillary staff to improve the overall quality and completeness of… more
- Molina Healthcare (Jackson, MS)
- …+ Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member ... Team (MAT), Health Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May… more
- Omaha Children's Hospital (Omaha, NE)
- …complete requests for account audits by third party agencies. The Nurse Auditor position ensures clinical documentation supports all patient billing, verifies ... and procedures. This position will complete audits to ensure that the clinical documentation contained within the patient chart supports items and services included… more
- University of Pennsylvania (Philadelphia, PA)
- …Cancer Center Department of Operations, Compliance and Monitoring (DOCM) is seeking a clinical research monitor/ auditor to support our clinical research ... or related field preferred. Minimum of seven years of experience as a clinical research monitor/ auditor , research nurse or research coordinator with at least… more
- AdventHealth (Orlando, FL)
- …protocols, informed consents, legal agreements, and budgets to accurately and timely provide builds that support the clinical , financial and compliance ... or budget. * Interacts with management and staff to provide useful information, guidance, and integrity to CTMS related... research in a related role, such as a clinical research coordinator, monitor, auditor , clinical… 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, ... and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like… more
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Risk Adjustment Provider Documentation Trainer and Auditor , you will be an expert in risk adjustment coding and ... to chronic conditions + Analyze coding patterns within medical groups. + Provide customized education and updating educational materials for providers and medical… more
- Insight Global (Houston, TX)
- …Description A large healthcare employer in Houston, TX is seeking a Physician Educator & Auditor to join their growing team. This team will consist of provider ... documentation is correct and effective from a coding and clinical perspective. The ideal candidate needs to be comfortable...to help educate them on the best practices for clinical documentation and be able to answer any questions… more
- The County of Los Angeles (Los Angeles, CA)
- HEAD CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4448498) Apply HEAD ... CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Salary $103,751.04 - $139,817.52...and monitoring contracts of public and private agencies which provide health care services for Los Angeles County. Essential… more
- UPMC (Pittsburgh, PA)
- **UPMC is hiring a full-time Senior Medical Auditor to join their Department of Pediatrics team! This position will join our Pediatrics administrative team, which ... external coding audits when requested.** As the Senior Medical Auditor , you will provides technical expertise to review staff...expertise to review staff to ensure that all physicians, clinical , billing and coding staff are adhering to all… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …and other department staff on the outcomes of the audit results and assists provider services with educational efforts + Provide feedback and process improvement ... hospital departments and committees based on analysis and trending of hospital or provider audits + Provide written explanations to patients who are questioning… more
- Lilly (Indianapolis, IN)
- …life better for people around the world. **Position Brand Description:** The Quality Auditor is part of the Global Quality Auditing and Compliance (GQAAC) division ... of internal and external audits in support of pharmaceutical development, non- clinical and clinical research, product commercialization, pharmacovigilance and… more
- 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...like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our… more