- Elevance Health (MD)
- ** Clinical Provider Auditor Senior ** **Supports Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor Senior ** is responsible… 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 ... 1-2 days/week WFH **Compensation:** $100k-125k/yr **Schedule:** 1 st shift, M-F **SUMMARY** The Senior QA Auditor is responsible for carrying out systematic and… 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, ... help defend external coding audits when requested.** As the Senior Medical Auditor , you will provides technical...expertise to review staff to ensure that all physicians, clinical , billing and coding staff are adhering to all… more
- TEKsystems (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 ... As the Nurse Auditor & Hospital Coder If you're ready to...committees based on analysis and trending of hospital or provider audits + Provide written explanations to… more
- RWJBarnabas Health (Oceanport, NJ)
- FT Internal Auditor Senior II, Full time, Hybrid, Oceanport, NJReq #:0000158945 Category:Professional / Management Status:Full-Time Shift:Day ... risks to the organization. Work assigned to the Internal Auditor Senior II will often be well-defined...other certifications are preferred. Skills: + The ability to provide for the confidential treatment of all communications and… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …nature, level and purpose of the job. The Senior Charge Capture Auditor works closely with clinical departments to ensure compliance with government, payer, ... 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
- The County of Los Angeles (Los Angeles, CA)
- …(2) years' experience at the level of the County of Los Angeles class of Senior Contract Program Auditor **. PHYSICAL CLASS: Physical Class II - Light: This class ... and monitoring contracts of public and private agencies which provide health care services for Los Angeles County. Essential...agencies with public contracts. **Experience at the level of Senior Contract Program Auditor in the County… more
- IQVIA (Durham, NC)
- By joining us as a ** Senior ** **QA Auditor ,** you will support global investigations and CAPA processes at IQVIA. This will include Quality Issue investigations ... new experiences. + Attractive benefits package. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence… 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
- Ascension Health (Wichita, KS)
- …the offer._ **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
- Lilly (Indianapolis, IN)
- …to analyze detailed technical scientific information, while understanding the bigger picture. The senior auditor should be able to clearly identify and assess ... Brand Description:** The Sr. Principal Associate - Quality Due Diligence Assessment Auditor (QDDA) is part of the Global Quality Auditing and Compliance (GQAAC)… 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 ... School of Medicine's Quality Assurance Compliance Program. Prepares reports for the Senior Director, Director, and clinical departments regarding the status or… 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
- IQVIA (Ithaca, NY)
- …to help make the extraordinary possible! IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence ... We are seeking a **Quality Assurance Auditor 1** to join IQVIA Laboratories in our...specific audit tasks under the direct supervision of more senior QA staff. **What you'll be doing:** + Assisting… more
- IQVIA (Durham, NC)
- …to help make the extraordinary possible! IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence ... **We are seeking a Quality Assurance Auditor 1 to IQVIA's Laboratory's at Durham, North...specific audit tasks under the direct supervision of more senior QA staff. **What you'll be doing:** + Assist… more
- Ascension Health (Austin, TX)
- …specifics._ **Responsibilities** Develop, implement, and have oversight over the Clinical Documentation Integrity (CDI) audit plan, utilize 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …to reach new heights in your career and be what you want to be. We provide : + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & ... that ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/ clinical billing compliance activities to assess compliance with the… more
- Healthfirst (NY)
- …classification, trending, and remediation. + Record/track quality assessment scores and provide feedback to reduce errors and improve processes and performance to ... resolved in a compliant manner. + Present results of investigations to senior staff and prepare written reports concerning investigation activities. + Subsequent… more
- University of Pennsylvania (Philadelphia, PA)
- …of health and wellness programs and resources, and much more. Posted Job Title Clinical Research Monitoring Specialist Senior (Cancer Center) Job Profile Title ... Clinical Research Monitoring Specialist Senior Job Description Summary The Abramson Cancer Center Department...of Operations, Compliance and Monitoring (DOCM) is seeking a clinical research monitor/ auditor to support our … more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Senior Data Quality/Integrity Engineer understands end-to-end data processes and flows and uses that ... on the Quality Systems Integration (QSI) team, the QSI Senior Data Quality / Integrity Engineer will leverage their...Data Quality / Integrity Engineer will leverage their Humana, clinical data, market, and healthcare expertise to develop and… more