- Elevance Health (MD)
- ** Clinical Provider Auditor Senior - Maryland Behavioral Health** **Supports Payment Integrity & Behavioral Health** _Location: This position will work a ... insightful analytics to improve the delivery of care. The ** Clinical Provider Auditor Senior...or any combination of education and experience, which would provide an equivalent background. + Requires coding certification (CPC,… 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
- Medical Mutual of Ohio (OH)
- …RN experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** ** Clinical Auditor ** + **Audits outpatient, inpatient and ... with payment recovery staff.** + **Performs other duties as assigned.** **Sr Clinical Auditor ** + **Audits outpatient, inpatient and professional claims from… 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
- Fallon Health (Worcester, MA)
- …Committee and plays a key role in auditing risks identified in the organization. The Senior Internal Auditor plays a key role in implementing the annual audit ... nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences,...plan. The Senior Internal Auditor conducts audits and related… more
- Penn State Health (Hershey, PA)
- …environment, we would love to meet you and explore the possibilities together! As a Senior Internal Auditor at PSH, you will be actively engaged in utilizing ... professionalism and confidence. In addition to audit work, the Senior Internal Auditor will work closely with...with the organization's strategic vision, mission and values. + Provide insight into organizational risk areas and participate in… 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 ... 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
- 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
- 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
- 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
- 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
- Gilead Sciences, Inc. (Foster City, CA)
- …or testing, software, warehouse / distribution in support of Gilead's clinical and commercial oral and parenteral dosage formulations and associated medical ... for resolution. + Promote, awareness across the biologics commercial and clinical manufacturing platform(s) of current regulatory agency requirements and trends and… more
- CVS Health (Tallahassee, FL)
- …**Position Summary** Responsible for performing audit and abstraction of medical records ( provider and/or vendor) to identify and submit ICD-10 codes that are ... purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and… more
- Ascension Health (Glendale, WI)
- …accuracy of billing through verification of coding, billing and supporting clinical documentation. + Coordinate all activities associated with insurance carrier ... and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything… 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
- Molina Healthcare (Seattle, WA)
- …and monitoring for key performance measurement activities. **Knowledge/Skills/Abilities** The Senior Specialist, Provider Engagement contributes to one or ... healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs… more
- University of Maryland, Baltimore (Baltimore, MD)
- …financial and budgetary reports to ensure timely and effective decision making by senior department management. * Provide general direction and leadership for ... Department of Pathology is now recruiting for a Director, Finance for Clinical Department.* This position providesoversight of the funds for business activities,… more
- Stanford University (Stanford, CA)
- …seeking a Senior Research Finance Administrator to support 30 faculty clinical faculty (including Clinical Educators and Instructors) with all financial ... Senior Research Finance Administrator **School of Medicine, Stanford,...disease. This is done through discovery (research), education, and clinical care. You will be working with an unparalleled… more