- Medical Mutual of Ohio (OH)
- …experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Medicare Clinical Auditor ** + **Audits outpatient, inpatient and ... payment recovery staff.** + **Performs other duties as assigned.** **Senior Medicare Clinical Auditor ** + **Audits outpatient, inpatient and professional claims… more
- Elevance Health (Morristown, NJ)
- … Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… more
- Fujifilm (College Station, TX)
- …an integral member of the Global Supplier Quality Management team, the Supplier Quality Auditor Lead will be responsible for managing and leading the Supplier ... schedule in support of supplier integrity and oversight. The Supplier Quality Auditor Lead is responsible forsupporting all associated supplier quality… more
- IQVIA (Cary, NC)
- **Job Profile Summary** This Sr QA Auditor will work with IQVIAs wholly owned subsidiary and laboratory division, Q2 Lab Solutions. Q2 Solutions is a leading global ... clinical trial laboratory services organization providing comprehensive testing, project management, supply chain, biorepository and specimen management, and … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …practices that indicate areas of heightened risk. + Serves as primary lead for inpatient hospital/ clinical billing compliance education including auditing, ... relationships with internal coders and managers and 3rd party clinical reviewers. + Leads training on proper documentation... clinical reviewers. + Leads training on proper documentation for inpatient hospital/ clinical billing and coding… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …and Provider Network Executives, the **Quality and Risk Adjustment - Provider Clinical Consultant (PCC)** works directly with providers to evaluate, recommend, and ... improved outcomes that focus on keeping Premera members healthy. The Provider Clinical Consultant will work directly and build relationships with care providers;… more
- Molina Healthcare (Ypsilanti, MI)
- …activities such as NCQA reviews, CAHPS and state audits by reviewing clinical documentation . **JOB QUALIFICATIONS** **Required Education** Bachelor's degree in ... or Quality Reporting. Quality Intervention / QI Compliance + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and… more
- Beth Israel Lahey Health (Boston, MA)
- …the clinical research are recovered.Negotiate Indirect Costs at approved rates for Clinical Trials. Provide Fair Market Value documentation & other required ... inclusive of pre- and post-award research administration, related to Clinical Research as well as oversight and supervision of...to post award staff on external regulations. + Provides documentation and serves as primary OSR liaison with A-133… more
- Molina Healthcare (MI)
- …NURSE)_** **_For this position we prefer someone with 5 - 7 years hospital clinical experience and prior managed care. It will be very important to have excellent ... or Quality Reporting. Quality Intervention / QI Compliance + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and… more
- Aegis Therapies (Freeport, IL)
- …preferred. + Minimum 1 year of therapy management experience. + Currently Credentialed Documentation Auditor (CDA) or ability to become credentialed within six ... expectations are met + Plan, develop, implement, and monitor appropriate provision, documentation , billing of clinical services and customer relations. +… more
- Trinity Health (Ann Arbor, MI)
- …Administrator will join a team of additional Administrators and Research billing auditor to focus on research compliance and human subject protection. Position is ... and welfare of human subjects in research. Knowledgeable of all types of clinical trials to assure that the applicable regulations are considered. + Assures that… more
- LSI Solutions (Victor, NY)
- …and tracking as a backup to the complaint coordinator as needed. + Lead regulatory training sessions for other teams (inter-team). + Successfully participate in CAPA ... needed. + Complete complaint trend reports. + Thoroughly understand the Technical Documentation for LSI's Knotting, Suturing, and Elegant Elite product lines. +… more
- Edwards Lifesciences (Irvine, CA)
- …representing the organization on projectsASQ Certified Quality Engineer (CQE), Quality System Lead Auditor , Certified Six Sigma Black Belt (CSSBB), or related ... Heart Valve (THV) business unit continues to partner with cardiologists and clinical teams to transform patient care with devices supported by clinical… more
- Bio-Techne (Devens, MA)
- …and positive purpose of enabling cutting-edge research in Life Sciences and Clinical Diagnostics. Bio-Techne, and all of its brands, provides tools for researchers ... industry for over 40 years. We supply quality controls and reagents for clinical laboratory and point-of-care testing, along with custom products to other companies… more
- Terumo Medical Corporation (Elkton, MD)
- …tools + Six Sigma Black/Green Belt Certification preferred + ISO 13485 Lead Auditor Certification preferred **Benefits and Compensation** We provide competitive ... and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients....technical writing + Organizing the Stewardship reviews of CAPA documentation + Managing the CAPA portfolio of projects to… more
- Aegis Therapies (Round Rock, TX)
- …preferred. + Minimum 1 year of therapy management experience. + Currently Credentialed Documentation Auditor (CDA) or ability to become credentialed within six ... the autonomy to shape your therapy department, you'll have the opportunity to lead your team to success! **Why Aegis Therapies:** + **Career Growth & Development:**… more
- Aegis Therapies (Honolulu, HI)
- …of therapy management experience, multi-site management preferred + Currently Credentialed Documentation Auditor (CDA) or ability to become credentialed within ... with specialized, ongoing training, career advancement opportunities and the strongest clinical support in the industry. + **Flexibility - Redefining Work-life… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Oversees and supports a portfolio of clinical specialties as assigned by Director of Compliance through review, analysis, communication and training ... policies and procedures. Conducts in-depth reviews of medical record chart documentation to ensure compliance with CMS Guidelines. Ensures chart documentation… more
- Novo Nordisk (West Lebanon, NH)
- …by QA Manager + Performs regular internal audits of NNUSBPI facilities as a lead auditor + Works closely with Manufacturing and Quality Control to resolve ... Quality Assurance oversight and support for all phases of Clinical and Production documentation and processes + Knowledge, Skills, and Abilities: + Excellent… more
- Reckitt (Salt Lake City, UT)
- …+ Degree or equivalent experience in a Science, Quality or Engineering discipline + Lead Auditor training (ie IRCA qualified) - (preference) + 4+ years ... we're full of highly skilled talents that include Scientists, Engineers, Medical, Clinical and Regulatory professionals - all working to create a cleaner, healthier… more