- Lilly (Indianapolis, IN)
- …for people around the world. **Position Brand Description:** **The Sr. Principal Associate - Quality Auditor is part of the Global Quality Auditing and ... quality (CIQ) for Lilly. Through auditing, the Sr. Principal Associate - Quality Auditor assures that GXP operations conducted and sponsored by Lilly are… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the ... financial health and compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the… more
- Elevance Health (Washington, DC)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- ICON Clinical Research (New York, NY)
- …mission to shape the future of clinical development. We are currently seeking a Quality Assurance Auditor II to join our diverse and dynamic team at our ... bioanalytical lab in Whitesboro NY. As a Quality Assurance Auditor II at ICON, you...you will play a pivotal role in ensuring the quality and compliance of clinical trials, interpreting… more
- Kelly Services (Lancaster, SC)
- …CFR Parts 210, 211, 507, and 111 (or equivalent standards). + Certification as a Quality Auditor (eg, ASQ CQA) is preferred. + Strong computer skills, including ... ** Quality Assurance Auditor ** **Location: Lancaster, South...potential areas of internal non-compliance, and contribute to process improvement or policy development. + Assist in preparation for… more
- Providence (MT)
- …and reports issues related to clinical audits to determine potential areas for quality improvement within the HEDIS project + Collect data by way of chart ... empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be..., HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads for the Quality… more
- Humana (Corpus Christi, TX)
- …of our caring community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, ... leadership to improve workflows, support Kinnser EMR transition, and drive continuous quality improvement . **Use your skills to make an impact**… more
- Houston Methodist (WA)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the… more
- AdventHealth (Orlando, FL)
- …program development, ongoing audits for the system level and campus level, and quality improvement efforts. Works under general supervision and utilizes critical ... (SOI) and risk of mortality (ROM) in cooperation with the Director of Clinical Documentation Improvement and all other operational hospital departments. The… more
- AdventHealth (Daytona Beach, FL)
- …FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the inpatient or ... coding teams across the organization by completing both overall and account-level quality reviews of inpatient and outpatient coding functions. Quality audits… more
- US Tech Solutions (Newark, NJ)
- …providers. + Support data services to identify trends and facilitate quality improvement initiatives. + Assist with clinical studies, quality projects, ... extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS measures, and … more
- Sharp HealthCare (San Diego, CA)
- …Hospital/Facility (CIC), or Certified Professional Coder (CPC) certification.Certified Clinical Documentation Improvement Practitioner or Specialist (CDIP ... matters and other general Compliance reimbursement inquiries.Will continuously evaluate the quality of clinical documentation and monitor the appropriateness of… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with ... **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth...refining audit tools, policies, and procedures to support continuous improvement + Monitor and track corrective actions post-audit, ensuring… more
- Community Health Systems (Franklin, TN)
- …years Inpatient acute care hospital coding audit experience preferred + 1-2 years Clinical Documentation Improvement or other clinical experience preferred ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for...Registered Health Information Administrator required or + CDIP - Clinical Documentation Improvement Professional required or +… more
- Houston Methodist (Houston, TX)
- …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... At Houston Methodist, the Sr. Internal Auditor is responsible for independently planning, coordinating, and executing reviews of processes or activities of Houston… more
- Rush University Medical Center (Chicago, IL)
- …on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and ... accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary software related to charging, and codes,… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare ... and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million...seek out better ways to do our job, set improvement goals and standards striving to meet or exceed… more
- Elevance Health (Roanoke, VA)
- …Preventable Adverse Events (PAEs) or Never Events. + Suggests and develops high quality , high value concept and or process improvement and efficiency ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche… more
- Insight Global (Plano, TX)
- …policy bulletins, CMS guidelines, NCDs, and LCDs. Adhere to coding guidelines and Clinical Documentation Improvement (CDI) best practices as endorsed by ACDIS ... will perform Diagnostic Related Group (DRG) validation and quality audits on inpatient charts to ensure accurate coding...care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …Associate's degree or higher. + Minimum of 2 years of physician quality improvement auditing/education experience. **Licenses and Certifications Required:** + ... serve as a leader of positive change. The **Physician Billing (PB) Coding Auditor and Educator** is responsible for auditing and educating healthcare providers on… more