- Astrix Technology (Los Angeles, CA)
- ** Clinical Compliance Auditor ** Clinical Los Angeles, CA, US Pay Rate Low: 100000 | Pay Rate High: 150000 + Added - 04/04/2025 Apply for Job We're ... in the biotechnology industry, and they're on the lookout for a talented ** Clinical Compliance Auditor ** to join their dynamic team! If you're passionate… more
- Hartford HealthCare (Hartford, CT)
- …invite you to become part of Connecticut's most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office of ... Compliance and Integrity (OCI) by executing clinical ...and billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess… more
- Elevance Health (Mason, OH)
- ** Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Clinical Provider Auditor II** is responsible for...you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies… more
- Elevance Health (Des Moines, IA)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
- UNC Health Care (Chapel Hill, NC)
- …from entity to entity across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during ... we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- …The OP Coding Auditor is a member of the CGI Healthcare Compliance , Outpatient Coding Team, with responsibility for reviewing medical records to determine the ... **OP Coding Auditor ** **Category:** Analytics and Emerging Digital Technologies **Main...accuracy of coding and reimbursement for clinical services rendered to beneficiaries of health plans, including… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 165727 FlexStaff Compliance Auditor - Hybrid position- Chappaqua, NY- $105K *THIS IS A HYBRID POSITION- YOU MUST RESIDE LOCALLY* Are you ... to make a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education ... development and delivering educational and training programs for professional billing and clinical compliance based on the latest Federal and State regulations… more
- Guthrie (Sayre, PA)
- Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures and accepted guidelines ... Minimum 1-year experience in Physician coding and billing and/or compliance field required 5 year of clinical ...and/or compliance field required 5 year of clinical experience and/or knowledge and understanding of Medical Records… more
- AdventHealth (Orlando, FL)
- …Time **Shift** : Days **Location: Remote** **The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered ... Health Information Administrator with a high level of clinical proficiency necessary for the oversight of the Clinical Documentation team which is comprised of… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 166292 FlexStaff is seeking an experienced Compliance Auditor with experience in physician medical billing and coding for one of our clients, a ... experience in medical billing and coding * Experience with auditing and monitoring clinical records and documentation In this role you will be reviewing and… more
- BeOne Medicines (Emeryville, CA)
- General Description: This position within R&D Quality is a senior Auditor role (as Lead or Co- auditor ) who is responsible for independently overseeing and ... conducting GCP audits, to ensure compliance with GCP regulations and industry standards, in accordance...role in safeguarding the integrity, safety, and quality of clinical research processes and data. This position requires: +… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Quality Auditor effectively and efficiently manages a diverse workload in a fast- paced, ... rapidly growing environment. The Quality Auditor provides support to the local market teams but reports centrally to the Director of Audit and Risk. This individual… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …as provide guidance, training, and education to ensure high standards of coding compliance . The Coding Auditor must demonstrate excellent customer service and ... country, our 220-acre main campus, and our network of clinical sites across Michigan. We are a tight-knit community...incredible work. What Will you Do? As a Coding Auditor at Pine Rest, you'll be part of tight-knit… more
- Kelly Services (Lancaster, SC)
- **Quality Assurance Auditor ** **Location: Lancaster, South Carolina** **Schedule: Monday-Friday 8:30am-5pm** **Salary: $70,000-$95,000/year with a discretionary ... 12% of YTD earnings** **Position Summary** The Quality Assurance Auditor plays a key role in supporting and maintaining...plays a key role in supporting and maintaining internal compliance programs to ensure alignment with relevant regulations and… more
- Virtua Health (Mount Laurel, NJ)
- …processed appropriately. Responsible for developing, implementing and maintaining compliance plan for pro-fee coding and abstracting. Position Responsibilities: ... Coding Audit Response: Conducts Trains new coders to utilize the medical record, clinical , coding and abstracting systems, in conjunction with UHDDS and other rules… more
- ICON Clinical Research (Salt Lake City, UT)
- …at ICON, you will play a pivotal role in ensuring the quality and compliance of clinical trials, interpreting regulatory requirements, and contributing to the ... Quality Assurance Auditor II- Salt Lake City, UT- Hybrid ICON...Hybrid ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive… more
- HCA Healthcare (Chattanooga, TN)
- …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue...Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies… more
- BayCare Health System (Raleigh, NC)
- …position. _Sign on bonuses available!_ Responsibilities + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... Health System HIM Coding Department. + Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or physicians. +… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ... ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes evaluating present on admission (POA)...any other relevant data to ensure coding accuracy. The auditor is also responsible for writing and defending appeal… more