- Elevance Health (Seattle, WA)
- …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
- Somatus (Mclean, VA)
- …and compliance with established guidelines. + Identify trends and opportunities for quality improvement in clinical documentation and care management ... well-being + Community engagement opportunities + And more! The Quality Auditor effectively and efficiently manages a... team in the development of reporting to prioritize clinical and service improvement initiatives and address… more
- Centene Corporation (New York, NY)
- …Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small ... work performed by staff and present findings and recommendation for areas of improvement to management + Under minimal supervision responsible for all aspects of… more
- ICON Clinical Research (Salt Lake City, UT)
- …mission to shape the future of clinical development. We are currently seeking a ** Quality Assurance Auditor II** to join our diverse and dynamic team in our ... Quality Assurance Auditor II- Salt Lake...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
- 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 (Altamonte Springs, FL)
- …**The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or ... required to achieve industry best practice levels of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as… more
- Houston Methodist (Houston, TX)
- …live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis ... coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout 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
- 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 preferred Equal Employment… 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
- 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
- Elevance Health (Richmond, VA)
- …as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops high quality , high value concept and or process improvement and efficiency ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical… more
- MedKoder (Mandeville, LA)
- …coding, medical risk adjustment management, DRG coding management, coding education, clinical coding documentation improvement , revenue integrity, and revenue ... work week that offers a flexible schedule Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty… 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
- Veterans Affairs, Veterans Health Administration (Nixa, MO)
- …for data quality , consistency, and monitoring for compliance to improve the quality for clinical , financial, and administrative data to ensure that all coded ... AHIMA or AAPC. (2) Mastery Level Certification through AHIMA or AAPC. (3) Clinical Documentation Improvement Certification through AHIMA or ACDIS. GS-09 Medical… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …for data quality , consistency, and monitoring for compliance to improve the quality for clinical , financial, and administrative data to ensure that all coded ... through AHIMA or AAPC. Mastery Level Certification through AHIMA or AAPC. Clinical Documentation Improvement Certification through AHIMA or ACDIS. English… more
- Datavant (Santa Fe, NM)
- …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to… more
- AdventHealth (Tampa, FL)
- …Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the Inpatient Operations Manager, ... for the daily auditing of records. The Inpatient Coding Quality Auditor works in collaboration with the...are equally respectful to all. Works collaboratively with the Clinical Documentation Improvement team to ensure our… more
- Elevance Health (St. Louis, MO)
- …and trending analysis. + Provides feedback on claims processing errors; identifies quality improvement opportunities and initiates basic and complex system ... **Claims Auditor II** **Location :** This role enables associates...to Recovery Team. + Independently interprets Medical Policy and Clinical Guidelines. **Minimum Requirements :** + Requires a HS… more