- Lyric (Newtown Square, PA)
- …more relevant healthcare experience as a medical coder, medical claims processor medical auditor , clinical editing analyst, or payment or medical policy analyst. ... guidelines and industry standards. + Prepare, deliver, and provide clinical support related to clinical content to both internal and external customers. + Serve… more
- Lyric (Newtown Square, PA)
- …other immigration support are not available for this position. The Senior Manager, Clinical Content Maintenance will serve as a strategic partner to our clients, ... which include major insurance payers, while managing a team of high performing Clinical Managers and Medical Content Analysts. In this intricate role, the Senior … more
- Stanford Health Care (Palo Alto, CA)
- …Education (GME) affiliation agreements + Physician outreach and other academic/ clinical support contracts + Coordinate with internal department, affiliated entities, ... essential functions of the description. Preferred experience as an auditor working with CMS or a CMS Medicare ...auditor working with CMS or a CMS Medicare Auditor Contractor and strong familiarity with Medicare and Medicaid… more
- Parexel (Durham, NC)
- …Audit **Job Introduction** : At Parexel, we are a leading Clinical Research Organization company specializing in delivering life-changing medicines to patients. ... We are seeking an **Internal Auditor ** to assist with risk assessment and audit scoping...(CPA) or other relevant certification such as Certified Internal Auditor (CIA) strongly preferred. **Why join us:** Opportunity to… more
- GRAIL (Durham, NC)
- …and we are using the power of next-generation sequencing (NGS), population-scale clinical studies, and state-of-the-art computer science and data science to overcome ... (CAPA) investigations, Nonconformance (NCR) reporting, Quality Management Review (QMR), clinical laboratory Quality Monitoring and Improvement (QMI), and Quality… more
- GRAIL (Durham, NC)
- …and we are using the power of next-generation sequencing (NGS), population-scale clinical studies, and state-of-the-art computer science and data science to overcome ... the Product Development Lifecycle supporting functions, including: Manufacturing Operations, Clinical Laboratory Operations, Program Management, Supply Chain, Materials Management,… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …safety, quality and compliance for the design, manufacture, and service of clinical and research products. Primary Responsibilities: The Global Vice President QARA ... ability to analyze and identify trends and root causes. + Very strong risk/ auditor skills - critical to evaluate remediation of issues and management's action plans.… 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 (Las Vegas, NV)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure … more
- 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 partnering ... biotechnology industry, and they're on the lookout for a talented ** Clinical Compliance Auditor ** to join their dynamic team! If you're passionate about ensuring… more
- Centene Corporation (New York, NY)
- …and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding ... and assist in development of training and audit tools. The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation… more
- Elevance Health (Grand Prairie, TX)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
- Providence (WA)
- …for conducting clinical quality audits for the Quality Department. The auditor identifies and coordinates clinical audits to determine potential areas for ... regarding charts require auditing will be provided by staff Clinical QI Coordinator RNs. The auditor maintains all collected records in a confidential manner and… 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
- Henry Ford Health System (Detroit, MI)
- …in EPIC. Proposes corrective action in charge capture problem areas. Reviews clinical documentation to ensure all records match. Participates in clinical ... school of nursing. * Two (2) years of Cath lab experience to gain clinical knowledge and analytical abilities to make informed decisions and present information as… more
- Molina Healthcare (Phoenix, AZ)
- JOB DESCRIPTION Job Summary The Non- Clinical Auditor is responsible for conducting detailed audits of member service interactions, including call recordings and ... findings in audit results. * Meets minimum production standards related to non- clinical auditing. * May conduct staff trainings as needed. * Communicates with… 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 proficiency necessary for the oversight of the Clinical Documentation team which is comprised of registered nurses… more
- Insight Global (Plano, TX)
- …years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN RHIT or ... DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on… more
- Subaru of America (Camden, NJ)
- …Certified Fraud Examiner, (possesses or actively pursuing) , Required Or + Non Clinical \CIA - Certified Internal Auditor , (possesses or actively pursuing) , ... risk management, control, and governance processes. Reports to the Internal Auditor Manager and executes reviews over SOA's financial, operational, information… more
- Humana (San Juan, PR)
- …of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent… more
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