- Elevance Health (Hanover, MD)
- **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
- 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 ... unless an accommodation is granted as required by law. The ** Clinical Provider Auditor II** is responsible for identifying issues and/or entities that may… 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
- 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 ... training needed analysis to determine specific training needs for clinical and coding staff + Identifies, selects, or develops...Inpatient Coding Experience + At least 1 year of clinical experience in a hospital setting + RN, PA,… 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
- 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
- Henry Ford Health System (Troy, MI)
- …review, presentation of staff education and other related activities. The RI Auditor coordinates processes between clinical operations and revenue cycle ... SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding, charge… more
- Virtua Health (Mount Laurel, NJ)
- …Coding Audit Response: Conducts Trains new coders to utilize the medical record, clinical , coding and abstracting systems, in conjunction with UHDDS and other rules ... and regulations and other appropriate resources to properly abstract and code all HIM coded inpatient and outpatient accounts and provides appropriate feedback.exit interviews with external auditors, prepares rebuttals and appeals, take appropriate action with… more
- AdventHealth (Tampa, FL)
- …of the Outpatient Coding Manager, is responsible for the internal coding audit and clinical quality reviews. The Coding Quality Auditor will work in conjunction ... Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine,… more
- Robert Half Accountemps (Eden Prairie, MN)
- Description Job Title: Prior Authorization Digitization Auditor - Clinical Consulting Location: Remote (Telecommute) Schedule: Full-time | Monday - Friday | 8:00 ... We are seeking a detail-oriented and tech-savvy Prior Authorization Digitization Auditor to join a clinical consulting support team. This role plays a key part… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- **OP Coding Auditor ** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, Tennessee, Knoxville **Alternate Location(s):** ... ID:** J0925-0302 **Employment Type:** Full Time **Position Description:** The OP Coding Auditor is a member of the CGI Healthcare Compliance, Outpatient Coding Team,… 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 ... play a critical role in safeguarding the integrity, safety, and quality of clinical research processes and data. This position requires: + Extensive knowledge and/or… 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...interventions, or other variances. + Conduct comprehensive audits of clinical documentation within various EMR systems to ensure accuracy,… more
- ICON Clinical Research (Salt Lake City, UT)
- Quality Assurance Auditor II- Salt Lake City, UT- Hybrid ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to ... us on our mission to shape the future of clinical development. We are currently seeking a **Quality Assurance... development. We are currently seeking a **Quality Assurance Auditor II** to join our diverse and dynamic team… 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 ... for benefits may vary by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue to provide all patients with… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …health system in the country, our 220-acre main campus, and our network of clinical sites across Michigan. We are a tight-knit community of healers who witness the ... incredible work. What Will you Do? As a Coding Auditor at Pine Rest, you'll be part of tight-knit...the daily operations of the coding team. The Coding Auditor will assist the Manager of Coding to lead… more
- Hartford HealthCare (Hartford, CT)
- …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 documentation, coding and billing audits as assigned or...billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal,… 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
- BayCare Health System (Raleigh, NC)
- …7:00 AM to 3:30 PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position. _Sign on bonuses available!_ Responsibilities + The ... Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related...System HIM Coding Department. + Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or… more
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