- Insmed Incorporated (NJ)
- …quality oversight of GxP computerized systems throughout their lifecycle, ensuring compliance with FDA, EMA, and ICH regulatory requirements. This role will ... support implementation and ongoing management of digital systems used in clinical trial operations, quality control laboratories and other GxP areas, with a focus on… more
- Danaher Corporation (Minneapolis, MN)
- …is to be the leading provider of seamlessly connected diagnostic solutions. The Staff Clinical Compliance Auditor (Global Focus - Remote) for Danaher ... Excellence (CCOE). You will be a part of the Clinical Compliance team and report to the...if you also possess previous experience in: + Certified auditor (eg, ASQ CQA or ASQ CBA, GCP) +… 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 ... 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
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical ... to improved patient care standards. This role requires a unique blend of clinical expertise and financial acumen to ensure compliance with healthcare regulations… more
- Molina Healthcare (Spokane, WA)
- The Clinical Services Auditor performs auditing of clinical staff in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health ... Management (HM), and/or Disease Management (DM) and monitors key clinical staff for compliance with NCQA, CMS,...case management, and understanding of state Medicaid contracts. The Auditor should have the ability to reference/ remember rules,… 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
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Health Care Compliance (CHC) - Compliance Certification Board; Certified Clinical Documentation Specialist (CCDS) - ... for the position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp… more
- Elevance Health (Norfolk, VA)
- ** 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 (Indianapolis, IN)
- ** Clinical Provider Auditor I - Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor I** will be responsible for identifying… more
- Elevance Health (MD)
- ** Clinical Provider Auditor I** **Supports the Payment Integrity line of business** **Location: Must be located in Maryland.** This field-based role enables ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor I** is responsible for identifying issues… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Job Summary and Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with ... are met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to...assist with educating providers on quality opportunities as well. Clinical background preferred but not required. **Essential Key Job… 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
- Texas Health Resources (Arlington, TX)
- Senior Compliance Coding Auditor - System Compliance _Bring your passion to Texas Health so we are Better + Together_ Work Location: Texas Health Corporate, ... Team Oversight and Leadership Provide direction and oversight to the compliance coding audit team, fostering collaboration and ensuring high-quality audit outcomes.… 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …Reporting to the Director, Compliance Audit and Analysis, the Sr. Compliance Auditor will develop and execute audit, monitoring, and education for ... and professional billing, coding and documentation programs that ensure compliance with regulatory standards. Continuously evaluate facility/professional billing … more
- Bozeman Health (Bozeman, MT)
- Position Summary: The Compliance Auditor supports an effective compliance program by planning and executing risk-based audits, monitoring adherence to ... auditing, or a related field. + Intermediate knowledge and experience reviewing clinical documentation, billing, and coding for compliance . + Intermediate… more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and ... 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
- Humana (Corpus Christi, TX)
- …1 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 1 work ... are often straightforward and of moderate complexity. The Quality Assurance, Clinical Professional 1 supports and implements programs to establish high quality… more
- BeOne Medicines (San Mateo, 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
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42594BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for auditing ... medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while… more
