- UNC Health Care (Chapel Hill, NC)
- …travel from entity to entity across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow ... 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)
- …Full Time **Shift** : Days **Location: Remote** **The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a ... high level of clinical proficiency necessary for the oversight of the Clinical Documentation team which is comprised of registered nurses and clinical … more
- Insight Global (Plano, TX)
- …more 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 ... policy bulletins, CMS guidelines, NCDs, and LCDs. Adhere to coding guidelines and Clinical Documentation Improvement (CDI) best practices as endorsed by ACDIS… 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 ... with clinical , billing, coding, and IT departments to address documentation issues and optimize workflows. + Leverage charge capture software and analytics… more
- Elevance Health (Las Vegas, NV)
- … Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… 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 ... client 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
- Elevance Health (St. Louis, MO)
- … Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the above, plus : ... **Claims Auditor I, II and Senior** **Location :** This...obtain any necessary information. + Completes and maintains detailed documentation of audit which includes decision methodology, system or… more
- Catholic Health (Buffalo, NY)
- …Teams. Demonstrated ability to work closely with CH associates, medical staff, Clinical Documentation Improvement (CDI) leadership and staff, department managers ... consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for reporting. The Auditor /Educator will monitor… more
- Humana (Corpus Christi, TX)
- …CMS regulations, OASIS accuracy, and Medicare Conditions of Participation demand meticulous documentation . A QA Auditor will help ensure all records meet ... and help us put health first** The Quality Assurance, Clinical Professional 1 consults and collaborates with clinicians to...submission. As we transition to Kinnser EMR, the QA Auditor will ensure documentation workflows align with… more
- Henry Ford Health System (Detroit, MI)
- …documented in EPIC. Proposes corrective action in charge capture problem areas. Reviews clinical documentation to ensure all records match. Participates in ... areas; conducts in-service training sessions for perioperative staff to improve documentation and cost effectiveness. 5. Analyzes results, identifies trends and… more
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; ... ICD-10-CM/PCS coding, DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate… more
- Community Health Systems (Franklin, TN)
- …patient records for accuracy in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation . This includes evaluating present on admission (POA) ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for...care hospital coding audit experience preferred + 1-2 years Clinical Documentation Improvement or other clinical… more
- Veterans Affairs, Veterans Health Administration (Montgomery, AL)
- …modifier usage for outpatient health records. Audit function includes evaluation of clinical documentation to support optimal code assignment. Reviews coding and ... AHIMA or AAPC. (2) Mastery Level Certification through AHIMA or AAPC. (3) Clinical Documentation Improvement Certification through AHIMA or ACDIS May qualify… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42934BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for auditing ... compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to… more
- Hartford HealthCare (Hartford, CT)
- …to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation , coding and billing audits as assigned or scheduled. The ... Revenue Compliance Auditor performs independent reviews to assess compliance with federal,...federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …also will help ensure the accuracy, completeness and compliance of coding and documentation throughout the organization. The Coding Auditor will perform audits ... 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
- ICON Clinical Research (Lenexa, KS)
- …implement corrective actions as needed + Participating in the review and approval of clinical trial documentation and data to ensure accuracy and completeness + ... Quality Assurance Auditor II - Lenexa, KS (Hybrid) ICON plc...(Hybrid) ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive… more
- ICON Clinical Research (New York, NY)
- QA Auditor II- Whitesboro, NY- Hybrid ICON plc is...needed. + Participating in the review and approval of clinical trial documentation and data to ensure ... a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive... development. We are currently seeking a Quality Assurance Auditor II to join our diverse and dynamic team… more
- Humana (Washington, DC)
- …+ Nursing experience preferred in Acute care, OR, Coding, and/or Quality + Clinical documentation improvement (CDI) knowledge + Bachelor's Degree in relevant ... a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record … more
- BayCare Health System (Tampa, FL)
- …BayCare Health System HIM Coding Department. + Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or ... PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses...on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by… more