• BioSpace (San Francisco, CA)
    …to outmatch disease. Responsibilities and Duties: The Senior Manager/Associate Director of Clinical Quality Assurance Auditor is responsible for partnering with ... Job Details Nurix Therapeutics is a clinical stage biopharmaceutical company focused on the discovery,...in translating the science of targeted protein degradation into clinical advancements. Nurix aims to establish degrader-based treatments at… more
    Upward (07/08/25)
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  • RxCloud (Union City, CA)
    …managing quality/GxP auditing deliverables scheduled. Responsibilities Include *Function as a Quality/GxP auditor of both external CDMOs and clinical sites, and ... About the job Gxp Auditor GxP Auditor is an integral member of the Quality and Compliance team. The GxP Auditor is responsible for planning and conducting… more
    Upward (07/03/25)
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  • North American Partners in Anesthesia (NAPA) (Melville, NY)
    …of audit findings for presentation and educational purposes. Assist with Clinical Documentation recommendation, coding guidance research, and the development of ... the payer, complete necessary charge corrections, and/or identify CDI ( Clinical Documentation Improvement) opportunities Provide resolution of missing documentation… more
    Upward (07/23/25)
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  • Corewell Health (Royal Oak, MI)
    …fellowship programs with 454 residents and fellows. Corewell is the exclusive clinical partner of the Oakland University William Beaumont School of Medicine, with ... more than 1,400 doctors on faculty. Scope of Job Under minimal direction, coordinates a program or service within designated pharmacy areas. Functions mostly independently in decision making with limited guidance. Performs Quality Assurance activities and… more
    Upward (07/26/25)
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  • Maimonides Medical Center (Brooklyn, NY)
    …Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine. Overview Maimonides is ... currently seeking a Professional Coding and Billing Auditor to conduct regular audits of medical records and coding assignments to ensure compliance with current… more
    Upward (07/13/25)
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  • CenCal Health (Santa Barbara, CA)
    …organization, and prioritization; Demonstrate ability to accurately apply and interpret clinical guidelines; Ability to work productively with all Plan staff; ... as needed; and Attention to detail and accuracy. Desired: Internal healthcare auditor certification (or ability to achieve certification within 1 year); Certified… more
    Upward (07/19/25)
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  • Community Health Systems (Huntsville, AL)
    …for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, ... in the medical record. Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.… more
    Upward (07/23/25)
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  • PharmaLex (Conshohocken, PA)
    …for the Lifesciences industry. We are experiencing an increase in demand for Good Clinical Practices (GCP) Auditors and our goal is to grow our consultant network to ... interested in working on a project by project contract basis, to provide GCP Auditor services or GCP Operations quality services coveringall aspects of clinical more
    Upward (07/21/25)
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  • Regal Medical Group, Inc. (Northridge, CA)
    …Auditors/Coders to join our team ! Position Summary: The HCC Risk Adjustment/ Auditor is responsible for maintaining and monitoring the Quality Assurance auditing ... plan for outpatient clinical data. This position works to improve the quality...the medical record and HCC database. The HCC Risk Adjustment/ Auditor reports on the accuracy and consistency of the… more
    Upward (07/15/25)
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  • County of Los Angeles, CA (Los Angeles, CA)
    …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... Assistant III**, Assistant Hospital Administrator I , Contract Program Auditor , or higher. You MUST meet one of...hospital. Experience at the level of a Contract Program Auditor is defined as: conducts program evaluation audits of… more
    Upward (07/07/25)
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  • Essen Medical Associates (Bronx, NY)
    …Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as ... to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices… more
    Upward (07/24/25)
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  • Baystate Health (Springfield, MA)
    …visitors to unit and also as a business partner to the department and clinical staff. Orients patients and families to the unit, answering routine questions. Able to ... C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples and Kronos access if...related paperwork in conjunction with RN. Screen calls for clinical team and facilitates communication of information requested. 5)… more
    Upward (07/10/25)
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  • Kitsap County, WA (Port Orchard, WA)
    …for provider agencies and subcontractors by providing technical assistance and clinical consultation; and assisting in the development and implementation of new ... role, you will have the opportunity to: Act as clinical treatment liaison between the SBH-ASO and providers, state...In addition, it is your responsibility to notify the Auditor 's Payroll Division of a change in union status.… more
    Upward (06/30/25)
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  • Clinical Auditor RN - Hybrid

    Baylor Scott & White Health (Dallas, TX)
    …vary based on position type and/or level **Job Summary** In this job, as a Clinical Auditor RN, you'll perform charge capture accuracy audits by reviewing and ... analyzing clinical documentation from the Electronic Health Record (EHR) compared...+ Manage planning, organizing, and executing audit tasks in clinical departments/functions. + Evaluate clinical documentation for… more
    Baylor Scott & White Health (07/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Shift:** Monday - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records… more
    Elevance Health (07/17/25)
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  • Clinical Compliance Auditor

    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
    Astrix Technology (05/29/25)
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  • Clinical Provider Auditor II

    Elevance Health (Grand Prairie, TX)
    ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
    Elevance Health (07/22/25)
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  • Clinical Coding Auditor & Trainer

    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
    Centene Corporation (06/28/25)
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  • Clinical Documentation Specialist…

    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
    UNC Health Care (04/29/25)
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  • Quality Improvement Auditor

    Centene Corporation (New York, NY)
    …preferred.** **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation, and modify business processes to measure member outcomes. ... Assess provider performance and quality of care through clinical case reviews. + Lead clinical audits for provider medical records both remotely via electronic… more
    Centene Corporation (05/10/25)
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