- 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...*Promote continual improvement regarding stakeholder satisfaction, emphasizing Quality/GxP auditing services . *Stay current with advances and technological changes in… more
- 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 ... faculty. Scope of Job Under minimal direction, coordinates a program or service within designated pharmacy areas. Functions mostly independently in decision making… more
- CenCal Health (Santa Barbara, CA)
- …including contractual, Federal, State, the Centers for Medicare and Medicaid Services (CMS), and the National Committee for Quality Assurance (NCQA) standards. ... and standards, including those issued by the California Department of Health Care Services (DHCS), the California Department of Managed Health Care (DMHC), NCQA, and… more
- 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
- PharmaLex (Conshohocken, PA)
- …to provide GCP Auditor services or GCP Operations quality services coveringall aspects of clinical trial execution for our pharmaceutical and ... We are experiencing an increase in demand for Good Clinical Practices (GCP) Auditors and our goal is to...scenarios. Minimum 2 years GCP auditing experience; Certified quality auditor is a plus. Familiarity with GCP computerized systems… more
- County of Los Angeles, CA (Los Angeles, CA)
- …Education in nearly every medical specialty and subspecialty. In addition to its direct clinical services , DHS also runs the Emergency Medical Services (EMS) ... CA Job Type: Full time Job Number: Y4595A-EA Department: HEALTH SERVICES Opening Date: 02/06/2025 Position/Program Information TYPE OF RECRUITMENT: Open Competitive… more
- 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
- Essen Medical Associates (Bronx, NY)
- …health 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 ... Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty... divisions offering urgent care, primary care, and specialty services , as well as nursing home staffing and care… more
- Kitsap County, WA (Port Orchard, WA)
- …Type: Full Time (40 hrs/wk) Remote Employment: Flexible/Hybrid Department: Human Services Opening Date: 06/27/2025 Closing Date: Continuous FLSA: Exempt Bargaining ... Unit: NON OVERVIEW Kitsap County Department of Human Services and Salish Behavioral Health The Salish Behavioral Health Administrative Services Organization… more
- Baystate Health (Springfield, MA)
- …company match & annual company contribution increase based on years of service Free money coach advice from a certified professional Wellbeing programs that ... Prior administrative experience strongly preferred 1-2 years' experience in customer service (healthcare setting preferred) Ability to work rotating days, including… more
- 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...charges. + Hybrid position + Must live in BSWH Service area (Dallas preferred) - will be onsite for… more
- Centene Corporation (New York, NY)
- …findings, including clinical recommendations to assure the delivery of quality services + Lead case reviews to assess the clinical performance provided ... preferred.** **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation, and modify business processes to measure member outcomes.… more
- Centene Corporation (Salem, OR)
- …be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... as required for audits and risk assessments + Utilize clinical knowledge to determine audit findings and in answering...CM, DM, and UM **Education/Experience:** Bachelor's degree in a clinical field or equivalent experience. 4+ years of combined… more
- Humana (Montgomery, AL)
- …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for...modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum… 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 ... integral to the Revenue Integrity Team to assist in ensuring patient services are supported by clinical documentation, appropriately coded, accurately charged,… 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 ... Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that...are owned or managed that have opted into shared services . This position reports to the HCS Supervisor Coding… more
- Conduent (Alexandria, VA)
- …audits on behalf of major healthcare payers. As a **Pharmacist - Claims Auditor /Reviewer** , you'll apply your clinical knowledge and regulatory expertise to ... Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- Billing Auditor for Shared Services Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ... support of PPCWNY's mission and the collaboration with Shared Services , the Billing Auditor evaluates Revenue Cycle...written) + Must be sensitive to patient's financial and clinical needs while maintaining the patient's confidentiality + Must… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking an Internal Auditor Senior - Organizational Integrity. This remote role requires the incumbent to work & reside in OR, WA or ... AK by date of hire. Our Internal Auditor Sr is an independent, objective assurance and consulting...of risk management, control, and governance processes. Internal Audit Services (IAS) reports functionally to the Organizational Integrity Committee… more
- Kelly Services (Gurabo, PR)
- …you find a job that works for you. How about this one?** We're seeking **QA AUDITOR ** to work with one of out top pharmaceutical industry clients at **Gurabo, PR.** ... established requirements to qualify._ **Apply to be a QA Auditor !** \#SETTPuertoRico As part of our promise to talent,...you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to… more
