- 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 ... and procedures accordingly. Accountable for the QA review of clinical trial documentation and documents submitted to...for the QA review of clinical trial documentation and documents submitted to regulatory agencies. Responsible for… more
- 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 ... to the payer, complete necessary charge corrections, and/or identify CDI ( Clinical Documentation Improvement) opportunities Provide resolution of missing … 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 of coding documentation and data in the medical record and HCC database. The HCC… more
- Baystate Health (Springfield, MA)
- …all business functions related to processing patient information, managing documentation , organizing patient medical record and facilitating smooth unit operations. ... also as a business partner to the department and clinical staff. Orients patients and families to the unit,...C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples and Kronos access if… more
- 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
- Elara Caring (Fort Worth, TX)
- …include, but are not limited to eligibility, billing, coding, and clinical documentation . Duties of the Billing Compliance Auditor include but are not ... the Right Place. **Job Description:** **REMOTE POSITION** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice,… more
- Elevance Health (Seattle, WA)
- … 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** **Virtual:** This role...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
- 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 to patient charges and bills. These audits are intended to review for… 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...the approved Internal Audit Plan including development of appropriate documentation to support audit work performed, adjusting for changes… more
- Trinity Health (Syracuse, NY)
- …required. Must have 5 or more years' experience as a risk adjustment auditor and educator and/or clinical documentation improvement specialist with ... - Certified Documentation Expert Outpatient (CDEO) or Certified Clinical Documentation Specialist-Outpatient (CCDS-O) preferred. **EXCELLUS CONTRACT SPECIFIC… 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 ServicesBuffalo, ... of PPCWNY's mission and the collaboration with Shared Services, the Billing Auditor evaluates Revenue Cycle outcomes to identify and recommend opportunities for… more
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- …or AAPC. 2. Mastery Level Certification through AHIMA or AAPC. 3. Clinical Documentation Improvement Certification through AHIMA or ACDIS. Grandfathering ... perform prospective and retrospective coding audits and use results to identify documentation , coding inadequacies, and re-educate clinical and coding staff… more
- ManpowerGroup (St. Paul, MN)
- …have strong analytical skills, excellent communication abilities, and a passion for clinical documentation improvement, which will align successfully within the ... a leader in healthcare innovations, is seeking an Inpatient Auditor to join their team. As an Inpatient ...DRG assignment. + Demonstrate knowledge of DRG payer issues, documentation opportunities, and clinical documentation … more
- Sharp HealthCare (San Diego, CA)
- …Health Care Compliance (CHC) - Compliance Certification Board; Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; ... ICD-10-CM/PCS coding, DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate… more
- Centene Corporation (New York, NY)
- …highly 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...care through clinical case reviews. + Lead clinical audits for provider medical records both remotely via… more
- Somatus (Mclean, VA)
- …missed care interventions, or other variances. + Conduct comprehensive audits of clinical documentation within various EMR systems to ensure accuracy, ... guidelines. + Identify trends and opportunities for quality improvement in clinical documentation and care management practices. + Provide consultation… more
- Henry Ford Health System (Troy, MI)
- …Integrity Team to assist in ensuring patient services are supported by clinical documentation , appropriately coded, accurately charged, and the related revenue ... review, presentation of staff education and other related activities. The RI Auditor coordinates processes between clinical operations and revenue cycle… more
- Centene Corporation (Salem, OR)
- …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, ... based on risk analysis, audit findings, and vendor performance + Maintain documentation on vendor performance and provide reports to subsidiaries as required for… more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …through AHIMA or AAPC. Mastery Level Certification through AHIMA or AAPC. Clinical Documentation Improvement Certification through AHIMA or ACDIS. NOTE: Mastery ... Summary The Medical Record Technician (Coder) Auditor position is in the Health Information Management...for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a … more
