- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... an accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records… more
- Elevance Health (Mason, OH)
- ** 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...or any combination of education and experience, which would provide an equivalent background. + Requires coding certification (CPC,… more
- Elevance Health (Des Moines, IA)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying… 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
- Virtua Health (Mount Laurel, NJ)
- …practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked ... Coding Audit Response: Conducts Trains new coders to utilize the medical record, clinical , coding and abstracting systems, in conjunction with UHDDS and other rules… more
- Robert Half Accountemps (Eden Prairie, MN)
- Description Job Title: Prior Authorization Digitization Auditor - Clinical Consulting Location: Remote (Telecommute) Schedule: Full-time | Monday - Friday | 8:00 ... Position Overview We are seeking a detail-oriented and tech-savvy Prior Authorization Digitization Auditor to join a clinical consulting support team. This role… more
- Insight Global (Houston, TX)
- …Description A large healthcare employer in Houston, TX is seeking a Physician Educator & Auditor to join their growing team. This team will consist of provider ... documentation is correct and effective from a coding and clinical perspective. The ideal candidate needs to be comfortable...to help educate them on the best practices for clinical documentation and be able to answer any questions… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- …well as other provider types and care settings. The OP Coding Auditor is prepared for the role through a detailed, well-defined training process, gaining ... **OP Coding Auditor ** **Category:** Analytics and Emerging Digital Technologies **Main...to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries of health plans, including… more
- Sanofi Group (Swiftwater, PA)
- …and reporting of assigned routine and non-routine GCP audits including Clinical Investigator Site, External Service Provider , and internal Process/System, ... **Job Title: Senior Manager, CQA Auditor ** **Location** : Swiftwater, PA **About the Job**...position will be focused on assessing GCP Compliance in clinical related activities and supporting the Quality Management System… more
- BeOne Medicines (Emeryville, 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 ... play a critical role in safeguarding the integrity, safety, and quality of clinical research processes and data. This position requires: + Extensive knowledge and/or… more
- MedKoder (Mandeville, LA)
- About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health ... medical risk adjustment management, DRG coding management, coding education, clinical coding documentation improvement, revenue integrity, and revenue cycle… more
- R1 RCM (Chicago, IL)
- R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our **Coding Auditor ** , you will help ensure accurate medical coding and billing… more
- Somatus (Mclean, VA)
- …guidelines. + Identify trends and opportunities for quality improvement in clinical documentation and care management practices. + Provide consultation ... and mental well-being + Community engagement opportunities + And more! The Quality Auditor effectively and efficiently manages a diverse workload in a fast- paced,… more
- HCA Healthcare (Chattanooga, TN)
- …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue...for our team to ensure that we continue to provide all patients with high quality, efficient care. Did… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and compliance of coding and documentation throughout the organization. The Coding Auditor will perform audits as well as provide guidance, training, ... 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
- Hartford HealthCare (Hartford, CT)
- …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 documentation, coding and billing audits as assigned or...billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal,… more
- Kelly Services (Lancaster, SC)
- **Quality Assurance Auditor ** **Location: Lancaster, South Carolina** **Schedule: Monday-Friday 8:30am-5pm** **Salary: $70,000-$95,000/year with a discretionary ... work up to 12% of YTD earnings** **Position Summary** The Quality Assurance Auditor plays a key role in supporting and maintaining internal compliance programs to… more
- Elevance Health (Richmond, VA)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
- ICON Clinical Research (NC)
- …of clinical development. We are currently seeking a **Principal Auditor Quality Assurance** to join our diverse, dynamic and passionate **Cardiac Imaging** ... Principal Auditor , Quality Assurance Cardiac Imaging- East Coast USA-...+ Utilizing a strong comprehension of regulatory expectations and clinical research industry knowledge you will provide … more
- Rush University Medical Center (Chicago, IL)
- …on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and ... charge capture to solve complex charging scenarios, provide education and assistance to operational departments, support fellow team members, and develop… more