- Emory Health Care (Atlanta, GA)
- …leadership programs and more! We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This ... and abstracted data POA, Discharge Disposition. Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC… more
- University Health (San Antonio, TX)
- …and ethical guidelines. The position performs end-to-end reviews of clinical documentation, coding assignments, charge capture, and claim submissions, ensuring ... medical record. By evaluating operational and revenue cycle activities, the auditor identifies compliance risks, internal control deficiencies, and potential areas… 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 ... financial health and compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the… more
- Elevance Health (Indianapolis, IN)
- **Title:** Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG) **Virtual:** This role enables associates to work virtually ... accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records… more
- Astrix Technology (Los Angeles, CA)
- ** Clinical Compliance Auditor ** Clinical Los Angeles, CA, US + Added - 04/04/2025 Apply for Job We're partnering with an innovative 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 about ensuring… more
- Centene Corporation (New York, NY)
- …and analyzing clinical coding training and auditing programs. The Senior Clinical Coding Auditor & Trainer will conduct audits of inpatient coding ... and assist in development of training and audit tools. The Senior Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation… more
- Intermountain Health (Baton Rouge, LA)
- **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve the accuracy of the overall clinical picture and the ... of the complexity and severity of illness of patients through improved clinical documentation and diagnostic coding practices. We are committed to offering flexible… 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
- BlueCross BlueShield of North Carolina (NC)
- …ensure accuracy, consistency, and compliance with quality standards + Support clinical quality leadership on planning activities and large operational activities; ... works with Clinical Quality leaders to define success metrics and criteria...are identified + Provide timely feedback and recommendations to Clinical Quality Management Consultants based on HEDIS Audits +… more
- Insight Global (Plano, TX)
- …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 RHIT or ... DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on… more
- Subaru of America (Camden, NJ)
- …Certified Fraud Examiner, (possesses or actively pursuing) , Required Or + Non Clinical \CIA - Certified Internal Auditor , (possesses or actively pursuing) , ... risk management, control, and governance processes. Reports to the Internal Auditor Manager and executes reviews over SOA's financial, operational, information… more
- Molina Healthcare (Idaho Falls, ID)
- JOB DESCRIPTION Job Summary: Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment ... - ensuring quality compliance and desired member outcomes and effective clinical operations. Contributes to overarching strategy to provide quality and… more
- Humana (Corpus Christi, TX)
- …caring community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and ... accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates with leadership to… more
- Humana (Carson City, NV)
- …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 ... is complete, compliant, and accurate to support optimal reimbursement. The Nurse Auditor 2's work assignments are varied and frequently require interpretation and… more
- Catholic Health (Buffalo, NY)
- …consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for reporting. The Auditor /Educator will monitor ... Overtime: Exempt: Yes Work Schedule: Days Hours: 8a-4:30p Summary: The Auditor /Educator will work cooperatively with CH coding associates, Clinicians, Outpatient… more
- Lilly (Indianapolis, IN)
- …the world. **Position Brand Description:** **The Sr. Principal Associate - Quality Auditor is part of the Global Quality Auditing and Compliance (GQAAC) division ... of internal and external audits in support of pharmaceutical development, non- clinical and clinical research, product commercialization, pharmacovigilance and… more
- ICON Clinical Research (New York, NY)
- QA Auditor II- Whitesboro, NY- Hybrid ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive ... us on our mission to shape the future of clinical development. We are currently seeking a Quality Assurance Auditor II to join our diverse and dynamic team at… more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. Summary: The Pharmacy Auditor will work closely with the Department's leadership team and multidisciplinary ... involved in the prevention and reaction to drug diversion. The Pharmacy Auditor is responsible for gathering, interpreting, sharing, and broadly influencing … more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to ... coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS),...the coding and abstracting system. Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **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
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