- Revolution Medicines (Redwood City, CA)
- Revolution Medicines is a clinical -stage precision oncology company focused on developing novel targeted therapies to inhibit frontier targets in RAS-addicted ... and audits. Review and negotiate Quality Agreements with all major GxP vendors ( clinical and commercial). Compile and track quality and compliance metrics (KPI) for… more
- St. Luke's University Health Network (Allentown, PA)
- …or coding determination made by the government or commercial payors, or their auditor representative. Facilitate clinical chart reviews to assist with supporting ... regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and… more
- Neuralink (Austin, TX)
- …efficient systems for compliance. Job Description & Responsibilities: As an Internal Auditor , you will be responsible for calling out gaps, communicating findings ... of Good Laboratory Practice (GLP), Good Manufacturing Practice (GMP), Good Clinical Practice (GCP), and engineering activities within Neuralink, ensuring adherence… more
- Axogen (Tampa, FL)
- …ICH GCP E6 Guideline Minimum 4 years' GCP auditing experience required; GCP Auditor Certification is an asset Clinical Study Management or monitoring experience ... Quality Assurance Associate include but are not limited to: Provide professional expertise and guidance on Good Clinical... Provide professional expertise and guidance on Good Clinical Practice (GCP) and applicable regulations to clinical… more
- UM FDSP Associates PA (Baltimore, MD)
- …care focused staffingfor clinic operations so that faculty and student may provide patient care tothe general public. We offer a comprehensivebenefits package to ... for the clinic operationsso that faculty and students may provide patient care to the general public. UMFDSP Associates...high degree of excellence in thepursuit of academic and clinical education. In addition, UM FDSPAssociates PA administers and… more
- Baystate Health (Springfield, MA)
- …health Baystate Health, western Massachusetts' only academic center and tertiary care provider has a long and proud tradition of continuous learning and improvement. ... 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
- CAPPS (Gainesville, TX)
- …III - Pay Level Two (2): Bachelor's degree with major in Clinical Psychology, Psychology, Sociology, Social Work, Family Relations, Guidance and Counseling, ... III - Pay Level Three (3): Bachelor's degree with major in Clinical Psychology, Psychology, Sociology, Social Work, Family Relations, Guidance and Counseling,… more
- SKLD (Bloomfield Hills, MI)
- …PDPM) admissions to assure that the necessary referral records are obtained to provide comprehensive care to the resident and provide the necessary documentation ... MDS coding, Care Area, or Reimbursement concern and address appropriately with the Clinical team. *Conduct Quality of life meetings to establish OBRA schedule. Team… 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 ... and provide counsel to Revenue Integrity team members and/or clinical departments/functions. + Documents and tracks audit findings for account corrections and… more
- 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 (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 ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying… more
- Centene Corporation (New York, NY)
- … 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 medical records...quality services + Lead case reviews to assess the clinical performance provided in the provider network,… 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, ... findings, and vendor performance + Maintain documentation on vendor performance and provide reports to subsidiaries as required for audits and risk assessments +… 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 ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle… more
- Trinity Health (Syracuse, NY)
- … group. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** Risk adjustment coding, provider auditing and clinical /education experience required. Must have 5 ... or more years' experience as a risk adjustment auditor and educator and/or clinical documentation improvement... (CPMA) required and + Education - 5+ years' provider auditing and clinical /education experience or teaching,… more
- Elara Caring (Broken Arrow, OK)
- …the Right Place. **Job Description:** FULL TIME MONDAY - FRIDAY STARTING AT $62,400/YEAR ** Clinical Quality Auditor ** The Clinical Quality Auditor ... like home, and that's why our teams continue to provide high-quality care to more than 60,000 patients each...have countless ways to make a difference as a Clinical Quality Auditor , by keeping a team… more
- Virtua Health (Mount Laurel, NJ)
- …Conducts meetings to discuss outcomes, reviews reports, works with physicians to provide appropriate clinical documentation, to ensure compliant assignment of ... practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked… 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)
- …is located in the Health Information Management (HIM) section in the Clinical Operations/Health Informatics Service at the Tennessee Valley Healthcare System (TVHS). ... that categorizes all VA patients into specific classes representing their clinical conditions and resource needs. Responsibilities Auditors perform audits of… more
- Elara Caring (Fort Worth, TX)
- …audits will include, but are not limited to eligibility, billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are ... the Right Place. **Job Description:** **REMOTE POSITION** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice,… more
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