• Quality Improvement Auditor

    Centene Corporation (New York, NY)
    …and requires an clinical license. 3+ years of nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license ... processes to measure member outcomes. Assess provider performance and quality of care through clinical case reviews....and delivered timely + Perform other performance and process improvement activities + Performs other duties as assigned +… more
    Centene Corporation (06/04/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Woodbridge, NJ)
    …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement more
    Elevance Health (06/10/25)
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  • Inpatient DRG Quality Auditor

    Humana (Trenton, NJ)
    …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...focus on DRG audits. You will also drive process improvement initiatives and develop educational materials. This is a… more
    Humana (06/11/25)
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  • Inpatient Medical Coding Auditor (Facility…

    Cognizant (Trenton, NJ)
    …completeness, and compliance with regulatory and organizational standards. - **Enhance Clinical Documentation Quality ** . Collaborate with physicians through a ... an impact by playing a critical role in ensuring the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued… more
    Cognizant (06/03/25)
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  • Auditing & Compliance Director - Software as…

    Wolters Kluwer (New York, NY)
    …consistent practices across the company. You will report to the VP, Clinical Content Management **RESPONSIBILITIES** ** Quality Management and Compliance** + ... approved locations on the posting). **OVERVIEW** You will be the global product quality lead in support of a broad portfolio of on-market medical devices including… more
    Wolters Kluwer (06/11/25)
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  • Associate Director US Commercial & OTC Process…

    Bristol Myers Squibb (Princeton, NJ)
    …risk into the Company's controls program for US OTC controls. + Identify improvement opportunities with the core business functions and driving enhancements of the ... controls. + Review Sarbanes-Oxley testing results and assess the quality of testing and related test conclusions for the...US OTC controls. + Review and comment upon service auditor reports related to US OTC controls annually, including… more
    Bristol Myers Squibb (05/27/25)
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