- 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...charges. + Hybrid position + Must live in BSWH Service area (Dallas preferred) - will be onsite for… more
- Centene Corporation (New York, NY)
- …findings, including clinical recommendations to assure the delivery of quality services + Lead case reviews to assess the clinical performance provided ... preferred.** **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation, and modify business processes to measure member outcomes.… more
- Centene Corporation (Salem, OR)
- …be 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, ... as required for audits and risk assessments + Utilize clinical knowledge to determine audit findings and in answering...CM, DM, and UM **Education/Experience:** Bachelor's degree in a clinical field or equivalent experience. 4+ years of combined… more
- Henry Ford Health System (Troy, MI)
- …review, presentation of staff education and other related activities. The RI Auditor coordinates processes between clinical operations and revenue cycle ... integral to the Revenue Integrity Team to assist in ensuring patient services are supported by clinical documentation, appropriately coded, accurately charged,… 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 ... Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that...are owned or managed that have opted into shared services . This position reports to the HCS Supervisor Coding… more
- Conduent (Alexandria, VA)
- …audits on behalf of major healthcare payers. As a **Pharmacist - Claims Auditor /Reviewer** , you'll apply your clinical knowledge and regulatory expertise to ... Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating… 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...of risk management, control, and governance processes. Internal Audit Services (IAS) reports functionally to the Organizational Integrity Committee… more
- Kelly Services (Gurabo, PR)
- …you find a job that works for you. How about this one?** We're seeking **QA AUDITOR ** to work with one of out top pharmaceutical industry clients at **Gurabo, PR.** ... established requirements to qualify._ **Apply to be a QA Auditor !** \#SETTPuertoRico As part of our promise to talent,...you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to… 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 ... 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