- Surgery Care Affiliates (Birmingham, AL)
- …Responsibilities Job Summary: As a member of the Regulatory Compliance Team, the Senior Clinical Auditor will conduct compliance focused clinical audits to ... support SCA Health' s compliance program . The Senior Clinical Auditor will work with all Support...departments/external sources + Work directly with the supervisor to provide timely communication of audit status + Work as… more
- Elara Caring (Dallas, TX)
- …Care, at the Right Time, in the Right Place. **Job Description:** The Clinical Quality Auditor performs comprehensive audits within the skilled home health, ... 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
- 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 ... essential face-to-face onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient… more
- Elevance Health (Hanover, MD)
- ** Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Location:_ This field-based role enables associates to primarily operate ... insightful analytics to improve the delivery of care. The ** Clinical Provider Auditor I** is...or any combination of education and experience, which would provide an equivalent background. + Must achieve coding certification… more
- Elevance Health (Tampa, FL)
- ** Clinical Provider Auditor II** **Hybrid 1:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, ... 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
- Healthfirst (NY)
- …classified, and fully resolved in a compliant manner. + Review clinical documentation for accuracy, completeness identifying any discrepancies or non-compliance ... issues + Record/track quality assessment scores and provide feedback to reduce errors and improve processes and...evaluating and analyzing aggregate quality performance data + Apply clinical and critical thinking skills to evaluate the quality… 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
- Mohawk Valley Health System (Utica, NY)
- CDI III Educator Auditor - Full Time - Days Department: CLINICAL DOCUMENTATION IMPROVE Job Summary The CDI III Educator Auditor ( Clinical Documentation ... educational program development, and provider education. Core Job Responsibilities Provider Interaction and Clinical Documentation Review + Creates and… more
- Humana (Des Moines, IA)
- …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