- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... an accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records… more
- Elevance Health (Mason, OH)
- ** Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Clinical Provider Auditor II** is...or any combination of education and experience, which would provide an equivalent background. + Requires coding certification (CPC,… more
- Elevance Health (Des Moines, IA)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** ... 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
- Virtua Health (Mount Laurel, NJ)
- …practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked ... Coding Audit Response: Conducts Trains new coders to utilize the medical record, clinical , coding and abstracting systems, in conjunction with UHDDS and other rules… more
- Robert Half Accountemps (Eden Prairie, MN)
- Description Job Title: Prior Authorization Digitization Auditor - Clinical Consulting Location: Remote (Telecommute) Schedule: Full-time | Monday - Friday | 8:00 ... Position Overview We are seeking a detail-oriented and tech-savvy Prior Authorization Digitization Auditor to join a clinical consulting support team. This role… more
- Insight Global (Houston, TX)
- …Description A large healthcare employer in Houston, TX is seeking a Physician Educator & Auditor to join their growing team. This team will consist of provider ... documentation is correct and effective from a coding and clinical perspective. The ideal candidate needs to be comfortable...to help educate them on the best practices for clinical documentation and be able to answer any questions… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- …well as other provider types and care settings. The OP Coding Auditor is prepared for the role through a detailed, well-defined training process, gaining ... **OP Coding Auditor ** **Category:** Analytics and Emerging Digital Technologies **Main...to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries of health plans, including… more
- Sanofi Group (Swiftwater, PA)
- …and reporting of assigned routine and non-routine GCP audits including Clinical Investigator Site, External Service Provider , and internal Process/System, ... **Job Title: Senior Manager, CQA Auditor ** **Location** : Swiftwater, PA **About the Job**...position will be focused on assessing GCP Compliance in clinical related activities and supporting the Quality Management System… more
- BeOne Medicines (Emeryville, CA)
- General Description: This position within R&D Quality is a senior Auditor role (as Lead or Co- auditor ) who is responsible for independently overseeing and ... play a critical role in safeguarding the integrity, safety, and quality of clinical research processes and data. This position requires: + Extensive knowledge and/or… more