• Clinical Denial Coding Review

    HCA Healthcare (Plano, TX)
    **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We ... of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist ...and maintain established departmental performance metrics for production and quality + Maintain working knowledge of workflow, systems, and… more
    HCA Healthcare (11/26/25)
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  • Clinical Research Quality

    University of Pennsylvania (Philadelphia, PA)
    …investigators and staff throughout the review process. Within the OCR, the Clinical Research Quality Specialist will interface with other OCR Units ... PSOM Office of Clinical Research Compliance. The Clinical Quality Specialist will work...the review process. Within the OCR, the Clinical Research Quality Specialist will… more
    University of Pennsylvania (11/02/25)
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  • RN Clinical Review Appeals…

    St. Luke's University Health Network (Allentown, PA)
    …serve, regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, ... DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for clinical validation of diagnosis and procedure code assignment and MS-DRG/APR-DRG… more
    St. Luke's University Health Network (10/28/25)
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  • Clinical Pharmacist Specialist AMP…

    HCA Healthcare (Overland Park, KS)
    …you to apply for our Clinical Pharmacist Specialist AMP Quality opening. We promptly review all applications. Highly qualified candidates will be ... We care like family! Jump-start your career as a Clinical Pharmacist Specialist AMP Quality ...and/or the pharmacy department + Participate in the continuous quality review of order sets and/or computer… more
    HCA Healthcare (10/13/25)
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  • Pharmacy Clinical Review

    UPMC (Bridgeville, PA)
    UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry ... to Rx Partners Skilled nursing and Hospice clients. The clinical review specialist at Rx...of a licensed pharmacist + Maintain or exceed designated quality and production standards. + Interface with other departments… more
    UPMC (10/30/25)
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  • Clinical Documentation Integrity…

    Avera (Sioux Falls, SD)
    …teams with non- clinical tasks. By handling essential administrative responsibilities, the Specialist enables clinical staff to concentrate on work requiring ... daily administrative tasks to facilitate collection, organization and distribution of clinical documentation to support CDI/UR workflows. + Clinical Denial… more
    Avera (11/27/25)
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  • Quality Review and Coding…

    SSM Health (MO)
    …Outcomes from Positive Experiences (HOPE), and/or ICD-10 queries. + Assists coders and quality review staff in performance of duties. + Maintains and reports ... at the appropriate timepoints in care. This role will review assessments and plans of care to ensure that...Certificate & Competency Board * Or * Home Care Clinical Specialist - OASIS (HCS-O) - Board… more
    SSM Health (10/13/25)
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  • Clinical Quality Assurance Program…

    Commander, Navy Installations (GU)
    …and implementing the FFSP Quality Assurance/Risk Management (QA/RM) Program. I. Quality Assurance - Clinical Cases Conduct regular quality assurance ... evaluation and provide recommendations for improved client care and treatment and quality customer service. Identify and evaluate key clinical processes and… more
    Commander, Navy Installations (11/26/25)
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  • Clinical Review Specialist II…

    UCLA Health (Santa Monica, CA)
    …contracts. You will support our Quality Vision to facilitate and improve clinical quality and patient safety outcomes for the communities we serve. You ... will also facilitate compliance with clinical quality regulatory requirements while promoting a culture of safety. This role is critical in helping us achieve… more
    UCLA Health (11/25/25)
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  • Sr Specialist , Clinical Trial…

    Terumo Neuro (Aliso Viejo, CA)
    **12870BR** **Title:** Sr Specialist , Clinical Trial Quality Assurance **Job Description:** Provide support to all aspects of the Clinical Quality ... Hiring Ordinance, and San Francisco Fair Chance Ordinance. **External-Facing Title:** Sr Specialist , Clinical Trial Quality Assurance **Posting Country:** US… more
    Terumo Neuro (09/16/25)
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