- Actalent (Atlanta, GA)
- Job Title: Quality Improvement Auditor - Fully...a clinical license. + 3+ years of quality improvement experience or similar to Quality ... remote Job Description The Quality Improvement Auditor will lead medical record audits,...member outcomes. This role involves assessing provider performance and quality of care through clinical case reviews.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical ... financial health and compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the… more
- Elevance Health (Mendota Heights, MN)
- …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 (CDI, MS-DRG, AP-DRG...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- Danaher Corporation (Minneapolis, MN)
- …Auditor (Global Focus - Remote) for Danaher Diagnostics is responsible for clinical quality and compliance. This includes study audit and inspection ... viewpoint matter. And by harnessing Danaher's system of continuous improvement , you help turn ideas into impact - innovating...team and report to the Sr. Director of Global Clinical Compliance responsible for clinical quality… more
- Providence (OR)
- …Department + Identify and coordinate clinical audits to determine potential areas for quality improvement within the PHP network + Collect data by way of ... , HEDIS who will:** + Be responsible for conducting clinical quality audits for the Quality...Dual RN License: Oregon and Washington + 1 year Quality management/ quality improvement /utilization review auditing… more
- UPMC (Pittsburgh, PA)
- …either HCC coding, reviews or education, DRG experience, Clinical Documentation Improvement , Fraud & Abuse, Chart Auditing, or Quality Review experience ... UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a full time position… more
- Somatus (Mclean, VA)
- …and compliance with established guidelines. + Identify trends and opportunities for quality improvement in clinical documentation and care management ... well-being + Community engagement opportunities + And more! The Quality Auditor effectively and efficiently manages a... team in the development of reporting to prioritize clinical and service improvement initiatives and address… more
- Humana (Corpus Christi, TX)
- …develop targeted training and job aides. This proactive approach supports continuous quality improvement and enhances patient safety. **Scheduled Weekly Hours** ... caring community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and...Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state,… more
- Centene Corporation (New York, NY)
- …Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small ... work performed by staff and present findings and recommendation for areas of improvement to management + Under minimal supervision responsible for all aspects of… more
- University of Utah (Salt Lake City, UT)
- …bachelor's degree = 4 years of directly related work experience). **Medical Coding Quality Auditor (Healthcare), II:** Requires at least 1 year of related ... **Job Title** Medical Coding Quality Auditors (Healthcare) **Working Title** Quality Assurance Auditor II **Career Progression Track** S00 **Track Level**… more