- Centene Corporation (New York, NY)
- …and requires an clinical license. 3+ years of nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license ... processes to measure member outcomes. Assess provider performance and quality of care through clinical case reviews....and delivered timely + Perform other performance and process improvement activities + Performs other duties as assigned +… more
- Bloom Healthcare (Denver, CO)
- Job Title: Part Time RN Clinical Auditor Schedule: 24 hours a week, Saturday, Sunday and Monday Location: Colorado About Bloom: Bloom Healthcare is a pioneering ... career in a supportive environment. This part-time, remote RN Clinical Auditor position is designed for a...hospice and regulatory standards. + Assess the completeness and quality of clinical documentation and adherence to… more
- Elevance Health (Denver, CO)
- …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** **Virtual:** This role...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… 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
- Trinity Health (Albany, NY)
- …years' experience as a risk adjustment auditor and educator and/or clinical documentation improvement specialist with a solid background in value-based plans ... efforts toward the improvement and integrity of clinical documentation through the role of auditor ...providers and members of the healthcare team. + Performing quality audits and evaluating clinical documentation of… 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
- ICON Clinical Research (Salt Lake City, UT)
- …mission to shape the future of clinical development. We are currently seeking a ** Quality Assurance Auditor II** to join our diverse and dynamic team in our ... Quality Assurance Auditor II- Salt Lake...you will play a pivotal role in ensuring the quality and compliance of clinical trials, interpreting… more
- AdventHealth (Altamonte Springs, FL)
- …Monday-Friday **The role you will contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the inpatient or ... and skills required to achieve industry best practice levels of performance. The Quality Auditor will adhere to AdventHealth's Compliance standards, as well as… more
- Virtua Health (Mount Laurel, NJ)
- …audits; provides timely feedback to staff and providers; makes recommendations for improvement .* Performs special audits to facilitate quality improvements and ... by US News and World Report, we've received multiple awards for quality , safety, and outstanding work environment.In addition to five hospitals, seven emergency… more
- Humana (Montgomery, AL)
- …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital...focus on DRG audits. You will also drive process improvement initiatives and develop educational materials. This is a… more