• Clinical Revenue Auditor -CDM…

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services -Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for ... Practice Plan) is responsible for reviewing and verifying that all billable services and procedures provided to patients are accurately documented, coded, and… more
    Mount Sinai Health System (09/24/25)
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  • Clinical Nurse Auditor , HEDIS…

    Providence (WA)
    …for conducting clinical quality audits for the Quality Department. The auditor identifies and coordinates clinical audits to determine potential areas for ... regarding charts require auditing will be provided by staff Clinical QI Coordinator RNs. The auditor maintains...California Fair Chance Act." **About the Team** Providence Shared Services is a service line within Providence… more
    Providence (11/18/25)
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  • DRG Revenue Integrity Auditor

    Insight Global (Plano, TX)
    …years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN RHIT or ... DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on… more
    Insight Global (10/30/25)
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  • Medical Coding Auditor

    Humana (San Juan, PR)
    …of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent… more
    Humana (11/04/25)
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  • Home Health Quality Auditor

    Humana (Miramar, FL)
    …caring community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and ... accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates with leadership to… more
    Humana (10/01/25)
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  • Clinical Auditor - Cardiac…

    Henry Ford Health System (Detroit, MI)
    …in EPIC. Proposes corrective action in charge capture problem areas. Reviews clinical documentation to ensure all records match. Participates in clinical ... 4. Proposes corrective action in charge capture problem areas; conducts in- service training sessions for perioperative staff to improve documentation and cost… more
    Henry Ford Health System (10/18/25)
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  • Healthcare Services Operations Support…

    Molina Healthcare (Phoenix, AZ)
    JOB DESCRIPTION Job Summary The Non- Clinical Auditor is responsible for conducting detailed audits of member service interactions, including call recordings ... Qualifications** Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) non- clinical review/auditing experience.… more
    Molina Healthcare (11/16/25)
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  • Clinical Documentation Auditor

    AdventHealth (Orlando, FL)
    …Time **Shift** : Days **Location: Remote** **The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered ... Health Information Administrator with a high level of clinical proficiency necessary for the oversight of the Clinical Documentation team which is comprised of… more
    AdventHealth (11/14/25)
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  • Clinical Documentation Specialist…

    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 ... Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that...are owned or managed that have opted into shared services . This position reports to the HCS Supervisor Coding… more
    UNC Health Care (10/28/25)
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  • Risk Adjustment Coding Auditor II

    LA Care Health Plan (Los Angeles, CA)
    …net required to achieve that purpose. Job Summary The Risk Adjustment Coding Auditor II position is responsible for auditing clinical documentation and coding ... Risk Adjustment Coding Auditor II Job Category: Accounting/Finance Department: Risk Adjustment...assess accuracy and compliance of coding assignments per the clinical documentation for the various risk adjustment models (Health… more
    LA Care Health Plan (11/22/25)
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