• Clinical Documentation Specialist…

    UNC Health Care (Chapel Hill, NC)
    …travel from entity to entity across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow ... we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or… more
    UNC Health Care (07/29/25)
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  • Physician Advisory Services Auditor

    Intermountain Health (Helena, MT)
    **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve the accuracy of the overall clinical picture and the ... of the complexity and severity of illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical… more
    Intermountain Health (10/01/25)
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  • Clinical Revenue Auditor -CDM…

    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 ... with clinical , billing, coding, and IT departments to address documentation issues and optimize workflows. + Leverage charge capture software and analytics… more
    Mount Sinai Health System (09/24/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Los Angeles, CA)
    Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… more
    Elevance Health (09/30/25)
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  • Risk Adjustment Clinical Auditor

    UPMC (Pittsburgh, PA)
    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 ... Friday daylight hours and will be fully remote.. The Clinical Auditor /Analyst is an integral part of...of either HCC coding, reviews or education, DRG experience, Clinical Documentation Improvement, Fraud & Abuse, Chart… more
    UPMC (09/30/25)
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  • Clinical Compliance Auditor

    Astrix Technology (Los Angeles, CA)
    ** Clinical Compliance Auditor ** Clinical Los Angeles, CA, US Pay Rate Low: 100000 | Pay Rate High: 150000 + Added - 04/04/2025 Apply for Job We're partnering ... client in the biotechnology industry, and they're on the lookout for a talented ** Clinical Compliance Auditor ** to join their dynamic team! If you're passionate… more
    Astrix Technology (08/28/25)
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  • Home Health Quality Assurance Auditor

    Humana (Corpus Christi, TX)
    …CMS regulations, OASIS accuracy, and Medicare Conditions of Participation demand meticulous documentation . A QA Auditor will help ensure all records meet ... and help us put health first** The Quality Assurance, Clinical Professional 1 consults and collaborates with clinicians to...submission. As we transition to Kinnser EMR, the QA Auditor will ensure documentation workflows align with… more
    Humana (10/01/25)
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  • Senior Manager, GCP Auditor

    BeOne Medicines (San Mateo, 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
    BeOne Medicines (09/27/25)
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  • Quality Auditor - Bilingual

    Somatus (Mclean, VA)
    …missed care interventions, or other variances. + Conduct comprehensive audits of clinical documentation within various EMR systems to ensure accuracy, ... guidelines. + Identify trends and opportunities for quality improvement in clinical documentation and care management practices. + Provide consultation… more
    Somatus (08/22/25)
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  • Professional Auditor

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …and medical records to assure all services and charges are supported by clinical documentation . Assures appropriate application of BCBSMA guidelines, policy and ... with the Plans' provider agreements and the National Healthcare guidelines. The Professional Auditor helps improve clinical outcomes and quality of care, to… more
    Blue Cross Blue Shield of Massachusetts (09/22/25)
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