- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... an accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records… more
- Elevance Health (Mason, OH)
- ** Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Clinical Provider Auditor II** is...or any combination of education and experience, which would provide an equivalent background. + Requires coding certification (CPC,… more
- Elevance Health (Des Moines, IA)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying… more
- 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 ... we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or… more
- Virtua Health (Mount Laurel, NJ)
- …practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked ... Coding Audit Response: Conducts Trains new coders to utilize the medical record, clinical , coding and abstracting systems, in conjunction with UHDDS and other rules… more
- Insight Global (Houston, TX)
- …Description A large healthcare employer in Houston, TX is seeking a Physician Educator & Auditor to join their growing team. This team will consist of provider ... documentation is correct and effective from a coding and clinical perspective. The ideal candidate needs to be comfortable...to help educate them on the best practices for clinical documentation and be able to answer any questions… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- …well as other provider types and care settings. The OP Coding Auditor is prepared for the role through a detailed, well-defined training process, gaining ... **OP Coding Auditor ** **Category:** Analytics and Emerging Digital Technologies **Main...to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries of health plans, including… more
- Fallon Health (Worcester, MA)
- …the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, ... health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program… more
- Sanofi Group (Swiftwater, PA)
- …and reporting of assigned routine and non-routine GCP audits including Clinical Investigator Site, External Service Provider , and internal Process/System, ... **Job Title: Senior Manager, CQA Auditor ** **Location** : Swiftwater, PA **About the Job**...position will be focused on assessing GCP Compliance in clinical related activities and supporting the Quality Management System… more
- BeOne Medicines (Emeryville, 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
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