• 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 ... 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
    Mount Sinai Health System (09/24/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Los Angeles, CA)
    …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
    Elevance Health (09/30/25)
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  • Staff Clinical Compliance Auditor

    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
    Danaher Corporation (09/19/25)
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  • Risk Adjustment Clinical Auditor

    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
    UPMC (09/30/25)
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  • Quality Auditor - Bilingual

    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
    Somatus (08/22/25)
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  • Home Health Quality Assurance…

    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
    Humana (10/01/25)
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  • Clinical Coding Auditor & Trainer

    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
    Centene Corporation (09/27/25)
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  • Quality Assurance Auditor II

    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
    University of Utah (09/23/25)
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  • Divisional Coding Quality Auditor

    AdventHealth (Altamonte Springs, FL)
    …**The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or ... required to achieve industry best practice levels of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as… more
    AdventHealth (09/17/25)
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  • Quality Assurance Auditor

    Kelly Services (Lancaster, SC)
    …CFR Parts 210, 211, 507, and 111 (or equivalent standards). + Certification as a Quality Auditor (eg, ASQ CQA) is preferred. + Strong computer skills, including ... ** Quality Assurance Auditor ** **Location: Lancaster, South...potential areas of internal non-compliance, and contribute to process improvement or policy development. + Assist in preparation for… more
    Kelly Services (09/30/25)
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