- BlueCross BlueShield of North Carolina (NC)
- … quality deficiencies are identified + Provide timely feedback and recommendations to Clinical Quality Management Consultants based on HEDIS Audits + ... accurate, and objective feedback to staff, providers, and the management team which includes a plan of action or...HEDIS overreading to ensure accuracy, consistency, and compliance with quality standards + Support clinical quality… 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
- 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 the ... 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
- Lilly (Indianapolis, IN)
- …for people around the world. **Position Brand Description:** **The Sr. Principal Associate - Quality Auditor is part of the Global Quality Auditing and ... quality (CIQ) for Lilly. Through auditing, the Sr. Principal Associate - Quality Auditor assures that GXP operations conducted and sponsored by Lilly are… more
- Elevance Health (Seattle, WA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing...formulate detailed audit findings letters. + Maintains accuracy and quality standards as established by audit management .… more
- Elevance Health (Grand Prairie, TX)
- …Possibilities. Make an Extraordinary Impact.** **Title** : Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG) **Virtual: ... and generate audit findings letters. + Maintains accuracy and quality standards as set by audit management ...Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical… more
- Astrix Technology (Los Angeles, CA)
- …$100,000-$150,000 **Location:** Remote **Responsibilities:** + Oversee and regularly update the Clinical Trial Quality Management system to ensure ... ** Clinical Compliance Auditor ** Clinical ...** Clinical Compliance Auditor ** Clinical Los Angeles, CA, US...including ICH GCP E6 (R2). + Lead the incident management process by tracking and addressing complaints, deviations, and… more
- Kelly Services (Lancaster, SC)
- …including maintaining approved supplier documentation and records within a digital quality management system. + Coordinate with third-party audit providers ... and 111 (or equivalent standards). + Certification as a Quality Auditor (eg, ASQ CQA) is preferred....the Kelly Talent Community. Why Kelly (R) Science & Clinical ? Kelly Science & Clinical is your… more
- CVS Health (Phoenix, AZ)
- …do it all with heart, each and every day. **Position Summary** The **Healthcare Quality Management Auditor ** participates in the development and ongoing ... management_ ) Work Plan activities. This person will improve quality products and services by using measurement and analysis...to)** + Completes a variety of onsite medical and clinical audits for all lines of business, including AHCCCS… more
- Providence (MT)
- …best people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical ... **This posting is for multiple openings of a Coding Quality Auditor , HEDIS** + **This position is...in a medical record. + 2 years - HEDIS, Quality management / quality improvement/utilization review auditing… more