- Community Health Systems (Sarasota, FL)
- (Full-Time, Remote ) The Clinical Review Analyst is a professionally licensed nurse/LPN who is responsible for effectively managing the denial/appeal process ... via the performance of comprehensive analytic reviews of clinical and claim documentation. The CRA will perform triage,...reimbursement for care delivered to patients. As a _Clinical Review Analyst_ at Community Health Systems, you'll play a… more
- Elevance Health (Norfolk, VA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing...the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How… more
- 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 ... industry, and they're on the lookout for a talented ** Clinical Compliance Auditor ** to join their dynamic...Remote **Responsibilities:** + Oversee and regularly update the Clinical Trial Quality Management system to ensure alignment with… 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
- University of Michigan (Ann Arbor, MI)
- Auditor Senior Apply Now **Job Summary** The Revenue Cycle Compliance & Education (RCE) Office assists providers and departments to ensure their compliance with ... System Legal Office, UMHS Compliance Office and Office of Clinical Affairs to ensure appropriate communication on regulatory issues....of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the… more
- HCA Healthcare (Frankfort, KY)
- …this opportunity compelling, we encourage you to apply for our Inpatient Coding Auditor opening. We promptly review all applications. Highly qualified candidates ... **Description** **Introduction** This is a remote /work from home position. Experience the HCA Healthcare...vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue… more
- Houston Methodist (Nashville, TN)
- **Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** **$5,000 Sign-On Bonus** At Houston Methodist, the Coding Quality ... Auditor position is responsible for ensuring accuracy in code...and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue… more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code ... includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in… more
- Veterans Affairs, Veterans Health Administration (Fredericksburg, VA)
- …settings, group practices, and multi-specialty clinics. The MRT (Coder) Auditor (Outpatient) facilitate improved overall quality, completeness, and accuracy of ... workload, accepted nomenclature, and proper sequencing. They directly consult with the clinical staff for clarification of conflicting or ambiguous clinical … more
- Insight Global (Charlottesville, VA)
- Job Description Insight global is seeking a remote Professional Coding Educator for a healthcare system in Virginia. The educator will provide consulting services to ... and local regulatory compliance standards. Creates and delivers presentations to clinical faculty and billing staff. Develops training programs and delivers training… more