- Centene Corporation (New York, NY)
- …and requires an clinical license. 3+ years of nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license ... processes to measure member outcomes. Assess provider performance and quality of care through clinical case reviews....and delivered timely + Perform other performance and process improvement activities + Performs other duties as assigned +… more
- Surgery Care Affiliates (Birmingham, AL)
- …how we do it. Each decision we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous ... Responsibilities Job Summary: As a member of the Regulatory Compliance Team, the Senior Clinical Auditor will conduct compliance focused clinical audits to… more
- Elevance Health (Norfolk, VA)
- …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** **Location:** This position...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- Novant Health (Charlotte, NC)
- …documents detailing these risks and highlighting areas for overall documentation improvement . Additionally, the Auditor is responsible for educating providers ... The Compliance Auditor is expected to maintain or exceed established quality and productivity standards set by Compliance leadership. This requires the ability… more
- Lotte Biologics USA LLC (Syracuse, NY)
- …ICH, ISO, PIC/S and other health authority guidelines. + American Society for Quality (ASQ) Certified Quality Auditor or equivalent preferred, willingness ... innovation, to reliably deliver benefits for patients worldwide. Position Summary The External Auditor , Supplier Quality and Quality Systems, is responsible… more
- Veterans Affairs, Veterans Health Administration (North Chicago, IL)
- …for data quality , consistency, and monitoring for compliance to improve the quality for clinical , financial, and administrative data to ensure that all coded ... Summary The Medical Record Technician (Coder) Auditor is a staff position located under the...or AAPC. Mastery Level Certification through AHIMA or AAPC. Clinical Documentation Improvement Certification through AHIMA or… more
- Houston Methodist (GA)
- …live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis ... coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the… more
- Catholic Health (Kenmore, NY)
- …consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for SPARCS reporting. The Educator/ Auditor will monitor ... Demonstrated ability to work closely with CH associates, medical staff, Clinical Documentation Improvement (CDI) leadership and staff, department managers,… more
- Catholic Health Initiatives (Chattanooga, TN)
- …area of focus. Additionally the role will assist with educating providers on quality opportunities as well. Clinical background preferred but not required. ... with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an… more
- Rush University Medical Center (Chicago, IL)
- …services and documentation performed by RUMG & ROPPG providers. 2. Evaluates clinical documentation to identify inconsistency or improvement opportunities that ... each case. **Summary:** As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient… more