- Medical Mutual of Ohio (OH)
- …RN experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** ** Clinical Auditor ** + **Audits outpatient, inpatient and ... with payment recovery staff.** + **Performs other duties as assigned.** **Sr Clinical Auditor ** + **Audits outpatient, inpatient and professional claims from… more
- LA Care Health Plan (Los Angeles, CA)
- Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Audit Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates contracted to… more
- SSM Health (St. Louis, MO)
- …a calling** MO-SSM Health Mission Hill **Worker Type:** Regular **Job Highlights:** RN- Clinical Auditor Manager, Care Transformation - Case Management and Social ... Work 7 year's relevant experience in clinical auditing is required **Job Summary:** Ensures the daily management of auditing, monitoring of processes, reporting, and… more
- Sevita (Baltimore, MD)
- …opportunities for the people we serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations and ... across all Company business units and service lines. Ensures that existing clinical audit standards and procedures are best practice according to legal and… more
- Elevance Health (Middletown, NY)
- **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... 50 miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to… more
- Providence (Beaverton, OR)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for conducting ... clinical quality audits for the Quality Department + Identify...**This posting is for multiple openings of a Nurse Auditor , HEDIS** + **This position is affiliated with Providence… more
- Elevance Health (Metairie, LA)
- ** Clinical Quality Auditor Sr.** **Location** : The territory for this position is the State of Louisiana. The ** Clinical Quality Auditor Sr.** is ... Requires BS in nursing, health sciences, health management or a related clinical field and minimum of 5 years of experience in utilization management,… more
- Elevance Health (Washington, DC)
- ** Clinical Provider Auditor I** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor I** is responsible for identifying issues… more
- Elara Caring (Broken Arrow, OK)
- …families. This means you have countless ways to make a difference in your role as Clinical Chart Auditor by helping your team to reach their full potential. To ... environment, and that perfectly aligns with our culture. Our Clinical Chart Auditors are truly valued, and essential, in...be an industry pioneer delivering unparalleled care, we need Clinical Chart Auditors with commitment and compassion. Are you… more
- Actalent (Philadelphia, PA)
- …and be willing to go in office 2x a week in Philadelphia. The Clinical Research Nurse Auditor is responsible for scheduling, coordinating and monitoring and/or ... training related to research compliance, quality control and quality assurance. The monitor/ auditor will follow all DOCM policies and procedures and have a strong… more