- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday ... Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of...audits and reviews regarding the analysis of care and services related to clinical guidelines, coding requirements,… more
- Providence (WA)
- …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...Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence… more
- RWJBarnabas Health (Oceanport, NJ)
- FT Internal Auditor Senior II ( Remote - Hybrid)Req #:0000158945 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health ... Corporate Services Department:Internal Audit Location: System Business Office, 2 Crescent...risks to the organization. Work assigned to the Internal Auditor Senior II will often be well-defined but may… more
- Providence (WA)
- **Description** **Revenue Cycle Auditor RN \* Remote * Candidates residing in AK, WA, MT, OR, CA, TX or NM are encouraged to apply.** The Nurse Auditor is ... a Bachelor's Degree - Nursing. + 5 years - Clinical experience in an acute care setting. + 3...Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence… more
- TEKsystems (Jacksonville, FL)
- The Outpatient Medical Coding Auditor - is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the organization. This ... to verify adherence to coding guidelines and regulations. The Medical Coding Auditor plays a crucial role in minimizing coding errors, preventing fraudulent… more
- Fallon Health (Worcester, MA)
- …is continually rated among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences, life ... of audits following departmental standards and procedures. **The Internal Auditor will perform or assist in the following:** +...plans by working under the direction of the Lead Auditor or Audit Manager. + Prepare detailed work papers… more
- Rising Medical Solutions (Chicago, IL)
- …born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment. Join ... compliance, over-utilization, and erroneous charges. We pride ourselves on outstanding customer service and work hard to keep our impeccable reputation in the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …diversity and excellence of our academic community. **Description** Performs audits of clinical trials to ensure compliance with federal and state laws and ... policies and procedures relating to conduct and practices within Clinical Trials. JOB DESCRIPTION: + Conducts audits to assure...the study team. + When noncompliance is found, the auditor works with the study team to identify root… more
- UPMC (Pittsburgh, PA)
- **UPMC is hiring a full-time Senior Medical Auditor to join their Department of Pediatrics team! This position will join our Pediatrics administrative team, which ... external coding audits when requested.** As the Senior Medical Auditor , you will provides technical expertise to review staff...expertise to review staff to ensure that all physicians, clinical , billing and coding staff are adhering to all… more
- ThermoFisher Scientific (Austin, TX)
- …Conditions** Office **Job Description** Conduct complex internal and external Clinical Research Site audits to ensure compliance with established quality ... contractual obligations. Identify issues impacting the quality and/or integrity of clinical research programs, determine root cause of non-conformance and develops… more