• Intermediate Clinical Auditor

    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, ... role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality...working in collaboration with appropriate Health Plan departments including Quality Improvement , Claims, and Medical Directors as… more
    UPMC (11/01/24)
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  • Coding Quality Auditor

    Hackensack Meridian Health (Neptune, NJ)
    …to transform healthcare and serve as a leader of positive change. The Coding Quality Auditor is responsible for monitoring compliance with applicable clinical ... needed) in 3M as needed for DRG mismatches on Clinical Documentation Improvement (CDI) reviewed cases. +...a complex healthcare environment. + Minimum 2 years of quality improvement audit. + Experience and thorough… more
    Hackensack Meridian Health (11/02/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    …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 ** **Location:** This position...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement more
    Elevance Health (11/08/24)
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  • Sr Auditor , Clinical Trials

    MicroVention, Inc. (Aliso Viejo, CA)
    Clinical Trials **Job Description:** Provide support to all aspects of the Clinical Quality Assurance (CQA) function across the business. Support CQA ... Management in assuring quality throughout MicroVention and promote continual improvement ...+ Act as a Subject Matter Expert (SME) for clinical quality issues and demonstrate ethics and… more
    MicroVention, Inc. (10/12/24)
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  • Clinical Nurse Auditor , HEDIS…

    Providence (WA)
    …Department + Identify and coordinate clinical audits to determine potential areas for quality improvement within the PHP network + Collect data by way of ... , HEDIS who will:** + Be responsible for conducting clinical quality audits for the Quality...License: Oregon and Washington + 1+ years' experience in Quality Management, Quality Improvement , Utilization… more
    Providence (10/30/24)
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  • Quality Auditor - Global…

    Lilly (Indianapolis, IN)
    …determined to make life better for people around the world. **Position Brand Description:** The Quality Auditor is part of the Global Quality Auditing and ... and consumer information quality (CIQ) for Lilly. Through auditing, the Quality Auditor assures that GXP operations conducted and sponsored by Lilly… more
    Lilly (10/05/24)
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  • Health Professional II- Quality Assurance…

    State of Colorado (Denver, CO)
    …responsible for identifying operational improvements and directing specifics for policy improvement Quality Assurance Auditor /Analyst: + Reviews client ... Restoration, Evaluation Services and Administrative Services + Uses case audits to ensure quality assurance and continuous quality improvement of services… more
    State of Colorado (11/02/24)
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  • A**Divisional Coding Quality Auditor

    AdventHealth (Altamonte Springs, FL)
    …**The role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or ... required to achieve industry best practice levels of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as… more
    AdventHealth (10/24/24)
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  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    **Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** At Houston Methodist, the Coding Quality Auditor position is ... coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the… more
    Houston Methodist (09/14/24)
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  • RN Clinical Documentation Auditor

    Ascension Health (Wichita, KS)
    …staff, physicians, clinical and ancillary staff to improve the overall quality and completeness of clinical documentation. + Assist Health Information ... + Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or… more
    Ascension Health (11/02/24)
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