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Strive Health
Overview
The Clinical Quality Auditor will conduct quality review processes for care management and delivery programs, ensuring clinical practices and documentation meet established internal and external quality standards and compliance expectations. This role involves reviewing patient files against quality criteria, supporting various roles with auditing and quality improvement strategies, and serving as a quality liaison and subject matter expert.
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Compensation
$99,000 - $124,000 / YEAR
Posted
10 days ago
Gainwell Technologies LLC
The Clinical DRG Auditor performs clinical and coding validation reviews of medical records to ensure the accuracy of DRG assignments and diagnosis coding. They also provide mentorship and training to team members while maintaining compliance with regulatory and official coding guidelines.
$85,000 - $95,000 / YEAR
13 days ago
Boys Town
Assists in the execution of research studies through data collection, equipment maintenance, and the preparation of stimuli. Responsible for recruiting human subjects and reporting project outcomes to the principal investigator.
Salary not listed
25 days ago
Molina Healthcare
The auditor performs clinical audits across various functional areas to ensure compliance with regulatory requirements and quality standards. They also identify clinical gaps in care, report outcomes to leadership, and assist in developing training materials to improve staff performance.
$29 - $57 / HOUR
28 days ago
RADcube - A NLogix Company
Coordinate patient care and transitions in collaboration with multidisciplinary clinical teams to ensure appropriate resource utilization. Perform clinical assessments, discharge planning, and collaborate with third-party payers for service coverage.
1 month ago
Covenant Health
Provides direct hands-on care and assistance with activities of daily living for oncology and gynecological surgery patients. Performs technical tasks such as recording vital signs, phlebotomy, and EKG under the supervision of registered nurses.
SSM Health
Performs periodic and ongoing audits of medical claims to ensure coding accuracy and documentation sufficiency. Develops corrective action plans and provides educational programs to improve billing and coding compliance.
Professional Performance Development Group
The auditor will audit coded medical records for accuracy and compliance while providing training and feedback to coding staff and providers. They are also responsible for resolving discrepancies, preparing reports, and maintaining audit documentation in accordance with regulatory standards.
$35 - $40 / HOUR
Torrance Memorial Medical Center
The RN Auditor is responsible for reviewing medical records for accuracy and compliance with Federal and State regulatory bodies. They perform concurrent and retrospective reviews to ensure appropriate patient status, billing accuracy, and adherence to clinical criteria.
$49 - $82 / HOUR
City of Hope
Performs comprehensive audits and monitoring of investigator-initiated clinical trials to ensure protocol compliance and data integrity. Verifies timely reporting of serious adverse events and protocol deviations to internal and external regulatory agencies.
University of Miami
The Quality Assurance Auditor conducts routine and focused audits of human subject research protocols to ensure compliance with federal and local regulations. They also prepare investigation reports and assist in the creation and maintenance of internal policies and standard operating procedures.
Trinity Health
The Nurse Auditor performs thorough chart reviews of electronic medical records to identify inaccuracies, omissions, and charge errors. They also facilitate documentation corrections by collaborating with clinical staff.
$49 - $73 / HOUR
2 months ago
Northwell
The Coding Auditor conducts audits to optimize diagnosis related groupings and develops coding instruction classes for staff. They are responsible for preparing coding guidelines, implementing changes, and monitoring case mix index performance.
$66,300 - $98,500 / YEAR
The Nurse Auditor performs thorough chart reviews of electronic medical records to identify inaccuracies, omissions, and charge errors. They also facilitate documentation corrections with staff to ensure high-quality clinical records.
The Auditor performs clinical audits across various functional areas to ensure compliance with regulatory requirements and quality standards. They also identify clinical gaps in care, report outcomes to leadership, and assist in developing training materials to improve staff performance.
CERIS
The Clinical Auditor will conduct DRG validation reviews of medical records to determine the accuracy of billing and coding, verifying documentation to establish the correct DRG assignment. This involves accurately documenting findings and providing clinical, policy, or regulatory support for all determinations made during the review process.
$63,739 - $95,264 / YEAR
The Clinical Auditor will conduct DRG validation reviews of medical records to determine the accuracy of billing and coding, verifying findings against clinical documentation. This role involves accurately documenting determinations and providing necessary clinical, policy, or regulatory support for those findings.
$68,566 - $104,841 / YEAR
Allied Benefit Systems
The Quality Assurance Auditor will independently and collaboratively complete multiple audit tasks, including auditing plan builds, outgoing correspondence from various teams, and claim adjustments. Responsibilities also involve interpreting plan benefits to determine payment tracking and reporting within the QicLink system.
$48,000 - $50,000 / YEAR
3 months ago
Premier Medical Resources
The Medical Coder Auditor is tasked with reviewing coded encounters to guarantee accuracy, compliance with guidelines, payer rules, and organizational policies. This involves providing feedback to coders, identifying error trends, and supporting coding education and process improvement initiatives.
Sarah Bush Lincoln
The Coding Auditor - Professional is responsible for auditing coding assignments and training coding staff. They interact with various medical staff to ensure appropriate documentation and coding quality.
$24 - $37 / HOUR
