- Molina Healthcare (Farmington, CT)
- …+ Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member ... Team (MAT), Health Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May… more
- The County of Los Angeles (Los Angeles, CA)
- … services programs to ensure, proper utilization of funds and provision of services . + Consults with clinical , administrative, and program planning staff in ... through the allocation of various categorical funds available to specific contract service agreements. + Evaluates proposals for contract services ; supervises… more
- Kelly Services (Gurabo, PR)
- …you find a job that works for you. How about this one?** We're seeking **QA AUDITOR ** to work with one of out top pharmaceutical industry clients at **Gurabo, PR.** ... required. Major in Microbiology, Biology, Chemistry or related field (natural science). + Must have at least 1-2 years of experience within related field in… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of ... the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works directly with revenue producing departments… more
- Trinity Health (Livonia, MI)
- … services mean services that facilitate the provision of healthcare services .) ** . Occasional clinical / patient-facing work environment. . Includes ... Actions & Promise in behaviors, practices & decisions. **Consultation Service :** Provides consultative support to Trinity Health functional area...& pushing. **Direct Healthcare & Indirect / Support Healthcare Services : must be able to: ** .… more
- Johns Hopkins University (Baltimore, MD)
- …in the development of medical record documentation standards and requirements related to clinical services billing. + Keeps current with third party regulations ... across all clinical specialties. Works in close collaboration with the clinical departments, Physicians Billing Service , and the Johns Hopkins Health System… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 03/04/2025 **Requisition Number** PRN41328B **Job Title** Coding Auditor **Working Title** Quality Assurance Auditor II **Job Grade** E ... a great place to work while providing the best service to our customers. Our leaders and employees value...too. We are looking for an experienced **Quality Assurance Auditor II** to join our team. As the Quality… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- Summary This Medical Records Technician (Coder) Auditor position in Health Information Management section at the VA Maine Healthcare Systems located at the Togus, ... is to serve as a Medical Records Technician (Coder) Auditor at a VA Maine Healthcare Systems. The incumbent...workload, accepted nomenclature, and proper sequencing. consult with the clinical staff for clarification of conflicting or ambiguous … more
- State of Colorado (Denver, CO)
- Quality Assurance Auditor - Health Professional III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4872031) Apply Quality Assurance ... Auditor - Health Professional III Salary $63,456.00 - $88,860.00...Number IIB 06254 04/7/2025 Department Colorado Department of Human Services Division OBH - CMHIP Opening Date 04/07/2025 Closing… more
- BayCare Health System (NC)
- …search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career ... Tampa Bay area. **Position Details:** + **Location:** Fully Remote ( must reside in the State of Florida, Georgia, South...PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member… more