- Elevance Health (MD)
- ** Clinical Provider Auditor Senior** **Supports Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor Senior** is responsible for identifying… more
- Elevance Health (Palo Alto, CA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **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
- Elevance Health (Woburn, MA)
- **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is responsible for ... for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding… more
- Elevance Health (Wallingford, CT)
- **Registered Nurse - Diagnosis Related Group Coding Auditor Principal - Carelon Payment Integrity** **Location:** Alternate locations may be considered. This ... recover, eliminate, and prevent unnecessary medical-expense spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on… more
- Trinity Health (Germantown, MD)
- …Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Periop Nurse Auditor - Quality Safety Risk **Employment Type:** Full time / Day Shift ... - Review of Perioperative Records to ensure accuracy - Provide weekly and monthly reports for quality measurement -...RN with Bachelor's Degree. Licensed by the State of Maryland . -At least three years acute care experience required;… more
- The Cigna Group (Bloomfield, CT)
- …acuity cases, and/or account sensitive cases involving largest reserves. Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate ... an active caseload of inpatient case management cases for Cigna. + Uses clinical knowledge to assess inpatient admission level of care, treatment plan and goals,… more
- Catalent Pharma Solutions (Harmans, MD)
- …Managing through Conflict. + ASQ CQA (American Society of Quality Certified Quality Auditor ) highly desirable + Have the knowledge, and ability to apply basic ... 820 The anticipated salary range for this position in Maryland is $118,720-163,240 plus an annual bonus target. The...sizes to advance new medicines from early development to clinical trials and to the market. Catalent produces more… more