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CLINICAL PROVIDER AUDITOR II

Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. . Reviews and conducts analysis of claims and medical records prior to payment...

CompanyElevance Health
AddressINDIANAPOLIS, IN
CategoryAccounting/Finance
Date Posted 3 weeks ago See detail

Clinical Provider Auditor II

Elevance Health

INDIANAPOLIS, IN

Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. . Reviews and conducts analysis of claims and medical records prior to payment...

3 weeks ago seen See more...

Advanced Practice Provider (NP/PA) - FP UNC Fertility Clinic (Job ) New

Cbs17

Olin, NC

The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.Hours: 7:30-4:30 M-F with 1 Saturday required e...

11 hours ago seen See more...

Sr. Clinical Study Auditor (Remote)

Becton Dickinson

Remote

Plan, conduct, and lead complex Clinical Study audits (Sponsor, Investigator Sites and Clinical Suppliers) (either remote or on site) in accordance with all applicable regulations, standards, mentorship, and the established proced...

2 days ago seen See more...

Senior Nurse Clinical Auditor Days FT

Dmc Children's Hospital Of Michigan

Detroit, MI

Ensures documented charges are correctly billed and billed charges are documented in the medical record. Corrects billing errors in the Patient Accounting system and in some cases, the Cerner system. . Identifies, reports and reco...

4 days ago seen See more...

Advanced Practice Provider - Same Day Clinic (Katy)

Houston Methodist Hospital

Houston, TX

Demonstrates leadership as a clinical resource, interprofessional consultant, and patient/family advocate. Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goal...

3 days ago seen See more...

Advanced Practice Provider - Same Day Clinic (Sugar Land)

Houston Methodist Hospital

Sugar Land, TX

Demonstrates leadership as a clinical resource, interprofessional consultant, and patient/family advocate. Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goal...

a week ago seen See more...

Provider Recruiter (Clinical Recruiter)

Alignment Healthcare

California, United States

$110,000 - $120,000 a year

Effectively and proactively source candidates through various online and networking channels for the clinical functions. Conduct strategic meetings with hiring managers to identify key competencies and qualifications that drive su...

a week ago seen See more...

Maintenance Technician - Clinics Located in or South of Fayetteville.Company Vehicle Provided.

Crh Healthcare

Perry, GA

Complete light building repairs and maintenance for Peachtree Immediate Care clinics. Comply with work order system and completes work orders with only general directions. Enter work orders when necessary. Follow safety precaution...

a week ago seen See more...

Advanced Practice Provider Clinical Manager

Livewell Choice, Llc

Houston, TX

Conduct rounds to each contracted nursing facilities on a regular basis to determine if contracted providers are delivering the Longevity Health Model of Care and are meeting quality and regulatory standards. Conducts periodic rev...

a week ago seen See more...

Senior Clinical Validation Auditor

Penstock Group

Remote

$95,000 a year

Conducts thorough, thoughtful reviews of healthcare claims and medical records to identify clinical discrepancies in billed diagnoses and provided documentation that result in an unsupported DRG assignment, inappropriate coding or...

2 weeks ago seen See more...

Advanced Practice Provider Clinical Manager

Livewell Choice, Llc

Greenville, SC

Conduct rounds to each contracted nursing facilities on a regular basis to determine if contracted providers are delivering the Longevity Health Model of Care and are meeting quality and regulatory standards. Conducts periodic rev...

2 weeks ago seen See more...

Outpatient Clinic Manager - Providers

Mrinetwork Jobs

Brothers, OR

Bachelors degree in healthcare, business, or a related field, required. 3-5+ years of experience in Clinical Services, Physician Practices, Outpatient services, Family Health Services or Urgent Care,. Previous experience working...

3 weeks ago seen See more...

Maintenance Technician - Clinics Located in or South of Fayetteville.Company Vehicle Provided.

Crh Healthcare

Columbus, GA

Complete light building repairs and maintenance for Peachtree Immediate Care clinics. Comply with work order system and completes work orders with only general directions. Enter work orders when necessary. Follow safety precaution...

3 weeks ago seen See more...

Advanced Practice Provider - Same Day Clinic (The Woodlands) - Now Hiring

Houston Methodist Primary Care Group

Bellaire, TX

Demonstrates leadership as a clinical resource, interprofessional consultant, and patient/family advocate. Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goal...

3 weeks ago seen See more...

Enterprise Provider Compliance Auditor/Educator

Wvu Medicine

Morgantown, WV

), and payor specific regulations for chart documentation, valid coding and billing, and medical necessity support to prevent fraud, waste, and abuse as mandated by OIG compliance program requirements. Develops and conducts ongoin...

3 weeks ago seen See more...

Kootenai Clinic General Surgery Advanced Practice Provider

Kootenai Health

Coeur D'Alene, ID

Joining an experienced group of five surgeons and three Advanced Practice Providers. APP scope includes:surgery assist, hospital rounding, surgery follow-up appointments, new patient appointments, and tele-health visits. Full-tim...

3 weeks ago seen See more...

Senior Clinical Auditor

Penstock Group, Llc

New York, United States

From $95,000 a year

Conducts thorough, thoughtful reviews of healthcare claims and medical records, and applies clinical judgment to identify inappropriate payments and improper billing practices Identifies and refers scenarios that require input fro...

a month ago seen See more...

Clinical Documentation Specialist Auditor - HIM Coding & CDI Quality

Unc Health Care

Chapel Hill, NC

Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.Summary:This positon trains and audits Inpatient and...

4 weeks ago seen See more...

Clinical Care Provider - BCBA (Part-time)

Answersnow

Austin, TX

Provides clients access to virtual therapy, anytime and anywhere: Bring families from assessment to therapy in as soon as 3 weeks without a waitlist or commute. Improves client outcomes: 97% of parents report dramatic improvements...

4 weeks ago seen See more...

Provider Operations - Epic Clinical Documentation Lead, Manager

Pwc

Chicago, IL

Analyse complex ideas or proposals and build a range of meaningful recommendations. Use multiple sources of information including broader stakeholder views to develop solutions and recommendations. Manage a variety of viewpoints t...

4 weeks ago seen See more...

Chief Operating Officer, Providence Clinical Network

Providence

Portland, OR

$360,000 - $500,000 a year

Aligning medical groups, retail clinics, ASCs, ambulatory imaging clinics, and urgent care centers across multiple markets, under the Providence brand, to deliver Mission driven, patient centered, high value care in achievement of...

4 weeks ago seen See more...

Maintenance Technician - Clinics Located in or South of Fayetteville.Company Vehicle Provided.

Crh Healthcare

Milledgeville, GA

Complete light building repairs and maintenance for Peachtree Immediate Care clinics. Comply with work order system and completes work orders with only general directions. Enter work orders when necessary. Follow safety precaution...

a month ago seen See more...

Clinical Sourcing Specialist (Providers)

Integrative Emergency Services

Dallas, TX

Work closely with recruiters to understand the requirements of open positions and develop effective sourcing strategies.Provide timely and detailed updates on candidate progress, market trends, and potential challenges to recruit...

a month ago seen See more...

Clinical DRG Auditor

Gainwell Technologies Llc

Idaho, United States

$35 - $45 an hour

Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes. Adheres to official coding guidelines, coding clinics and regulatory guidelin...

a month ago seen See more...

CLINICAL NURSE I - SENGSTACKE PRIMARY CARE- ACHN - PROVIDENT HOSPITAL

Cook County Health & Hospitals System

Chicago, IL

$34.29 - $46.72 an hour

Conducts initial and ongoing patient assessment. Analyzes data collected and formulates a problem list. Formulates an individualized plan of care derived from assessment data in collaboration with patient/significant other and oth...

a month ago seen See more...

Advanced Practice Provider, Renton Highlands Primary Care Clinic

Uw Medicine Valley Medical Center

Renton, WA

This is a mixed APP role with 70% direct patient care and 30% indirect patient care and the ability to grow your own panel of patients. Hours/Schedule- 7:30 AM-5:30 PM, Monday - Friday; 5 8-hour shifts. Patient Volume - 10-14 pati...

a month ago seen See more...

Advanced Practice Provider - Convenient Care Clinic

Atlanticare

Tuckerton, NJ

This position participates in quality improvement efforts organization-wide and plays an active role as a member of the appropriate divisional and departmental committees. Proficiency in Clinical Applications preferred at time of...

a month ago seen See more...

Maintenance Technician - Clinics Located in or South of Fayetteville.Company Vehicle Provided.

Crh Healthcare

Sharpsburg, GA

Complete light building repairs and maintenance for Peachtree Immediate Care clinics. Comply with work order system and completes work orders with only general directions. Enter work orders when necessary. Follow safety precaution...

a month ago seen See more...

Maintenance Technician - Clinics Located in or South of Fayetteville.Company Vehicle Provided.

Crh Healthcare

Locust Grove, GA

Complete light building repairs and maintenance for Peachtree Immediate Care clinics. Comply with work order system and completes work orders with only general directions. Enter work orders when necessary. Follow safety precaution...

a month ago seen See more...

Maintenance Technician - Clinics Located in or South of Fayetteville.Company Vehicle Provided.

Crh Healthcare

Griffin, GA

Complete light building repairs and maintenance for Peachtree Immediate Care clinics. Comply with work order system and completes work orders with only general directions. Enter work orders when necessary. Follow safety precaution...

a month ago seen See more...

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What are the top cities open Clinical Provider Auditor jobs?

There are open Clinical Provider Auditor jobs in several cities including Annapolis, Lansing, Atlanta, Columbia, Boise, Indianapolis,

What companies are hiring for Clinical Provider Auditor jobs?

The top companies hiring now for Clinical Provider Auditor jobs are Elevance Health,

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