Remote Clinical Auditor

· It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.  · Job Summary · The Clinical Auditor I performs detailed medica ...

· Overview · This auditing role will be responsible for performing retrospective clinical chart reviews on Readmission and Place of Service Claims by utilizing nationally accepted guidelines, clinical review judgment and review methodologies specific to the contract for which se ...

· Overview · This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused on the following disciplines from a coding and billin ...

· Overview · This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and Specialty audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused on one of the following disciplines fr ...

· Overview · The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary to generate high quality recoverable claims for the benefit of Cotiviti and our clients. Quality assurance emphasizes compliance with est ...

· Overview · The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary to generate high quality recoverable claims for the benefit of Cotiviti and our clients. Audited claim types include: Outpatient and Spec ...

This position is responsible for managing accounts receivable related to denied claims to ensure the financial viability of the WVU Medicine hospitals. · Accurately triage and route claims to work queues by maintaining a working knowledge of system hospital/clinic departments, pr ...

· GxP Auditor is an integral member of the Quality and Compliance team. The GxP Auditor is responsible for planning and conducting scheduled quality audits on behalf of RxCloud. This position will also act as a Subject Matter Expert (SME) for GxP auditing and quality projects an ...

As a pharmaceutical support industry leader, UBC is devoted to empowering · health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing · healthcare. At UBC we provide services to enhance the entire drug development process and · commercializ ...

· As a pharmaceutical support industry leader, UBC is devoted to empowering · health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing · healthcare. At UBC we provide services to enhance the entire drug development process and · commercia ...

· Description · Position at Nuvance Health · Must reside in the following states:  · AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, and VA. · Job Title: Senior Professional Facility Auditor · Company: Nuvance Health · Department: Facility ...

The Charge Integrity Specialist will play an important role in SmarterDx's next product launch in the Charge Integrity space. · This role will work closely with Product and Data science to refine and collaborate on strategies that will assist our customers in decreasing missed or ...

· Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans ...

We exist for workers and their employers -- who are the backbone of our economy.  That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. · Centivo is seeking a Claims Auditor who wi ...

· SmarterDx, a Smarter Technologies company, builds clinical AI that is transforming how hospitals translate care into payment. Founded by physicians in 2020, our platform connects clinical context with revenue intelligence, helping health systems recover millions in missed reve ...

· Company Description · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest a ...

· Medical Coder III – Outpatient & Emergency Department (ED) | Remote (Puerto Rico & U.S.) · Citizenship Requirement: U.S. Citizen · Language Requirement: Fluent in English (reading, writing, and verbal communication) · Work Location: 100% Remote – Open to candidates residing in ...

· Pulmovant is a Roivant-backed clinical-stage biotechnology company developing innovative therapies for patients suffering from pulmonary diseases. Pulmovant's first program, mosliciguat is designed to provide an effective, once-daily, inhaled treatment option for patients with ...

· Hi, we're Oscar. We're hiring a Senior Analyst, Special Investigations Unit Clinical Investigator to join our SIU. · Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 201 ...

· At OneStudyTeam (a Reify Health company), we specialize in speeding up clinical trials and increasing the chance of new therapies being approved with the ultimate goal of improving patient outcomes. Our cloud-based platform, StudyTeam, brings research site workflows online and ...

· Department Overview · Empower coders. Elevate accuracy. Transform the future of coding excellence. · We're hiring a Coder Auditor/Trainer to help elevate coding excellence across OHSU. · If you're an experienced profee coding auditor and trainer who loves diving into complex c ...