1mo
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Clinical Auditor
Detroit, Michigan, United States
OnsiteFull Time
3+ YOEBachelor's in Nursing, active Michigan RN license, 3 years hospital RN experience (including 1 in a critical care specialty), 1 year clinical auditor experience, ability to conduct audits, correct billing, and defend hospital revenue.
Cerner
1w
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Clinical Auditor
Farmington, New Mexico, United States
OnsiteFull Time
2+ YOEActive RN with ≥2 years acute care experience, strong analytical and organizational skills, Microsoft Word/Excel proficiency, chart auditing and reporting experience; Cerner knowledge preferred.
Microsoft Word, Microsoft Excel, Cerner
2w
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Clinical Auditor
Lancaster, California, United States
$21-$28/hr OnsiteFull Time
CMA or LVN required, high school diploma, knowledge of anatomy/medical terminology, MS Office and EHR experience, HIPAA compliance, strong communication and customer service skills.
Microsoft Office, EHR, Internet
1mo
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Corporate Quality and Clinical Auditor
Marlborough or Newark
$138k-$230k/yr OnsiteFull Time
8+ YOEB.S. in engineering or science required; active auditor certifications preferred; 8+ years in quality/R&D/compliance and 5+ years as clinical/lead auditor; strong regulatory knowledge and audit, validation, and statistical skills.
Microsoft SharePoint, Microsoft Teams, Microsoft PowerPoint, Microsoft Excel
3w
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Clinical Denials Auditor
Chicago, Illinois, United States
$80k-$105k/yr RemoteFull Time
3+ YOEActive US RN license, 3+ years acute care clinical experience, 1+ year QA/auditing in utilization or clinical appeals, proficiency with InterQual/MCG and hospital EMRs, strong communication and coaching skills.
InterQual, MCG, Epic, Cerner, Meditech, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, Microsoft SharePoint, Electronic Medical Records (EMR)
3mo
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Clinical Auditor Assistant
Nineveh, Indiana, United States
$18-$19/hr OnsiteFull Time
3+ YOESupport clinical auditing and compliance; review field staff documentation for completeness and policy adherence; assist quality improvement initiatives.
Microsoft Word, Microsoft Excel
2mo
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Contract Clinical Auditor
Conshohocken, Pennsylvania, United States
$175/hr RemoteContract
3+ YOELicensed clinician with 3–5 years experience evaluating disability/occupational health; strong medical record interpretation; conducts clinical audits and documents evidence-based findings.
Microsoft Office, Electronic Claims Systems
2w
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Corporate Compliance Clinical Auditor
Westfield, Indiana, United States
HybridFull Time
4+ YOEBachelor's degree or equivalent, active clinical license (RN/LPN/PT/OT/ST), 4+ years audit/denials experience in Medicare/Medicaid, proficiency with PCC and Microsoft Office 365, RAC-CT preferred, Certified in Healthcare Compliance within one year.
PCC, Microsoft Office 365, Microsoft Teams, Microsoft SharePoint, Microsoft Excel
1mo
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CLINICAL AUDITOR - COMPLIANCE
Canton, Ohio, United States
OnsiteFull Time
Bachelor's degree or equivalent experience; perform compliance audits and investigations, analyze regulatory changes, develop policies, and communicate findings; strong Microsoft Office and communication skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint
2w
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Clinical Documentation Auditor
Waco, Texas, United States
$96k-$134k/yr HybridFull Time
2+ YOEACDIS Clinical Documentation Professional credential required; 2 years experience (with HS equivalency) or relevant degree/4 years experience; knowledge of DRG, coding, SOI/ROM; Epic and CDI tool proficiency.
EHR, Epic, Iodine, 3M, Nuance
23h
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Clinical Validation Auditor (CVA) Auditor III
Pittsburgh or United States
$70k-$80k/yr RemoteFull Time
5+ YOEActive RN license, 5+ years acute care experience, DRG/coding validation experience preferred, CCS/RHIA/RHIT certifications a plus, comfortable using Excel/Word/OneNote, strong clinical judgment.
Microsoft Excel, Microsoft Word, Microsoft OneNote, 3M, Webstrat
1w
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Clinical Support Auditor (IKC)
Denver, Colorado, United States
$78k-$119k/yr RemoteFull Time
3+ YOERegistered Nurse with clinical documentation improvement and coding experience; perform chart reviews, query providers, deliver education, and meet accuracy/productivity metrics.
EMR, Microsoft Excel, Microsoft Outlook, Microsoft Teams, Microsoft PowerPoint, Microsoft Word
3w
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Auditor Clinical Validation DRG
United States
$46/hr RemoteFull Time
5+ YOERequires clinical (nurse) and coding/auditing background with 5+ years working with ICD-9/10, MS-DRG/APR-DRG, strong coding expertise, proficiency in Word/Access/Excel/Teams, and excellent communication.
Microsoft Word, Microsoft Access, Microsoft Excel, Microsoft Teams
1mo
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Auditor, Clinical Services
Addison, Texas, United States
OnsiteFull Time
2+ YOEHigh school diploma/GED; 2+ years coding and compliance auditing; CPMA or CPC (CPMA within 1 year preferred); proficiency in CPT, ICD-10, HCPCS, EHRs; advanced Microsoft Office; strong analytical and communication skills.
Microsoft PowerPoint, Microsoft Word, Microsoft Excel, Microsoft Access, EHR, CPT, ICD-10, HCPCS
1mo
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Auditor, Clinical Services
Miami or Tampa or Jacksonville or St Petersburg or Orlando or Long Beach or Florida
$29-$57/hr OnsiteFull Time
2+ YOEActive RN license, 2+ years healthcare experience (≥1 year in utilization/care/managed care preferred), strong attention to detail, analytical skills, MS Office proficiency, and clinical auditing experience preferred.
Microsoft Office
1d
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Clinical Quality Auditor Contingent/IRP
Columbus, Ohio, United States
OnsitePart Time, Temporary
Bachelor of Nursing and active RN required; performs chart reviews for quality initiatives, maintains confidentiality, and collaborates with clinical staff. Up to 2 years relevant experience preferred.
Workday
3w
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Charge Auditor Clinical - Surgical Services
Santa Fe, New Mexico, United States
OnsiteFull Time
2+ YOEActive RN license in state of employment, BLS required (ACLS mentioned), 2 years clinical nursing experience, surgical services experience preferred, nursing school graduate, experience with charge/documentation and audits.
HealthStream (HLC)
1mo
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DRG/Clinical Validation Auditor RN
Plymouth or San Francisco or United States
$35-$63/hr RemoteFull Time
2+ YOEAssociate degree, unrestricted RN license, CCS or CIC (or obtain within 6 months), 2+ years MS-DRG/APR-DRG and ICD-10-CM/PCS coding experience in a hospital, strong clinical documentation and communication skills.
Microsoft Excel, 3M, Windows
4w
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Clinical Documentation Integrity Auditor
United States
$48-$58/hr RemoteFull Time
5+ YOE5+ years CDI experience in acute care, 3+ years performing CDI quality reviews/audits, proficiency with EHRs, CDI software and Microsoft Excel, strong analytical and communication skills, and ability to educate clinical staff.
Electronic Health Records (EHRs), CDI software, Microsoft Excel, reporting tools
4w
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Clinical Documentation Integrity Auditor
United States
$48-$58/hr RemoteFull Time
5+ YOE5+ years CDI experience in acute care, 3+ years auditing experience, proficiency with EHRs, CDI software and Excel, strong coding and regulatory knowledge (ICD-10, MS-DRG/APR-DRG), excellent communication and coaching skills.
Electronic Health Records (EHR), CDI software, Microsoft Excel
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