Revenue Integrity Auditor - Clinical Data Quality & Compliance
Waystar, Inc
Waystar, Inc. is looking for professionals to design, develop, and perform quality assessments on data elements and structures. The role involves documenting data integrity and compliance, alongside generating comprehensive guidelines and reports. Key qualifications include a Bachelor’s Degree in Nursing (RN) and over 5 years' experience in clinical documentation management. The position offers generous paid time off, a customizable benefits package, and continuous professional development opportunities. #J-18808-Ljbffr Waystar, Inc
- ...Clinical Revenue Auditor-CDM Patient Financial Services-Corporate... ...financial health and compliance of the organization... ...by stakeholders and data. Ensure compliance... ...and deliver quality outcomes. ~ Ability... ...need it. Through the integration of its hospitals, labs...DataFull timeLocal area
- ...Professional Medical Auditor (CPMA), Certified... ...nurse with strong clinical background or... ...Overview: The Clinical Revenue Auditor is... ...financial health and compliance of the organization... ...stakeholders and data. Ensure compliance... ...environment and deliver quality outcomes. Ability...Data
- A leading healthcare provider in New York seeks a Clinical Revenue Auditor to ensure the accuracy of medical billing and compliance with regulations. Ideal candidates will have 3-5 years of clinical experience, knowledge of medical coding, and proficiency with medical billing...SuggestedRemote jobFull time
- e4health is seeking a Clinical Documentation Integrity (CDI) Auditor to ensure accurate documentation in patient medical... ...involves auditing records for compliance and accuracy, utilizing ACDIS/... ...to empower better health through quality clinical documentation. #J-18808-...Suggested
$96.46k - $144.69k
A major healthcare organization in New York is seeking a Clinical Revenue Auditor to ensure accurate documentation and coding of billable services. This full-time role offers a hybrid work option and involves auditing clinical revenue processes. Ideal candidates will have...SuggestedRemote jobFull time$96.46k - $144.69k
A prominent healthcare organization in New York is seeking a Clinical Revenue Auditor to ensure accurate billing and compliance in patient services. The role involves conducting clinical audits, optimizing charge capture processes, and collaborating with clinical and operational...Full time$46.99k - $122.4k
Hispanic Alliance for Career Enhancement in Georgia is hiring a Program Integrity Auditor responsible for auditing healthcare records. This role requires 3-5 years of experience in claims data review and medical coding standards (CPT, HCPCS, ICD-10). Candidates should...Data- Samaritan Health is looking for a Revenue Integrity Coordinator to support and... ..., collaborating with clinical departments, and managing coding... ...along with strong skills in data analysis and problem-solving... ...an organization focused on quality healthcare. #J-18808-Ljbffr...DataRemote job
$46.99k - $122.4k
...Career Enhancement is seeking a Program Integrity Auditor based in New Jersey. This role involves... ...records to ensure coding accuracy and compliance with standards. The ideal candidate will... ...have 3-5 years of experience in claims data interpretation and hold certifications...DataFull time- A public health department in New York City seeks a Data Analytics Auditor to manage and improve data integrity in billing systems for agency nurse services. The ideal candidate will have a strong background in data analysis, expertise in SQL, and experience handling extensive...DataWork at office
- Senior Global Clinical Auditor—New Jersey Senior Global Clinical Auditor—... ...Reports and suppliers Assesses compliance of clinical investigations... ...customers on clinical quality regulations/guidelines (FDA,... ...with computerized clinical data collection systems and biomedical...Data
$50 per hour
Roles: Senior · Lead · Auditor / Analyst Initio... ...across private markets by integrating deal flow, transaction... ...transactions) Confirm data consistency across financial... ...Audit Review Quality of Earnings (QoE) analyses... ...Risk, Controls & Compliance Review Identify financial...DataHourly payFor contractorsImmediate start$25 - $29 per hour
Job Title: Healthcare Revenue Integrity Specialist Status: Full‑Time Non‑Exempt Direct Hire... ...unmatched items. Audit claim and payment data for accuracy, proper denial status,... ...audits. Collaborate with Billing, Quality, and Compliance to refine processes and enhance revenue...DataRemote jobHourly payDaily paidFull timeTemporary workWork at officeHome office$46.99k - $122.4k
...accountable and prioritize safety and quality in everything we do. Join us... ...Summary The Program Integrity Auditor is responsible for the... ...documentation rules. Maintain compliance with company policies and procedures... ...and interpreting claims data, as well as medical records...DataHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- A reputable recruitment agency is seeking a Senior Global Clinical Auditor for a Pharmaceutical company in New Jersey. This role involves conducting... ...audit activities, and providing guidance on clinical quality regulations. Candidates should have 8 years of experience in...
- A healthcare provider in Georgia is seeking a Compliance Auditor to conduct independent compliance audits within the revenue cycle. Responsibilities include preparing detailed audit reports and providing education related to compliance. The ideal candidate will have 3-...
$70k - $80k
A data analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with over 5 years of acute care experience. Responsibilities include reviewing medical records...DataRemote job$70.82k - $82.66k
...Perform functions required for the compliance and administration of the... ...students; Assist with the quality assurance and program... ...Identify and analyze rejected data and take appropriate action to... ...State systems in order to ensure integrity of student databases and timely...DataWork at officeFlexible hoursAfternoon shift- Job Description - Revenue Integrity Analyst III INTEGRIS Health... ...billing, regulatory compliance, and optimized net... ...guidance, coaching, and quality assurance for their... ...analyze complex financial data and communicate... ...Minimal exposure to clinical environments; primary...DataContract workTemporary workWork at office
- Join our team as a Revenue Integrity Analyst I at INTEGRIS HEALTH... ...assisting with payer compliance activities. The... ...reviews by collecting data, validating results,... ...minimal exposure to clinical settings. INTEGRIS Health... ...access to quality and compassionate health...DataWork at officeRemote work
$70.48k - $94.61k
...Health is a fully integrated health system that... ...rigorous focus on quality that has resulted... ...placed nine of its clinical specialties among... ...$14.2 billion in revenue this year, the system... ...error and denial data to identify root causes... ...transactions in compliance with state,...Data- ## Clinical Financial Case Manager RNApplyremote... ...Shared Services | Revenue Cycle Clinical... ...governmental, commercial, compliance, and internal),... .... RCCS is integral to the Revenue Cycle... ...Manager in overseeing quality of clinical... ...denial management, data analysis, and process...DataWork at officeRemote workShift workDay shift
- ## SR Data Integrity Analyst, Revenue CycleApplylocations: WORK AT HOME - OHIOtime type... ...documents such as clinical and registration notes, physician... ...require focus on safety, quality and efficiency in... ...fully supports and maintains compliance with all state, federal, and...DataLocal areaWork from homeShift work
- INTEGRIS Health is looking for a Revenue Integrity Analyst I to join their team in Oklahoma City, OK. In this role, you will support revenue... ...issues while collaborating with various teams to ensure compliance and accurate billing. The ideal candidate should have three...Data
- ...continuously discovering clinical innovations and... ...directly to the Manager of Revenue Integrity and working closely... ...Integrity Nurse Auditors, UM/UR team and the Billing... ...capture and charging compliance audits in accordance... ...and analyzes data from various sources...DataFull timePart timeWork at office
- The Revenue Integrity/Accounts Receivable Representative is responsible for... ...accuracy, completeness, and compliance with CPT, ICD-10, and payer... ...Collaborate with coding, billing, and clinical teams to prevent recurring... ...**, including pivot tables, data analysis, and reporting.* **...DataContract workWork experience placementCasual workLocal areaRemote work
$26 - $31.5 per hour
...O&P solutions, clinically differentiated programs... ...Supervisor, RCM Quality Audit - Remote... ...as part of the Revenue Cycle... ...Revenue Cycle Quality Auditor position is an integral role in the success... ...quality and compliance standards are met... ...Analyzes trends in data, making...DataHourly payFull timePart timeWork experience placementWork at officeLocal areaRemote workRelocation packageFlexible hours- ...00 AM Summary The Clinical Specialist will be... ...analyzing & presenting data. Responsibilities... ...sales will drive revenue growth in the... ...achieved. Ensure compliance with hospital credentialing... ...honesty, integrity and excellent work... ...& speak English. Quality Requirements Build...DataCasual workWork at officeWorldwide
$80k - $120k
...seeks a Charge Reconciliation/Audit Specialist for its Revenue Cycle department. This position will ensure compliance and optimization in charge capture and reconciliation processes, acting as liaison between clinical departments and the Revenue Cycle. The ideal...Remote job- ...Role Summary The Senior Data Engineer will be responsible... ...and owning high-integrity, GxP-validated data pipelines... ...workflows for global clinical trials, ensuring full regulatory compliance (GxP, HIPAA) across the... ...days to hours. Data Quality & Compliance Design, deploy...Data
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