Claims Quality Review Auditor - Healthcare in Temple, TX for Baylor Scott & White Health

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Safety Associate - Community Hospital and Clinic Safety Division

Duke University Health System

Durham, North Carolina

NEW!

Clinical Documentation Specialist Auditor - HIM Coding & CDI Quality

UNC Health

Chapel Hill, North Carolina

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Clinical Manager, Dialysis Unit-Nursing Quality and PI/Full-Time

CHRISTUS Health

Santa Fe, New Mexico

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Quality Improvement Consultant 1 RN - PGA Frisco

Baylor Scott & White Health

Frisco, Texas

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Systems Performance Administrator- Patient Access Organization

UCLA

Los Angeles, California

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Quality and Patient Safety Advisor (Tullahoma, TN - Local/Hybrid)

Vanderbilt Health

Nashville, Tennessee

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RCS Quality Expert

Indiana University Health

Indianapolis, Indiana

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Risk Management Coordinator

Baylor Scott & White Health

Fort Worth, Texas

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Clinical Performance Data Analyst *hybrid*

WakeMed Health & Hospitals

Raleigh, North Carolina

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Patient Safety Companion - Nursing Resources

Penn State Health

Camp HIll, Pennsylvania

Graduate Administrative Intern - Performance Excellence

UCLA

Los Angeles, California

Registered Nurse - Quality Consultant (Infection Preventionist/Patient Safety)

Veterans Affairs, Veterans Health Administration

Anchorage, Alaska

Chief Quality Officer

Mount Sinai Health System

New York, New York

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Infection Preventionist - Infection Control - Full Time

CHRISTUS Health

Texarkana, Texas

Supervisor, Professional Practice Evaluation & Risk Management

NKC Health

North Kansas City, Missouri

Director of the School of Health & Human Performance

Georgia College & State University

Milledgeville, Georgia

NEW!

Quality Improvement Consultant I

Baylor Scott & White Health

Dallas, Texas

Diagnostic Medical Physicist Assistant, Radiation Physics & Safety, Full Time MMC

Atlantic Health

Morristown, New Jersey

Infection Preventionist - Quality Management - Full Time

CHRISTUS Health

Alexandria, Louisiana

Quality Improvement Consultant 2

Baylor Scott & White Health

Plano, Texas

Accreditation Director - RN Required

Northeast Georgia Health System

Gainesville, Georgia

Performance Improvement Coordinator - Quality Services Performance

Penn State Health

Reading, Pennsylvania

Safety & Health Specialist - Biological Safety Division

Duke University Health System

Durham, North Carolina

Quality Improvement Coordinator 2- Hybrid Dallas

Baylor Scott & White Health

Remote,

Clinical Performance Data Analyst, Quality Analytics

WakeMed Health & Hospitals

Raleigh, North Carolina

Claims Quality Review Auditor - Healthcare

JOB SUMMARYThe Claims Quality Review Auditor is HYBRID position accountable for auditing various claims to ensure quality and accuracy to related benefit payments, contract interpretation, and compliance with policies and procedures and regulatory guidelines. Makes recommendations to improve quality, workflow processes, policies and procedures.ESSENTIAL FUNCTIONS OF THE ROLETracks and trends audits in an effort to identify root cause errors to providers; provides feedback.Ensures that the department's procedural manuals consistently help adherence to regulatory guidelines, internal policies and procedures related to claims processing and departmental accuracy standards related to claims payment.Develops practi

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