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DRG Quality Auditor, Advisor Nurse- Remote
Location
United States
Posted
83 days ago
Salary
$85K - $102K / year
Seniority
Mid Level
No structured requirement data.
Job Description
DRG Quality Auditor, Advisor Nurse- Remote
Gainwell Technologies
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for a DRG Nurse Quality Auditor, Sr. Specialist who is responsible for performing on-going quality assurance audits of the accuracy and consistency of work performed by clinical and coding staff. Responsibilities include performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the contract for which review services are being provided. This involves accessing proprietary systems to audit medical records, accurately documenting findings and providing policy/regulatory support for determination. The candidate must have extensive clinical experience and an active coding certification with a background in auditing medical records with a high level of understanding payment methodologies including MS-DRG, and APR-DRG. What you will do - Conducts QA audits to ensure accurate determinations and high-quality documentation. - Identifies quality trends and develops corrective education and training. - Reviews medical records for accurate coding, compliance, and guideline adherence. - Applies job aids, policies, and criteria consistently during reviews. - Documents review decisions clearly for reporting and trending. - Meets productivity and quality standards while completing all review elements accurately. - Supports and trains new reviewers, coders, or clinical DRG auditors as needed. - Demonstrates strong knowledge of payment methodologies, DRG validation, and client-specific requirements. - Maintains current knowledge of coding guidelines, licensure, and CEU requirements. - Participates in trainings, cross-trains on claim types, and supports projects, analysis, and reporting. - Serves as a subject matter expert as needed. What we're looking for - Associates degree required; bachelor’s degree preferred. - Active, unrestricted RN licensure from the United States and in the state of primary home residency, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), required - One of the following Coding Certifications required: RHIA, RHIT, CCS, CIC, CCDS or CPC - 5+ years clinical experience in an inpatient hospital setting required - 3+ years of MS DRG/APR DRG coding or auditing experience with expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies - Expert knowledge of ICD -10-CM coding including but not limited to; expert knowledge of principal diagnosis selection, complications/comorbidities (CCs) and major complications/comorbidities (MCCs), and conditions that impact severity of illness (SOI) and risk of mortality (ROM) - Expert knowledge of ICD-10-PCS coding methodologies, code sequencing, and discharge disposition in accordance with CMS requirements, Official Guidelines for Coding and Reporting, and Coding Clinic guidance. - Demonstrated ability to apply clinical review judgment to make clinical determinations - Excellent written communication skills including ability to write clear, concise, accurate, and fact-based rationales in support of review determinations. - Advanced knowledge of medical codes, coding conventions and rules. - Demonstrated experience in medical review, chart audits and quality improvement processes. What you should expect in this role - Remote within the U.S. - 0–10% travel required Applications for this posting will be accepted until April 24, 2026. The pay range for this position is $85,000.00 - $102,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
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Medline Industries, LPMedline Industries, LP is an equal opportunity employer. Medline evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, disability/handicap status or any other legally protected characteristic.
Job Summary Job Description JOB SUMMARY: Audit a broad, global supplier base against FDA regulations, ISO standards, and other applicable global regulatory requirements across the full spectrum of Medline products including sterile products, APIs, raw materials, medical devices, pharmaceuticals, biologics, cosmetics, medical foods, and dietary supplements, as well as contract sterilizers and laboratories. Perform internal audits of Medline divisions and manufacturing sites. MAJOR RESPONSIBILITIES: - Plan, schedule and execute complex supplier audits to evaluate QMS and regulatory compliance in accordance with FDA regulations, ISO13485, MDSAP, MDD/MDR, and other applicable global regulatory requirements for manufacturers of a diverse finished product portfolio (including APIs, sterile products, medical devices, cosmetics, pharmaceuticals, biologics, medical foods, and dietary supplements), as well as contract sterilizers, laboratories and raw material suppliers. - Evaluate Medline suppliers to determine approval status. Assist in development of Regulatory/Quality Management Systems for potential suppliers. - Manage and participate in quality initiatives to maintain and improve compliance, such as evaluate internal processes, suggest and implement improvements, and create and revise applicable procedures and SOPs. - Assess compliance risk of systems, facilities, and procedures per applicable regulations through audits and assessments, assuring compliance to regulatory requirements and Medline specifications, including novel products and services. - Plan, schedule and execute internal audits in accordance with applicable FDA regulations, ISO standards, and other global regulatory requirements. - Conduct adequate CAPA follow-up for supplier and internal audits. - Write audit reports and communicate results to upper management. - Provide training and consulting services to internal departments to comply with Quality Management System requirements. - Assist in the review and writing of responses to observations issued by FDA or other regulatory agencies. - Aid in preparation for FDA inspections and/or audits by other regulatory agencies for both Medline facilities and suppliers. - Plan and coordinate travel for supplier and internal audits, both domestically and internationally. Education - Bachelor’s degree in microbiology, chemistry, engineering or related field. Work Experience - At least 2 years of experience auditing FDA regulated medical device or pharmaceuticals manufacturing or testing OR at least 3 years working in quality role within medical device or pharmaceutical manufacturing. Knowledge / Skills / Abilities - Detail-oriented, with excellent oral and written communication skills. - Ability to listen and process all relevant details, understanding and prioritizing their importance and drawing clear and concise conclusions. - Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary. - Experience controlling and coordinating concurrent projects, competing priorities and critical deadlines. - Position requires travel up to 50% of the time for business purposes (within state, out of state and/or internationally). PREFERRED JOB REQUIREMENTS - Experience with FDA regulations (21 CFR 820, 21 CFR 210/211). - Experience with ISO 13485. - Experience applying knowledge of process validation, method validation and sterilization processes. - Experience in CAPA (Corrective and Preventive Actions) management. Medline Industries, LP, and its subsidiaries, offer a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. The anticipated salary range for this position: $79,000.00 - $119,000.00 Annual The actual salary will vary based on applicant’s location, education, experience, skills, and abilities. This role is bonus and/or incentive eligible. Medline will not pay less than the applicable minimum wage or salary threshold. Our benefit package includes health insurance, life and disability, 401(k) contributions, paid time off, etc., for employees working 30 or more hours per week on average. For a more comprehensive list of our benefits please click here. For roles where employees work less than 30 hours per week, benefits include 401(k) contributions as well as access to the Employee Assistance Program, Employee Resource Groups and the Employee Service Corp. We’re dedicated to creating a Medline where everyone feels they belong and can grow their career. We strive to do this by seeking diversity in all forms, acting inclusively, and ensuring that people have tools and resources to perform at their best. Explore our Belonging page here. Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified individuals without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, neurodivergence, protected veteran status, marital or family status, caregiver responsibilities, genetic information, or any other characteristic protected by applicable federal, state, or local laws.
Travel & Expense Manager
Scale AIAt Scale, our mission is to develop reliable AI systems for the world's most important decisions. Our products provide the high-quality data and full-stack technologies that power the world's leading models, and help enterprises and governments build, deploy, and oversee AI applications that deliver real impact. We believe that everyone should be able to bring their whole selves to work, which is why we are proud to be an inclusive and equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability status, gender identity or Veteran status.
Scale AI is looking to hire a highly motivated and enthusiastic Global Travel & Expenses Manager to join its Corporate Accounting team. This crucial role will play an integral part in building its global travel and expense operations in a fast-paced environment. This role will be responsible for managing the strategic Travel program and expenses cycle and supporting the month-end close process. You must have strategic thinking, strong analytical skills and an eagerness to learn, as well as be a collaborative team player. You’ll need to not be afraid to roll up your sleeves and pivot between high-level vendor negotiations and hands-on system troubleshooting and also doing tactical work. What you’ll be doing: - Design and execute the global travel category strategy, leading end-to-end supplier selection (RFP), onboarding, and lifecycle management for airlines, hotels, and ground transportation. - Architect high-leverage negotiation strategies to secure preferential rates and corporate benefits, ensuring maximum ROI on the company’s annual travel spend. - Champion "Preferred Supplier" adoption through creating policies, data-driven influence and internal marketing, optimizing corporate leverage and volume-based discounts. - Govern the global Travel & Expense (T&E) ecosystem, overseeing corporate credit card programs and employee reimbursements to ensure 100% alignment with fiscal policy and tax compliance. - Execute rigorous internal controls and audits, identifying leakage or non-compliant spending patterns and implementing corrective action plans. - Pioneer process optimization by auditing existing workflows and designing automated, scalable solutions that reduce friction for the traveler while increasing back-office efficiency. - Serve as the Functional Product Owner for travel-related technologies (e.g., Navan, Brex, etc), managing system integrations, troubleshooting technical hurdles, and leading future-state implementations. - Synthesize T&E data into actionable insights, delivering ad-hoc analysis and executive reporting that informs budgetary decisions and policy shifts. What we’re looking for: - Minimum 4 years of Travel, AP and/or accounting experience. - Experience with OBT software (Navan, Spotnana, Egencia, etc). - Experience with employee expenses systems: Netsuite, Coupa, Brex or other major systems. - Bachelor’s degree in Accounting/Finance, or related degree. - Strong understanding of full global travel industry. - Excellent organizational skills and ability to handle multiple priorities within deadlines. - Excellent AI, problem-solving skills and high level of attention to detail. - Excellent verbal and written communication skills in English. - Proficient knowledge of Microsoft Excel. - Remote based in México. - 15% travel, primarily to the USA but potentially also to worldwide Scale travel locations Nice-to-haves: - Experience with S2P software (Brex, Zip, LevelPath and/or Navan). - Prior experience at a fast growing start-up or public company. - Passion for the AI industry. PLEASE NOTE: Our policy requires a 90-day waiting period before reconsidering candidates for the same role. This allows us to ensure a fair and thorough evaluation of all applicants. About Us: At Scale, our mission is to develop reliable AI systems for the world's most important decisions. Our products provide the high-quality data and full-stack technologies that power the world's leading models, and help enterprises and governments build, deploy, and oversee AI applications that deliver real impact. We work closely with industry leaders like Meta, Cisco, DLA Piper, Mayo Clinic, Time Inc., the Government of Qatar, and U.S. government agencies including the Army and Air Force. We are expanding our team to accelerate the development of AI applications. We believe that everyone should be able to bring their whole selves to work, which is why we are proud to be an inclusive and equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability status, gender identity or Veteran status. We are committed to working with and providing reasonable accommodations to applicants with physical and mental disabilities. If you need assistance and/or a reasonable accommodation in the application or recruiting process due to a disability, please contact us at accommodations@scale.com. Please see the United States Department of Labor's Know Your Rights poster for additional information. We comply with the United States Department of Labor's Pay Transparency provision. PLEASE NOTE: We collect, retain and use personal data for our professional business purposes, including notifying you of job opportunities that may be of interest and sharing with our affiliates. We limit the personal data we collect to that which we believe is appropriate and necessary to manage applicants’ needs, provide our services, and comply with applicable laws. Any information we collect in connection with your application will be treated in accordance with our internal policies and programs designed to protect personal data. Please see our privacy policy for additional information.
• Completing quality assurance reviews of patient medical records to ensure accurate and complete documentation • Audit records previously reviewed by Customer CDS consultants • Review charts for missed opportunities to capture greater specificity or clarify inconsistencies • Evaluate queries from a compliance perspective using ACDIS/AHIMA Practice Brief as the standard • Review accounts not previously reviewed by Customer CDS to identify opportunities for improvement • Work within Customer systems and e4health Audit software to identify areas of risk • Assist with report writing as appropriate • Interact with the Customer and other team members
Manager, Aviation & UAV Standards
ViaSatViaSat provides a broad range of satellite and digital communication products for both commercial and government clients. ViaSat was started in 1986 and is part of the Linkabit Cor
About us One team. Global challenges. Infinite opportunities. At Viasat, we’re on a mission to deliver connections with the capacity to change the world. For more than 35 years, Viasat has helped shape how consumers, businesses, governments and militaries around the globe communicate. We’re looking for people who think big, act fearlessly, and create an inclusive environment that drives positive impact to join our team. What you'll do We're excited to announce a dynamic opportunity for a talented Manager, Aviation & UAV Standards to join our growing team! This role offers the flexibility and convenience of fully remote work, allowing you to contribute from anywhere in the United States. As the Manager, Aviation & UAV Standards, you will serve as Viasat’s lead subject matter expert on global aviation safety regulations and standards for the UAS, RPAS, and AAM/IAM sectors. In this pivotal role, you will guide the development of the Velaris service—a safety-grade datalink for BVLOS operations—while representing Viasat within international regulatory working groups. This position requires a deep understanding of evolving industry standards and established relationships with global aviation safety bodies to ensure our products remain compliant and competitive. The ideal candidate is a high-standing industry thought leader and self-starter capable of navigating an undefined future landscape with minimal direction. You will act as a strategic advisor to C-suite leadership, articulating how the Velaris portfolio aligns with the shifting regulatory environment. Beyond strategy, you will mentor junior staff on satellite communications and the intricacies of standards development. Joining this enthusiastic team offers the opportunity to make a substantial, lasting impact on the global future of air transportation. The day-to-day - Track the development of all international regulations, standards, and guidance related to UAS / RPAS / AAM / IAM, particularly those related to required performance characteristics for the C2 link. Advise the business to ensure the Velaris service and product line will meet or exceed all requirements. - Contribute to the development / maturation of standards by participating in the relevant RTCA, EUROCAE, ASTM, and GSMA working groups. - Represent Viasat on ICAO’s AAM- and RPAS-related panels and working groups. This includes contributing technical subject matter information, as well as occasionally presenting updates to ICAO panels and working groups, and at ICAO-sponsored industry events. - Identify and respond to all relevant international RFIs, for example proposals for spectrum allocation for UAS / RPAS / AAM / IAM vehicles. - Respond to international aviation safety rulemaking proposals. Advise the relevant aviation authorities on Viasat’s, and the broader C2 link connectivity service providers’, realistic capabilities. - Speak at tradeshows and on virtual webinars / podcasts as an SME on the current UAS / RPAS / AAM / IAM regulatory environment, and on Viasat’s role in the evolving ecosystem. - Administrative account management for relevant aviation safety memberships and standards groups. - Support similar activities, as needed, for Viasat’s AOS business (traditional commercial aviation). - Support AOS on coordinated legislative priorities for AAM. - Act as a dedicated mentor to junior staff, fostering professional growth by providing guidance on industry regulations, satellite communication fundamentals, and best practices for navigating complex standards environments. - Additional duties as assigned. What you'll need - Typically requires a minimum of 10 years of related experience. - Bachelor's degree or equivalent in a related field. - Communications engineering preferred. - Experience working with aviation standards development organizations such as FAA, RTCA, EUROCAE, and ASTM. - Detailed knowledge of ICAO’s role, organizational structure, and guidance development processes. - Detailed knowledge of global aviation safety rulemaking processes. - Comfort in speaking before very large, international audiences. Both in-person and via recorded virtual presentation. - Ability to travel regionally and internationally up to 25% of the time. What will help you on the job - Experience working with the GSMA, and knowledge of 3GPP standards. - Direct participation in RTCA SC-228, EUROCAE WG-105, and/or ASTM F38. - Experience directly supporting one or more ICAO working groups or panels. - Familiarity with CANSO, particularly their AAM- and UTM integration- related activities. - Knowledge of ITU and regional / state spectrum allocation processes. - Former experience working for, or closely with, a CAA or ATSP. - Thorough knowledge of satcom, specifically L-band satcom’s, role in aviation safety history. - Experience working in a multi-disciplinary environment with teams located in different geographical locations. Experience supporting technical teams with low levels of English speaking / writing. Salary range $99,500.00 - $157,000.00 / annually. For specific work locations within San Jose, the San Francisco Bay area and New York City metropolitan area, the base pay range for this role is $123,500.00- $185,500.00/ annually At Viasat, we consider many factors when it comes to compensation, including the scope of the position as well as your background and experience. Base pay may vary depending on job-related knowledge, skills, and experience. Additional cash or stock incentives may be provided as part of the compensation package, in addition to a range of medical, financial, and/or other benefits, dependent on the position offered. Learn more about Viasat’s comprehensive benefit offerings that are focused on your holistic health and wellness at https://careers.viasat.com/benefits. EEO Statement Viasat is proud to be an equal opportunity employer, seeking to create a welcoming and diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, ancestry, physical or mental disability, medical condition, marital status, genetics, age, or veteran status or any other applicable legally protected status or characteristic. If you would like to request an accommodation on the basis of disability for completing this on-line application, please click here.


