Auditor Clinical Validation (Place of Service, Short Stay & Readmission)

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Auditor Clinical Validation (Place of Service, Short Stay & Readmission) based in the United States.

This role plays a critical part in ensuring the accuracy, integrity, and compliance of healthcare claims through detailed retrospective clinical audits. You will review medical records to evaluate place of service determinations, short-stay cases, and readmissions using nationally recognized clinical guidelines and evidence-based methodologies. The position requires strong clinical judgment, analytical precision, and the ability to interpret complex patient charts within proprietary auditing systems. You will be responsible for documenting clear rationales and supporting evidence for each audit decision while maintaining high standards of accuracy and productivity. Working in a structured remote environment, you will collaborate within audit operations to identify trends, improve processes, and support recovery opportunities. This is an impactful role for a clinically experienced professional who thrives in data-driven, detail-oriented review work and values quality, compliance, and continuous improvement.

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Auditor Clinical Validation (Place of Service, Short Stay & Readmission) based in the United States.

This role plays a critical part in ensuring the accuracy, integrity, and compliance of healthcare claims through detailed retrospective clinical audits. You will review medical records to evaluate place of service determinations, short-stay cases, and readmissions using nationally recognized clinical guidelines and evidence-based methodologies. The position requires strong clinical judgment, analytical precision, and the ability to interpret complex patient charts within proprietary auditing systems. You will be responsible for documenting clear rationales and supporting evidence for each audit decision while maintaining high standards of accuracy and productivity. Working in a structured remote environment, you will collaborate within audit operations to identify trends, improve processes, and support recovery opportunities. This is an impactful role for a clinically experienced professional who thrives in data-driven, detail-oriented review work and values quality, compliance, and continuous improvement.

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

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