Clinical Operations Auditor: Hybrid Role with Travel

ccf; Arkansas; Hybrid; USD 70,000 - 95,000; Full time

Job summary

Cleveland Clinic in Independence, OH seeks a Clinical Operations Auditor to conduct clinical operations audits, including quality medical chart reviews, under supervision. The role blends clinical knowledge with analytics to improve workflows, compliance, and patient safety.

The position requires onsite and hybrid work, travel to regional sites and Main Campus, and the use of data in Excel, with progressive technologies supporting audit activities and report writing.

Qualifications

• Associate degree or nursing degree with four years hospital experience.
• High School diploma/GED plus four years hospital experience and two more years of relevant work.
• Must have one of the qualifications.

Responsibilities

• Conduct clinical operations audits under supervision of Manager/Director.
• Plan and perform audit tests to evaluate internal controls and compliance.
• Collect and analyze data from diverse sources using computer-assisted auditing techniques.
• Perform gap analyses of revenue cycle processes and recommend improvements.
• Assist with auditing medical necessity and regulatory compliance.
• Collaborate with clinical teams to identify and mitigate issues.
• Work with revenue cycle teams on billing and documentation audits.
• Develop and document audit findings with recommendations to improve controls.
• Prepare written audit reports and participate in conferences.

Job description

Cleveland Clinic in Independence, OH seeks a Clinical Operations Auditor to conduct clinical operations audits, including quality medical chart reviews, under supervision. The role blends clinical knowledge with analytics to improve workflows, compliance, and patient safety.

The position requires onsite and hybrid work, travel to regional sites and Main Campus, and the use of data in Excel, with progressive technologies supporting audit activities and report writing.