Clinical Performance Auditor

🕒 June 30

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Waystar

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

🤖 Artificial Intelligence

🔥 Funding within the last year

💰 $709.2M Post-IPO Secondary - Waystar on 2025-09

Healthcare • SaaS • Artificial Intelligence

Waystar is an AI-powered healthcare revenue cycle software company that provides a unified, cloud-based platform to simplify healthcare payments and automate the end-to-end revenue cycle for healthcare providers. Its platform covers financial clearance (eligibility verification, patient estimation, prior authorizations), patient financial care, clinical integrity and revenue capture (charge and DRG anomaly detection), claim and payer payment management, denial recovery, and analytics and reporting, with integrations to EHRs and payer systems. Waystar serves hospitals, health systems, physician and specialty practices, ambulatory surgery centers, and other provider organizations, leveraging agentic, generative, and predictive AI to accelerate reimbursement, reduce denials, and improve financial visibility and patient payment experiences.

📋 Description

• Plans, designs, develops and performs quality assessments on data elements and structures to document and evaluate integrity, completeness, quality, and appropriateness of formats, records and structures. • Configures, operates and develops manual and/or automated methods, processes and procedures to test output or input based on data compliance, quality and use requirements as established by product management, client specifications, and governance programs. • Performs regular and ad hoc reviews, audits, and investigations of data activity and integrity; prepares reports and summaries of findings. • Produces and updates guidelines and documentation of test • Complete record reviews on client records to identify best practice process improvement opportunities • Complete data analysis of reviews completed and create summary presentations for internal and external communication of record review results • Engage with client utilization management teams and provide feedback regarding record review and education associated with identified opportunities for best practice improvement • Develop and provide education regarding clinical concepts to clients and internal stakeholders and product designers • Participate in product performance audits and communicate results with product team • Perform medical record review to support product innovation and development • Audit performance of key data science conditions and elements

🎯 Requirements

• Bachelor’s Degree or equivalent in Nursing (RN) • 5+ years of experience in utilization management and/or clinical documentation and auditing clinical documentation • Self-starter, who is extremely motivated to demonstrate success • Attention to detail, highly organized, with an absolute focus on quality of work • Team player DNA with a desire to solve for the interests of our clients and of our business

🏖️ Benefits

• Competitive total rewards (base salary + bonus, if applicable) • Customizable benefits package (3 medical plans with Health Saving Account company match) • Generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays. • Flexible time off for our exempt team members + 13 paid holidays • Paid parental leave (including maternity + paternity leave) • Education assistance opportunities and free LinkedIn Learning access • Free mental health and family planning programs, including adoption assistance and fertility support • 401(K) program with company match • Pet insurance • Employee resource groups