- Vatica Health (Atlanta, GA)
- …are always looking for great people to join our diverse team. The RN Clinical Coder- Nurse Auditor will independently review cases, ensuring accurate ... per business needs. Requirements + Must have a minimum of 3 years of clinical experience as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) +… more
- Northwell Health (Garden City, NY)
- …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to ensure the… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team!** The Intermediate Clinical Auditor ... establishes and revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains, and… more
- Magellan Health Services (Albuquerque, NM)
- …Project management skills and demonstrated experience. General Job Information Title CISC Clinical Auditor Grade 25 Work Experience - Required Clinical ... Must be a resident of NM. Conducts reviews of clinical interactions and clinical documentation including reviews...Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical Nurse ) ... across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education… more
- Omaha Children's Hospital (Omaha, NE)
- …systems to retrieve data needed for audit. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure valid in the ... concurrent reviews of all selected discharges by reconciling billing statements to clinical records and making appropriate charges and adjustments to billings based… more
- Molina Healthcare (Dallas, TX)
- **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management ... resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN) Program and Associate's or bachelor's… more
- Universal Health Services (Jacksonville, FL)
- …data, interface with department heads/leadership and maintain a flexible schedule. Qualifications Registered Nurse and/or Master's Degree in Social Work, Mental ... a whole. We are pleased to announce the following available position: PRN Auditor The Temporary LCD/HBIPS Auditor is responsible for monitoring patient records… more
- Fresenius Medical Center (Irwindale, CA)
- …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... and performance improvement activities which positively influence the assigned dialysis clinics clinical quality outcomes. The scope of the clinical quality… more
- Northwell Health (Lake Success, NY)
- …of education and related experience. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications ... by the documentation in the Medical Record. Job Responsibility + Leverages clinical expertise to identify and validate DRG code assignment + Full review… more
- Geisinger (Danville, PA)
- …of 5 years-Health Insurance/Managed Care (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic ... to assure provider monitoring and/or penalties. Job Duties + Serves as primary auditor of all written denial notifications prior to mailing to assure compliance with… more
- R1 RCM (Salt Lake City, UT)
- …ensure internal and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + Active AHIMA or AAPC Coding Certification ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help review and… more
- Baystate Health (Springfield, MA)
- …Techs observe cardiac monitors, identifying and reporting irregular rhythms to a registered nurse for interpretation, recording EKG monitor strips and ensuring ... **10)** Observe cardiac monitors. Identifies and reports irregular rhythms to a registered nurse for interpretation and intervention. Records and processes EKG… more
- Baystate Health (Palmer, MA)
- …through immediate telephone contact. **10)** Identifies and reports irregular rhythms to registered nurse for interpretation and intervention . Records and ... C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples and Koronos access if...answers to questions as requested. Post/file MD schedules for clinical team inquiry. In coordination with charge nurse… more
- Baystate Health (Springfield, MA)
- …Team Operations Associate Cardiac Monitor Tech will function in a supportive role to a registered nurse and work collaboratively with the health care team in the ... C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples and Kronos access if...forms, etc. **8)** Unit Resource: Post/file MD schedules for clinical team inquiry. In coordination with charge nurse… more
- Intrepid USA (Tucson, AZ)
- …Capable of making challenging decisions and willing to take responsibility for them. + Current Registered Nurse license in the state of practice + One (1) year ... servant based leadership with an inverted organization chart. Our clinical teams are at the top and our CEO...the Administrator should the Administrator be unavailable for the surveyor/ auditor . + Manages the patient care team to assure… more
- Covenant Health (Hobbs, NM)
- …for this position include:** + Bachelor's Degree - Nursing + New Mexico Registered Nurse License + Care Manager RN Auditor , Care Manager Clinical Audit ... Work with physician, Social Worker and interdisciplinary team to facilitate clinical pathways and achievement of desired treatment outcomes + Promote… more
- City of Long Beach (Long Beach, CA)
- …+ Provides supervision to Nurse Practitioner(s) and or Advanced Practice Registered Nurse (s) ; + Orders, obtains, and interprets laboratory testing and ... city-wide elected Mayor. Other elected officials include the City Attorney, City Auditor , and City Prosecutor. The elected officials are elected to staggered… more