• The CKHobbie Group (Harrisburg, PA)
    Job Description Position Overview: We are seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of ... as needed for on-site reviews, meetings, and training. Requirements: Registered Nurse (RN) license (required) . Experience with claims analysis, medical records… more
    Upward (07/03/25)
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  • Billing Compliance Auditor (RN)

    Elara Caring (Fort Worth, TX)
    …Right Care, at the Right Time, in the Right Place. **Job Description:** ** REMOTE POSITION** The Billing Compliance Auditor performs comprehensive audits within ... coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting...Nursing + 5 years of experience as a Registered Nurse in Home Health and/or Hospice with coding experience… more
    Elara Caring (07/09/25)
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  • Senior IT Auditor

    Access Dubuque (Dubuque, IA)
    Senior IT Auditor **McGraw Hill** 1 Positions ID: 5661 Posted On 06/16/2025 Refreshed On 07/17/2025 **Job Overview** Overview **Build the Future** At McGraw Hill, we ... to the Director, IT Internal Audit. The Senior IT Auditor is responsible for planning, executing, and reporting on...and identify opportunities for process improvement **This is a remote position open to applicants authorized to work for… more
    Access Dubuque (07/10/25)
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  • Clinical Documentation Specialist Auditor

    UNC Health Care (Chapel Hill, NC)
    …the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as ... certification - AAPC (American Academy of Professional Coders) certification - RN (Registered Nurse ) license - LPN (Licensed Practical Nurse ) license - Advance… more
    UNC Health Care (04/29/25)
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  • Senior Government Accounting Manager

    GE Aerospace (Jacksonville, FL)
    …experience interacting with senior DCMA (ACO, DACO, CACO) and DCAA (supervisory auditor , Branch Manager, Regional Audit Manager). + Experience with FPRP and ICS ... drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program,...a drug screen (as applicable). **Relocation Assistance Provided:** No \#LI- Remote - This is a remote position… more
    GE Aerospace (06/17/25)
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  • Pre-Service Rep - Radiology - PRN - Saturdays…

    Ochsner Health (New Orleans, LA)
    …providers , on- site case management team, as well as LPN/RN or Nurse Auditor in the Pre-Service department. + Performs Pre-Service collection estimation ... in and will work from the following areas are not eligible for remote work position_ _: Colorado, California, Hawaii, Illinois, Maryland, Minnesota, New Jersey, New… more
    Ochsner Health (07/05/25)
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  • Case Manager, RN or Licensed Behavioral Health (SN…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects...paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus… more
    Excellus BlueCross BlueShield (06/27/25)
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