- Ochsner LSU Health System (Shreveport, LA)
- …of related healthcare experience with a master's degree. Certifications Required - Current registered nurse (RN) license in state of practice. Preferred - ... both targeted and ad hoc charge capture audits. Works in conjunction with clinical personnel during all audits and schedules, prepares action plans, and reports out… more
- UnitedHealth Group (Minneapolis, MN)
- …be interested in. Required Qualifications: Associate's degree (or higher) Unrestricted RN ( Registered Nurse ) license CCS/CIC or willing to obtain certification ... . In this position as a DRG CVA RN Auditor , you will apply your expert knowledge of...AHA Coding Clinic citations and demonstrate working knowledge of clinical criteria documentation requirements used to successfully substantiate code… more
- Optum (San Juan, PR)
- …development for other roles you may be interested in. Required Qualifications: Registered Nurse (RN), Coding Certificate or Nursing Licensure, for example: ... for further review in a production environment. Primary Responsibilities: Clinical Case Reviews -75% Perform clinical review...Puerto Rico Registered Nurse Certified Professional Coder (CPC) +… more
- Northwell Health (Westbury, 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
- Northwell Health (Garden City, NY)
- …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Validates Acute Inpatient coded charts to ensure the diagnostic… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- Elevance Health (Seattle, WA)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical … more
- Baylor Scott & White Health (Dallas, TX)
- …vary based on position type and/or level **Job Summary** In this job, as a Clinical Auditor RN, you'll perform charge capture accuracy audits by reviewing and ... analyzing clinical documentation from the Electronic Health Record (EHR) compared...least (2) two years of relevant work experience. + Registered Nurse License. As a health care… more
- Trinity Health (Ann Arbor, MI)
- …travelling between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / ... Patient Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related audits, and identifies… 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
- Ochsner Health (Meridian, MS)
- …of related healthcare experience with a master's degree. **Certifications** Required - Current registered nurse (RN) license in state of practice. Preferred - ... both targeted and ad hoc charge capture audits. Works in conjunction with clinical personnel during all audits and schedules, prepares action plans, and reports out… more
- Elara Caring (Fort Worth, TX)
- …+ Associate's degree or higher in Nursing + 5 years of experience as a Registered Nurse in Home Health and/or Hospice with coding experience is preferred + ... but are not limited to eligibility, billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor... clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting… more
- Community Health Systems (Huntsville, AL)
- **Job Summary** The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and ... control, and quality improvement initiatives. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Aveanna Healthcare (Homestead, FL)
- …Equipment (PPE) Minimum Requirements: Active and in good standing nursing license ie Registered nurse with a minimum of 2 years post qualification experience. ... Clinical Research Nurse - Illingworth (RN)...Investigators, multi-disciplinary research team and Client Company representatives (eg, Clinical Research Associate (CRA), auditor ) Provide support… more
- UPMC (Pittsburgh, PA)
- …+ Proficient in Microsoft Word and Microsoft Excel. **Licensure, Certifications, and Clearances:** + Registered Nurse (RN) + Act 34 *Current licensure as a ... your career? UPMC is hiring a full-time Revenue Cycle Clinical Review Nurse . This position works Monday...Registered Professional Nurse either in the state… more
- St. Luke's University Health Network (Allentown, PA)
- …Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. . ... made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews...payors, or their auditor representative. + Facilitate clinical chart reviews to assist with supporting assigned diagnosis… more
- Baystate Health (Springfield, MA)
- …**10)** Observes cardiac monitors. Identifies and reports irregular rhythms to a registered nurse for interpretation and intervention. Records and processes EKG ... C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples, and Kronos access if...clinical team inquiry. In coordination with the charge nurse , prepare staffing assignments for the next shift. Place… more
- Excellus BlueCross BlueShield (Rochester, NY)
- … clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society… more
- AdventHealth (Altamonte Springs, FL)
- …**LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . Current active State license as a Registered Nurse , Nurse Practitioner, or Physician's Assistant . ... FL **The role you will contribute:** Under general supervision of the Clinical Documentation Integrity (CDI) Manager, and in some situations the supervision of… more
- Houston Methodist (Houston, TX)
- …in nursing or other healthcare related field; may consider HM employee with Registered Nurse license and four additional years of directly related experience ... accreditation or health care certifications **OR** + CQA - Certified Quality Auditor (ASQ) -- Related quality, accreditation or health care certifications **OR** +… more
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