- Elevance Health (Seattle, WA)
- **Diagnosis Related Group Clinical Validation Auditor - RN ** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Centene Corporation (New York, NY)
- …Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small ... Skills:** + Inpatient Coding Experience + At least 1 year of clinical experience in a hospital setting + RN , PA, MD, APRN, DO or MBBS license required + Strong… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... 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
- Centene Corporation (New York, NY)
- …years of nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license (LPN, RN , etc.).Pay Range: $55,100.00 - ... preferred.** **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation, and modify business processes to measure member outcomes.… more
- Centene Corporation (Salem, OR)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... reports to subsidiaries as required for audits and risk assessments + Utilize clinical knowledge to determine audit findings and in answering counterclaims + Train… more
- Centene Corporation (Tallahassee, FL)
- …+ Conduct training needs analyses to determine specific training needs for clinical staff + Identify, select, or develop appropriate training programs, including the ... Procedure and/or work process development + Conduct auditing of work performed by clinical staff and present findings and recommendation for areas of improvement to… 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 ... **Req Number** 128397 Job Description Seeking RN - BSN or MSN candidates with a...- Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to… 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 ... **Req Number** 162995 Job Description Seeking RN - BSN or MSN candidates with a...- Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Validates Acute Inpatient coded charts to ensure the… more
- Aveanna Healthcare (Homestead, FL)
- Clinical Research Nurse - Illingworth ( RN ) ApplyRefer a FriendBack Job Details Requisition #: 206664 Location: Homestead, FL 33031 Category: Nursing Salary: ... $50.00 - $55.00 per hour Position Details CLINICAL RESEARCH NURSE - Illingworth ( RN...Requirements: Active and in good standing nursing license ie Registered nurse with a minimum of 2… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, ... Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. .… 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 ... for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN ...control, and quality improvement initiatives. **Licenses and Certifications** + RN - Registered Nurse -… more
- Providence (MT)
- **Description** **Providence is calling for Revenue Cycle Auditor RN within our 7 footprints location: AK, WA, OR, CA, TX, NM, or MT** The Revenue Integrity ... Auditor is responsible for providing patient focused, standardized, compliant...+ Bachelor's Degree - Nursing. + 5 years - Clinical experience in an acute care setting. + 3… 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
- PeaceHealth (Vancouver, WA)
- …Public Accountant or Certified Internal Auditor orCertified Information Systems Auditor . + Registered Health Information Administrator (for Coding Auditor ... ), Registered Health Information Technician (for Coding Auditor ), Certified Professional Coder (for Coding Auditor ), Certified Coding Specialist Physician… 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
- ManpowerGroup (St. Paul, MN)
- …in clinical coding. + RHIA, RHIT with CCS certification and 8+ years of clinical coding experience, or Valid RN License with 8+ years acute care experience. ... a leader in healthcare innovations, is seeking an Inpatient Auditor to join their team. As an Inpatient ...be part of the Consulting Services Department supporting various clinical teams. The ideal candidate will have strong analytical… more
- Elevance Health (Mason, OH)
- ** Nurse Audit Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the exception ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Nurse Audit Senior** will be responsible for identifying, monitoring, and… more
- BayCare Health System (Tampa, FL)
- …and Licensures** + **Required:** RHIA/RHIT in conjunction with CCS + **Preferred:** RN , CDIP, CCDS, or clinical degree **Education** + **Required:** associate's ... AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses available!_ **Responsibilities** +… 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
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