- Molina Healthcare (Rio Rancho, NM)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... suite and applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS),… more
- Cleveland Clinic (Cleveland, OH)
- …caregiver include: + High School Diploma/GED or equivalent + Five years of experience as clinical nurse , inpatient or outpatient coder + **OR** two years of ... most respected healthcare organizations in the world. As a Clinical Documentation Specialist, you will provide education to providers...caregiver include: + Associate's Degree in healthcare-related field + Registered Nurse ( RN ) in the… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is...Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Centene Corporation (New York, NY)
- …experience in managed care organization or acute care hospital. One year of experience in a clinical setting or acute care hospital; RN , PA, MD, APRN, DO or MBBS ... as assigned. + Complies with all policies and standards. **Education/Experience:** RN Degree. One year experience preferred in hospital inpatient coding. Nursing… more
- Ascension Health (Elk Grove Village, IL)
- …Documentation ImprovementSpecialists obtained prior to hire date or job transfer date.* Registered Nurse credentialed from the Illinois Department of Financial ... Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database. + Initiate and maintain extensive interactions with… more
- Community Health Systems (Clarksville, TN)
- …maintaining compliance with regulatory standards and corporate policies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... or + Certified Clinical Documentation Specialist (CCDS) preferred + RHIT - Registered Health Information Technician preferred or + RHIA - Registered Health… more
- Carle Health (Peoria, IL)
- …coding based on the procedures performed/completed Validates correct charges/codes with clinical cardiac coder to ensure accuracy when questions/issues arise ... Life Support (ACLS) within 1 year - American Heart Association (AHA); Registered in Radiography (R) - American Registry of Radiologic Technologists (ARRT),… more
- HCA Healthcare (Richmond, VA)
- …(hospital operations, clinical operations, etc.) + Must possess an active Registered Nurse /other advanced nursing license (compact license for all states ... coded correctly. This position is a specialized senior medical coder with RN or ARRT clinical...that are applicable to their assigned facility **Qualifications:** + Registered nursing Associates, Bachelors or Diploma required or Licensed… more
- Elevance Health (Chicago, IL)
- …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 (CDI, MS-DRG, AP-DRG...are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical … more
- University of Southern California (Alhambra, CA)
- …principles. + Pref Skills and knowledge on the following software: Cerner and Craneware + Pref Registered Nurse - RN (CA Board of Registered Nursing) + ... As the center of clinical charge capture, the Revenue Integrity (RI) Specialist...Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …duties as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and...Nursing program required. + Minimum of 3 years of clinical experience as a Certified Professional Coder … more
- Fairview Health Services (St. Paul, MN)
- …coding experience + Minimum 3 years CDI experience **License/Certification/Registration** + Current Registered Nurse of MN ( RN ) licensure or current ... improve the documentation review process. + Collaborates on physician, CDI, and coder education strategies relative to clinical documentation improvement. Shares… more
- UCLA Health (Los Angeles, CA)
- …effectively with common office software, coding software, and EMR systems + Registered Nurse ( RN ) or clinical qualifications Note: Skills may be subject ... Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and… more
- University of Washington (Seattle, WA)
- …changes impacting revenue cycle **REQUIREMENTS** + Active licensure to practice as a Registered Nurse in Washington State + Bachelor's degree in Nursing + ... Medicine's Patient Financial Services Department** has an outstanding opportunity for a ** Clinical Appeals and Disputes Nurse .** **WORK SCHEDULE** + 100% FTE… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and administrative staff at all levels of the organization. Education and Experience: + Registered nurse with BSN and 3-5 years in a managed care health ... healthcare? Bring your true colors to blue. The RoleThe Clinical Business Consultant for Cost and Trend Management is...Pro. + Some accounting and financial knowledge. + Certified Coder - Preferred (ie, CPC, CIC). #LI-HYBRID Minimum Education… more
- University of Utah Health (Salt Lake City, UT)
- …degree in Nursing or equivalency. **Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days ... is responsible for improving the overall quality and completeness of clinical documentation by communicating with and providing education to physicians, case… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …Certifications:*/ * Certified Clinical Doucmentation Specaslist (CCDS) -AND/OR- * Registered Nurse , Registered Health Information Administrator (RHIA), ... Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or Certified Coding SpecialistPhysician… more
- BronxCare Health System (Bronx, NY)
- …queries, ongoing opportunities, and physician process and outcome data. Qualifications - Registered nurse or other health care profession required. -Three ... Overview The Clinical Documentation Specialist will work with Senior Director...to improve upon them. - Track query escalation process, CDS/ Coder collaboration, etc. Coordinate with CDI Director. - Identifies… more
- Hawaii Pacific Health (Honolulu, HI)
- …Qualifications:** Must meet education requirements for Hawai'i State licensing. Current Hawai'i Registered Nurse ( RN ) or Licensed Practical Nurse ... Support for Healthcare Professionals (BLS/HCP) card. Three (3) years of clinical experience. **Preferred Qualifications:** Certified Professional Coder - Risk… more
- Baylor Scott & White Health (Dallas, TX)
- …Practitioner (CDIP) or Cert Professional Coder (CPC). Reg Health Info Administrator (RHIA), Registered Nurse ( RN ): Must be a Registered Nurse ... working DRG. Promotes and obtains appropriate documentation for any clinical conditions or procedures to support the appropriate severity...Health Information Management or Health Informatics. Must be a Registered Nurse ( RN ) or … more