- 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...assignment can be substantiated by the documentation in the Medical Record. Job Responsibility + Audits and reviews Medicare/non-Medicare… more
- Northwell Health (Westbury, NY)
- …diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN - BSN or MSN candidates with a HCS-D ... charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules...and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State… more
- Robert Half Accountemps (Boston, MA)
- …auditing, claims administration, and compliance within the healthcare sector. The ideal RN Auditor candidate will play a critical role in ensuring program ... Description We are looking for a highly skilled RN Auditor to join our team... within the healthcare industry. * Must be a Registered Nurse ( RN ) in the… more
- US Tech Solutions (Newark, NJ)
- …of related experience, preferably in the healthcare industry. + **Active New Jersey Registered Nurse ( RN ) License required.** **Skills:** + Knowledge of ... months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state… more
- UPMC (Pittsburgh, PA)
- …Registered Health Information Technician (RHIT) + OR Licensed Professional Nurse (LPN) + Registered Nurse ( RN ) Required: + Act 34 **UPMC is an Equal ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring... (CPMA) + Certified Professional Coder (CPC) + Certified Medical Coder (CMC) + OR Registered Health… more
- UPMC (Pittsburgh, PA)
- …Registered Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) or + Registered Nurse ( RN ) + Act 34 **UPMC is an Equal Opportunity ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented... (CPMA) + Certified Professional Coder (CPC) + Certified Medical Coder (CMC) + Registered Health Information… more
- Guthrie (Sayre, PA)
- Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures and accepted guidelines ... for medical coding. Works closely with the Compliance ...(RHIA, RHIT, or CCS) or AAPC (CPC) required + RN /LPN or CPMA preferred + Required to sit for… more
- Actalent (West Des Moines, IA)
- …understanding of standard medical coding, including CPT, ICD-10, and HCPCS. The Nurse Auditor is responsible for adjudicating claims to comply with client ... Nurse Auditor Job Description This role...procedures. + Research unclear and unusual claims. Skills + Registered Nurse ( RN ) license required.… 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 ... medical necessity or appropriateness of services. + Conducts compliance , defense, LifeNet and special focus audits and reports...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... 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… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible for writing and defending appeal letters to payers with… more
- Centene Corporation (Jefferson City, MO)
- …Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), Licensed Professional Counselor (LPC), Registered Nurse ( RN ), or Licensed Practical Nurse ... the use of audit process and tools + Facilitate compliance with the auditing process + Act as a...IN MISSOURI **Ideal candidate will be a Licensed Practical Nurse (LPN)** **Education/Experience:** Bachelor's degree in related field or… more
- Ochsner Health (New Orleans, LA)
- …and Abilities (KSAs)** + Working knowledge of coding and billing regulations and medical necessity guidelines (which includes compliance with applicable laws and ... This job assists with maintaining an effective auditing and compliance program. Independently completes assignments, manages projects, performs research, audits,… more
- AdventHealth (Orlando, FL)
- …Licenses and Certifications Current active State license as a Registered Nurse , Nurse Practitioner, Physicians Assistant, Medical Physician, or an ... **The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered Health Information Administrator… more
- SSM Health (MO)
- …**Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a ... Appeals denials which are found to be unsubstantiated through review of the medical record and/or billing information. Tracks assigned cases and enters data of audit… more
- US Tech Solutions (Hopewell, NJ)
- …+ Requires License Practical Nurse License or an active New Jersey Registered Nurse License. + Requires valid Motor Vehicle driver's license and access ... reviews at participating provider offices to assess environment, quality of physicians medical records, and compliance with documentation standards. + Prepares… more
- AdventHealth (Altamonte Springs, FL)
- …**LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . Current active State license as a Registered Nurse , Nurse Practitioner, or Physician's Assistant . ... to provide feedback to CDI Market Leaders + Performs quality reviews of the medical record for compliance including completeness and accuracy for severity 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 ... programs; works across the system to assess, measure, and report compliance with standards; and develops, implements and evaluates strategies to promote… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …setting + RN experience highly preferred; although technical skills and medical experience may substitute. + State of employment RN license, preferred ... and leaders who care about your success. The clinical auditor performs clinical and operational audits as a means...as a means of verifying accuracy of information and compliance to established policies, practices, and regulations. Responsible for… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …RN ) will be required after 6 months of employment. Preferred: Certified Professional Medical Auditor ( CPMA ) from American Academy Professional Coders ( AAPC ... rendered to patients. * Conducts complex reviews of physician/provider billing compliance activities in accordance with applicable laws, regulations, rules or… more
Related Job Searches:
Auditor,
Compliance,
Compliance Auditor,
Medical,
Medical Auditor Compliance,
Medical Compliance,
RN,
RN Auditor