- Texas Health and Human Services Commission (Waco, TX)
- …webpage. Functional Title: Nurse III - HCSSA (Long-Term Care Regulation) Job Title: Nurse III - HCSSA Agency: Health & Human Services Comm Department: Rgn ... Rate Salary $89,690.71 As part of a collaborative team of public servants, a nurse III protects residents' health and safety by conducting on-site inspections… more
- Texas Health and Human Services Commission (Brenham, TX)
- …Title: Graduate - Licensed Vocational Nurse II Job Title: Licensed Vocational Nurse II Agency: Health & Human Services Comm Department: Childress - Nursing ... of individuals residing at the SSLC who have complex medical , mental health and/or behavioral health...safety of staff and individuals. Assists the Infection Control Nurse by implementing measures that prevent the spread of… more
- Optum (San Juan, PR)
- …Professional Coder (CPC) + CPC A Certified Inpatient Coder (CIC) Certified Outpatient Auditor (COC) Certified Professional Medical Auditor (CPMA) Certified ... work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy...Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported… 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 ... reimbursement to the health system from third party payers. Reports to the...regulations and trends in denials of services due to medical necessity or appropriateness of services. + Conducts compliance,… more
- Trinity Health (Ann Arbor, MI)
- …between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / Licensed Practical ... CHRI certification/membership strongly preferred. Knowledge of and experience in health care including government payers, applicable federal and state regulations,… more
- Northwell Health (Westbury, NY)
- …Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group (HHRG) Validation to ensure the diagnostic ... to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility + Audits and reviews Medicare/non-Medicare charts to ensure… more
- Northwell Health (Garden City, NY)
- …to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG ... and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.… more
- UPMC (Pittsburgh, PA)
- …Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified ... Medical Coder (CMC) + OR Registered Health ...Health Information Technician (RHIT) + OR Licensed Professional Nurse (LPN) + Registered Nurse (RN) Required:… more
- Elevance Health (Seattle, WA)
- …- Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Elara Caring (Fort Worth, TX)
- …Compliance Auditor performs comprehensive audits within the Skilled Home Health , Hospice, Behavioral Health , and Personal Care Services (PCS) agencies ... 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… more
- UPMC (Pittsburgh, PA)
- …Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified ... Medical Coder (CMC) + Registered Health Information Administrator (RHIA) + Registered Health Information Technician (RHIT) + Licensed Professional Nurse … more
- UNC Health Care (Chapel Hill, NC)
- …inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: This positon ... 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
- Baylor Scott & White Health (Dallas, TX)
- …work experience. + At least (2) two years of relevant work experience. + Registered Nurse License. As a health care system committed to improving the health ... **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals,...level **Job Summary** In this job, as a Clinical Auditor RN, you'll perform charge capture accuracy audits by… more
- UPMC (Wexford, PA)
- …Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified ... Medical Coder (CMC) + Registered Health Information Administrator (RHIA) + Registered Health Information Technician (RHIT) + Licensed Professional Nurse … 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 ... care plans based on patient assessments and needs. + Responds to medical emergencies and participates in life-saving interventions, such as CPR and code… 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) Job Overview: Aveanna Healthcare is seeking nurses ie Registered Nurses to act as a key… more
- UPMC (Pittsburgh, PA)
- …in a health care financial environment preferred. + Knowledge of medical necessity criteria (InterQual) preferred. + Knowledge of CPT-4 and Revenue Coding is ... UPMC is hiring a full-time Revenue Cycle Clinical Review Nurse . This position works Monday through Friday during daylight...also serves as a clinical resource person for all Health Services Division areas. They are responsible for drawing… more
- Baystate Health (Springfield, MA)
- **Baystate Health , a nationally recognized leader in healthcare quality and safety, is looking for a Part Time Operations Associate/Cardiac Monitor Technician to ... OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical , dental and vision insurance + Generous PTO -...but are not limited to mental, physical, and financial health + Pet, home, auto and personal insurance +… more
- Baystate Health (Springfield, MA)
- **Baystate Health , a nationally recognized leader in healthcare quality and safety, is looking for a Full Time Operations Associate to join our team in Springfield, ... rotating holidays required **LOCATION** : + Baystate Main Campus, Medical /Neuro ICU Unit + Springfield, MA **THE ADVANTAGES OF...but are not limited to mental, physical, and financial health + Pet, home, auto and personal insurance +… more
- St. Luke's University Health Network (Allentown, PA)
- …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively...The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis… more
