- 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 ... AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State license. + Certified Professional… more
- Trinity Health (Newtown, PA)
- **Employment Type:** Full time **Shift:** **Description:** **Position Purpose:** The **R** **evenue Integrity Nurse Auditor ** is a Registered Nurse (RN) who ... works in a collaborative environment to plan & provide professional nursing services & standards of practice in accordance with level of experience & education, state board of nursing & established policies & procedures. The RN integrates the art, science,… more
- Trinity Health (Ann Arbor, MI)
- …between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / Licensed Practical ... Nurse and graduate of an accredited school of nursing, plus at least four (4) years of nursing experience and two (2) years of charge audit, managed care or comparable patient payment processing experience preferred. Must have current registration with the… more
- Ochsner Health (New Orleans, LA)
- …and documents audits and presents oral and written conclusions to the Lead Nurse Auditor and department management. Educates and assists employees in applying ... through auditing and monitoring or other means to the Lead Nurse Auditor and/or designated departmental leadership. + Ensures that all audits, performance,… more
- Henry Ford Health System (Troy, MI)
- …standards regarding productivity and audit quality. CERTIFICATIONS/LICENSURES REQUIRED: Registered Nurse credentialed from the Michigan Board of Nursing obtained ... prior to hire date or job transfer date required. Additional Information + Organization: Corporate Services + Department: Ascension Payor Audit CDRU + Shift: Day Job + Union Code: Not Applicable Additional Details This posting represents the major duties,… more
- Northwell Health (Garden City, NY)
- …and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. ... *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the… more
- Northwell Health (Westbury, NY)
- …job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional ... Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When… more
- Ochsner Health (New Orleans, LA)
- …providers , on- site case management team, as well as LPN/RN or Nurse Auditor in the Pre-Service department. + Performs Pre-Service collection estimation ... functions and communicates patient liability. + Provides point -of - service information and logistics to ensure an exceptional patient experience. + Other related duties as required. The above statements describe the general nature and level of work only.… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and ... **UPMC Corporate Compliance** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor ** to join our team! This position will be based out of… more
- Access Dubuque (Dubuque, IA)
- Senior IT Auditor **McGraw Hill** 1 Positions ID: 5661 Posted On 06/16/2025 **Job Overview** Overview **Build the Future** At McGraw Hill, we are dedicated to ... to the Director, IT Internal Audit. The Senior IT Auditor is responsible for planning, executing, and reporting on...- Dubuque, IA UnityPoint Health Finley Hospital PRN Neonatal Nurse Practitioner - Dubuque, IA UnityPoint Health Finley Hospital… more
- Elara Caring (Dallas, TX)
- …Right Time, in the Right Place. **Job Description:** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice, Behavioral ... 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 coding experience… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC Corporate ... Finance** is looking for a dedicated and meticulous **Compliance Auditor , Associate** to join our team. This role is...+ Registered Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) or + Registered Nurse (RN)… more
- Access Dubuque (Dubuque, IA)
- Senior IT Internal Auditor **Dupaco Community Credit Union** 1 Positions ID: SENIO002847 Posted On 05/23/2025 **Job Overview** The Senior IT Internal Auditor ... security, risk management or related fields. + CISA (Certified Internal Systems Auditor ) preferred or ability to obtain. + Knowledge in auditing financial… more
- Elevance Health (Costa Mesa, CA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- UNC Health Care (Chapel Hill, NC)
- …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 ... (American Academy of Professional Coders) certification - RN (Registered Nurse ) license - LPN (Licensed Practical Nurse )...(Registered Nurse ) license - LPN (Licensed Practical Nurse ) license - Advance Practice Provider (NP or PA)… more
- Molina Healthcare (Phoenix, AZ)
- …to tailor messaging to diverse audiences + Excellent problem-solving skills. + QM Nurse : Arizona-licensed RN or a Licensed Practical Nurse (LPN) with current ... under the Arizona State Board of Nursing (BON) + QM BH Nurse : Arizona-licensed registered nurse practitioner licensed as an adult, psychiatric and mental health … more
- Ascension Health (Wichita, KS)
- …management experience preferred. **Additional Preferences** We are seeking an experienced Registered Nurse (RN) or Coding Auditor with strong knowledge in ... to hire date or job transfer date. + Registered Nurse obtained prior to hire date or job transfer...join our team. This role is ideal for a nurse /coder who understands both clinical care and healthcare data… more
- Trinity Health (Syracuse, NY)
- …Management and works collaboratively with Utilization Management/Concurrent Review Nurse , physicians, staff and other health care professionals. Interacts ... denials, forwards information to the appropriate Utilization Management/Concurrent Review Nurse within identified process standards * Reviews any service denials… more
- R1 RCM (Boise, ID)
- …AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to draft ... you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal...a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically… more
- Baystate Health (Springfield, MA)
- …incentive payments that may be applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the charge nurse . ... questions. Able to multitask.** **Summary** : Reports to the Nurse Manager, but daily activities are coordinated by the...C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples, and Kronos access if… more
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