- Actalent (West Des Moines, IA)
- Job Title: Nurse Auditor Job Description We are seeking a highly skilled Nurse Auditor who can understand the intricacies of standard medical coding, ... wide variety of claim types and identifying claims requiring further review. The Nurse Auditor will also maintain productivity goals, uphold quality standards,… more
- Actalent (West Des Moines, IA)
- Job Title: Nurse Auditor Job Description This role requires a thorough understanding of standard medical coding, including CPT, ICD-10, and HCPCS. The Nurse ... and procedures. + Research unclear and unusual claims. Essential Skills + Registered Nurse (RN) license required. + 3+ years of experience in medical record review,… 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 ... 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 (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
- AdventHealth (Tampa, FL)
- …flexible as required. Regional Travel up to 20% may be required. Registered Nurse (RN) Florida Required This facility is an equal opportunity employer and complies ... with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within… more
- US Tech Solutions (Newark, NJ)
- …months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state ... experience, preferably in the healthcare industry. + **Active New Jersey Registered Nurse (RN) License required.** **Skills:** + Knowledge of managed care principles… 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
- Ascension Health (Wichita, KS)
- …potential. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing required. Education: ... + Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire. **Additional Preferences** Experience with clinical appeals preferred. Experience with denials and coding strongly preferred. **Why Join Our Team**… 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
- Trinity Health (Livonia, MI)
- …Maintains productivity standards Maintains compliance with regulatory requirements Assist Nurse Auditor and/or Coordinator with denial coordination process; ... RHIA, RHIT, CCS, CPC/COC or other coding credentials and/or Licensed Vocational Nurse / Licensed Practical Nurse licensure is required. CHC (Healthcare Compliance… 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
- Covenant Health Inc. (Knoxville, TN)
- …Covenant Health standards of Telephone Excellence policy. + Refers patient accounts to nurse auditor upon request by patient or insurance company, and monitors ... account until completion of audit and follow up is done. + Performs other duties as assigned to the satisfaction of the department manager. Serving the Customer + Communicates effectively with patients/public, co-workers, physicians and or their offices, and… 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
- 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
- Robert Half Accountemps (Boston, MA)
- Description We are looking for a highly skilled RN Auditor to join our team in Boston, Massachusetts. This RN Auditor position offers a long-term contract ... and compliance within the healthcare sector. The ideal RN Auditor candidate will play a critical role in ensuring...within the healthcare industry. * Must be a Registered Nurse (RN) in the state of Massachusetts. * Proficiency… more
- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization is not specified and the salary ... * Expert coding knowledge (DRG & ICD-10) * Registered Nurse RN (must be inpatient) WITH coding/clinical documentation certification...(2 years in clinical documentation) OR IF NOT A NURSE : Degree in RHIM, RHIA, RHIT with medical coding… 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
- AdventHealth (Orlando, FL)
- …role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered Health Information Administrator with a high level ... Additional Licenses and Certifications Current active State license as a Registered Nurse , Nurse Practitioner, Physicians Assistant, Medical Physician, or an… more
- Virtua Health (Mount Laurel, NJ)
- …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... to provide exceptional care close to home. A Magnet-recognized health system ranked by US News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.In addition to five hospitals, seven emergency departments,… more
Related Job Searches:
Auditor,
Clinical Nurse Auditor,
Compliance Nurse Auditor,
Concurrent Review Nurse Auditor,
Medical Nurse Auditor Health,
Nurse,
Nurse Auditor 2,
Nurse Auditor Senior Carelon,
Remote Nurse Auditor,
Revenue Integrity Nurse Auditor