- Trinity Health (Ann Arbor, MI)
- …between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / Licensed Practical ... 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… more
- Northwell Health (Westbury, NY)
- …experience. 2 .Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional ... 1.Leverages clinical expertise to identify and validate DRG code assignment. 2 .Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of… more
- Providence (NM)
- …must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... Seasonal Role:_** + **This posting is for multiple openings of a Coding Quality Auditor , HEDIS** + **This position is affiliated with Providence Health Plan and will… 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 ... accuracy and recommends education and training related to results. 2 . Monitor and provide feedback to new-hire CDS, as...(American Academy of Professional Coders) certification - RN (Registered Nurse ) license - LPN (Licensed Practical Nurse )… 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. This person should have an extensive background in ... and coding terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding/clinical documentation certification ( 2… more
- BJC HealthCare (St. Louis, MO)
- …Monday - Friday 8:00 am - 4:30 pm Weekends: as determined Holidays: 2 per year _*Position requires registration with the Family Care Safety registery_ \#LI-TP1 ... within the scope of practice for the Licensed Practical Nurse . + Under the direction of the Registered ...+ LPN - IV Cert **Preferred Requirements** **Experience** + < 2 years **Benefits and Legal Statement** **BJC Total Rewards**… more
- Henry Ford Health System (Detroit, MI)
- …electronic medical records for accuracy of implants, surgical and recovery time stamps. 2 . Provides investigation of all charges for accuracy of the EPIC charting ... graduation from an accredited school of nursing. * Two ( 2 ) years of Cath lab experience to gain clinical...Interventional (VI) or license to practice as a registered nurse in the state of Michigan. * BLS/ACLS. Additional… more
- Health Care Service Corporation (Richardson, TX)
- …years experience in claims processing operations and reporting systems, including 2 years experience in auditing or developing computer system reports.** **Knowledge ... **Organizational skills and prioritization skills** **Preferred Job Qualifications:** **Registered Nurse (RN) with unrestricted license in state.** **Certified Coder… more
- Molina Healthcare (Bronx, NY)
- …and works collaboratively to subsequently resolve/correct. Required Qualifications * At least 2 years health care experience, with at least 1 year experience in ... managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice.… more
- Baystate Health (Springfield, MA)
- …MA.** **SCHEDULE:** + Part time, 24 hours/week, 1st Shift + Hours: 7am-7:30pm + 2 shifts per week, rotating days and weekends required **LOCATION** : + Baystate Main ... needs of all communities in need. **QUALIFICATIONS:** + HS Diploma/GED + 1- 2 years experience in customer service (healthcare setting preferred) + Medical… more
- Baystate Health (Springfield, MA)
- …MA.** **SCHEDULE:** + Part time, 24 hours/week, 3rd Shift + Hours: 7pm-7:30am + 2 shifts per week, rotating days and weekends required **LOCATION** : + Baystate Main ... needs of all communities in need. **QUALIFICATIONS:** + HS Diploma/GED + 1- 2 years experience in customer service (healthcare setting preferred) + Medical… more
- Baystate Health (Springfield, MA)
- …or equivalent required + Prior administrative experience strongly preferred + 1- 2 years' experience in customer service (healthcare setting preferred) + Ability ... be applicable to this role.** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the...breaks and meals to ensure constant flow of ADTs. ** 2 )** Proficiently and accurately utilizes the following computer applications… more
- Molina Healthcare (IA)
- …or equivalent experience, OR completion of any of the following programs: + Registered Nurse (RN) or State Licensed Vocational Nurse (LVN), or + Registered ... Min. 4 years experience in healthcare Quality/HEDIS projects/audits * 2 + years of experience in HEDIS medical records collection...completion of any of the following programs: + Registered Nurse (RN) or State Licensed Vocational Nurse … more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... course sponsored by an ACPE accredited provider. + Minimum 2 years of hospital experience required + Minimum 1...private patient rooms and eight VIP rooms with private nurse stations, Methodist Hospital | Landmark delivers a true… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects...addition to Level I Qualifications) + A minimum of 2 years in case management position. + Case Management… more
- AdventHealth (Maitland, FL)
- …with charge capture goal. Qualifications **What You Will Need:** **Required:** + Two ( 2 ) years experience in healthcare or related field + Ability to work and ... regulatory and billing requirements. The RI Specialist supports the Nurse Reviewer Consultant and Senior RI Specialist to partner...works directly with the Revenue Cycle Revenue Integrity Charge Auditor teams to develop a proper work plan to… more
- NCH (Naples, FL)
- …Specialist for educational opportunities/outcomes. * Collaborates with CDI liaison/quality auditor when educational needs are identified from second level reviews. ... required; Bachelor's Degree preferred. * Licensed as a Registered Nurse in the state of Florida. * 5+ years...or previous CDI experience in an academic institution with 2 + years of leadership experience. * Team leading experience… more
- GE Vernova (WA)
- …in materials, mechanical, welding, engineering or equivalent technical discipline. + Minimum 2 years in working in Commercial Nuclear industry or Nuclear Military ... previously certified) qualification and certification as Mechanical Inspector, Visual Inspector, Auditor , and/or NDE disciplines as necessary for the role. + Fluent… more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... of Pharmacy or a course sponsored by an ACPE accredited provider. + Minimum 2 years of hospital experience required + Minimum 1 year sterile compounding experience… more