- Vatica Health (Atlanta, GA)
- …looking for great people to join our diverse team. The RN Clinical Coder- Nurse Auditor will independently review cases, ensuring accurate ICD-10-CM risk adjusted ... + Must have minimum of 3 years of clinical experience as a Registered Nurse (RN) + Prefer incumbent to have Certified Risk Adjustment Coder (CRC) Certification +… more
- Northwell Health (Lake Success, NY)
- **Req Number** 103140 **THIS POSITION IS A REMOTE ROLE** Job Description Conducts audits of Acute Inpatient coded charts to ensure the diagnostic information leading ... related experience. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Current… more
- Molina Healthcare (Dallas, TX)
- **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), ... them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN) Program and Associate's or bachelor's degree in Nursing OR… more
- UNC Health Care (Chapel Hill, NC)
- …the health and well-being of the unique communities we serve. **Position is 100% Remote .** **This is a remote position eligible for hire from: Alabama, Alaska, ... 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
- Magellan Health Services (Albuquerque, NM)
- 100% REMOTE , Must be a resident of NM. Conducts reviews of clinical interactions and clinical documentation including reviews of case management records. Provides ... and demonstrated experience. General Job Information Title CISC Clinical Auditor Grade 25 Work Experience - Required Clinical Work...PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt… more
- Geisinger (Danville, PA)
- …to assure provider monitoring and/or penalties. Job Duties + Serves as primary auditor of all written denial notifications prior to mailing to assure compliance with ... be able to travel onsite for meetings. + Work from home: This position is primarily remote . Must be a PA resident. Must be willing to travel for meeting + Required… more
- MD Anderson Cancer Center (Houston, TX)
- …to study agent and reports to proper source (ex: research manager, research nurse , physician investigator, sponsor as requested). Must be able to visually check ... and communicate findings to proper source (ex: research manager, research nurse , physician investigator, sponsor as requested). Develops and maintains system for… more
- Medical Mutual of Ohio (OH)
- **_Note, this is a remote position; Eastern and Central time zones preferred._** Founded in 1934, Medical Mutual is the oldest and one of the largest health ... and vendor project planning coordination and facilitation. Works with IT and Clinical Nurse staff to aid in the loading of HEDIS data and collection of… more
- Penn Medicine (Bala Cynwyd, PA)
- …UPHS areas. + Direct supervision of hospital Compliance Analysts, Senior Compliance Analyst, Nurse Auditor , and Analyst Government Audits and Appeals + Recruit ... Office of Billing Compliance **Location:** 150 Monument Rd. Bala Cynwyd ( Remote ) **Hours: (must live reasonable distance from location)** M-F, 8:30AM -5:00PM… more
- MD Anderson Cancer Center (Houston, TX)
- …visits and provides sufficient, appropriate, and timely responses to sponsor or auditor regulatory queries. Provides support to the Protocol Teams in preparing for ... for the monthly Clinical Research Group (CRG) meetings and Data Coordinator/Research Nurse staff meetings, as approved by supervisor. . Prepares updates on… more