- Northwell Health (Westbury, NY)
- …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... the assignment can be substantiated by the documentation in the Medical Record. Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding… more
- Northwell Health (Westbury, NY)
- …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... **Req Number** 128397 Job Description Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS… more
- Elevance Health (Woodbridge, NJ)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor - RN ** **Location:** This position will work...One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health… more
- Kelly Services (Lake Mary, FL)
- … Aide Evaluator programs across the United States. **Important Requirements:** Must possess a Registered Nurse ( RN ) license in good standing, with a compact ... or multi-state license OR must possess a Registered Nurse ( RN ) license in...Quality Assurance Auditor , and indirect supervision of Nurse Aide Evaluators (NAEs). **Qualifications:** * Education/Experience: Registered… more
- Ascension Health (Franklin, TN)
- …/ Certification / Registration: + One or more of the following required: + Registered Nurse credentialed from the Tennessee Board of Nursing or current home ... state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date. Education: + Diploma from an accredited school/college of nursing OR Required professional licensure at time ofhire. **Additional Preferences**… more
- Catholic Health (Buffalo, NY)
- …as related to DRG and level of care denial trends. Responsibilities: EDUCATION + Registered Nurse with a current New York State license + Bachelor of ... Certified Documentation Specialist, Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified Case Manager (CCM) or any other certification… more
- UPMC (Pittsburgh, PA)
- …Certifications, and Clearances:** Licensed Bachelor/Master Level Behaviroal Health Professional OR Licensed Registered Nurse ( RN ) with three years of ... Health Plan has an exciting opportunity for a Clinical Auditor /Analyst position in the CCBH Fraud, Waste & Abuse...working from home and in office. The Clinical FWA Auditor /Analyst is the entry level auditing position and is… more
- UPMC (Pittsburgh, PA)
- …Registered Health Information Technician (RHIT) + OR Licensed Professional Nurse (LPN) + Registered Nurse ( RN ) Required: + Act 34 **UPMC is an Equal ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and...Registered Health Information Administrator (RHIA) + … more
- UPMC (Pittsburgh, PA)
- … Registered Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) + Registered Nurse ( RN ) Required: + Act 34 **UPMC is an Equal ... **Join UPMC Corporate Compliance as a Senior Compliance Auditor !** Are you passionate about ensuring accuracy and...Compliance is seeking a dedicated and detail-oriented **Senior Compliance Auditor ** to join our team! This position will be… more
- UPMC (Pittsburgh, PA)
- …Registered Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) or + Registered Nurse ( RN ) + Act 34 **UPMC is an Equal Opportunity ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...Finance** is looking for a dedicated and meticulous **Compliance Auditor , Associate** to join our team. This role is… more
- Surgery Care Affiliates (Birmingham, AL)
- …+ Current RN license + 4-5 years of experience as a licensed Registered Nurse or equivalent clinical background preferred. + Additional experience related to ... member of the Regulatory Compliance Team, the Senior Clinical Auditor will conduct compliance focused clinical audits to ensure...SCA Health' s compliance program . The Senior Clinical Auditor will work with all Support Services departments ,… 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 ... as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State… 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 ... Required - Certification as CPC, CCS, CHC, RHIA, RHIT, RN , or LPN or other related certification. **Knowledge Skills...auditing and monitoring or other means to the Lead Nurse Auditor and/or designated departmental leadership. +… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... 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
- Texas Health Resources (Arlington, TX)
- ** Nurse Auditor - Clinical Billing Edits**...required + Revenue Cycle experience strongly preferred + Texas RN upon hire required **What You Will Do** In ... Assist in problem resolution. **Additional perks of being a Texas Health Nurse Auditor - Clinical Billing Edits** + Benefits include 401k, PTO, medical, dental,… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Job Summary With direction from the Director, the Nurse Auditor /Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient ... and advising the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity Specialist works directly with revenue producing… more
- BayCare Health System (NC)
- …7:00 AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member must currently reside in ... _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities… more
- Catholic Health Initiatives (Chattanooga, TN)
- …with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an ... met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to facilitate and ensure...or must be obtained within the first year. Prefer RN , LPN, or CMA state of TN/GA but not… more
- Molina Healthcare (NM)
- …to resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and Associate's or ... **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM),… more
- Elevance Health (Woodbridge, NJ)
- **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
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