- The University of Vermont Health Network (Colchester, VT)
- …in Colchester, VT. In-person meetings are also required at least quarterly. Job Summary The Clinical RN Auditor is responsible for ensuring clinical ... *Hold a valid driver's license and have a reliable, registered vehicle with insurance as required by the organization,...*Completes all duties also associated with Clinical Coder/ Auditor roles which do not require an RN… more
- Baystate Health (Springfield, MA)
- …10) Observes cardiac monitors. Identifies and reports irregular rhythms to a registered nurse for interpretation and intervention. Records and processes EKG ... communication with NEOPO and related paperwork in conjunction with RN . Screen calls for the clinical team...clinical team inquiry. In coordination with the charge nurse , prepare staffing assignments for the next shift. Place… more
- Baystate Health (Springfield, MA)
- …appropriate, coordinates communication with NEOPO and related paperwork in conjunction with RN . Screen calls for clinical team and facilitates communication of ... & annual company contribution increase based on years of service Free money coach advice from a certified professional...forms, etc. 8) Unit Resource: Post/file MD schedules for clinical team inquiry. In coordination with charge nurse… more
- Centene Corporation (New York, NY)
- …findings, including clinical recommendations to assure the delivery of quality services + Lead case reviews to assess the clinical performance provided ... years of nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license (LPN, RN , etc.).Pay Range: $55,100.00 -… more
- Centene Corporation (Salem, OR)
- …be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... reports to subsidiaries as required for audits and risk assessments + Utilize clinical knowledge to determine audit findings and in answering counterclaims + Train… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... are owned or managed that have opted into shared services . This position reports to the HCS Supervisor Coding...across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides… more
- Elevance Health (Mason, OH)
- ** Nurse Audit Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the exception ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Nurse Audit Senior** will be responsible for identifying, monitoring, and… 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...- Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to… more
- Northwell Health (Garden City, NY)
- …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... **Req Number** 162995 Job Description Seeking RN - BSN or MSN candidates with a...- Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Validates Acute Inpatient coded charts to ensure the… more
- Elara Caring (Fort Worth, TX)
- …+ Associate's degree or higher in Nursing + 5 years of experience as a Registered Nurse in Home Health and/or Hospice with coding experience is preferred + ... audits will include, but are not limited to eligibility, billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are… more
- Community Health Systems (Huntsville, AL)
- **Job Summary** The Registered Nurse ( RN ) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and ... to enhance patient outcomes and care delivery. + **OR Services RN :** + Provides comprehensive care to...control, and quality improvement initiatives. **Licenses and Certifications** + RN - Registered Nurse -… more
- Providence (MT)
- **Description** **Providence is calling for Revenue Cycle Auditor RN within our 7 footprints location: AK, WA, OR, CA, TX, NM, or MT** The Revenue Integrity ... Auditor is responsible for providing patient focused, standardized, compliant...Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence… more
- Ochsner Health (Meridian, MS)
- …of related healthcare experience with a master's degree. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. Preferred ... both targeted and ad hoc charge capture audits. Works in conjunction with clinical personnel during all audits and schedules, prepares action plans, and reports out… more
- PeaceHealth (Vancouver, WA)
- …Public Accountant or Certified Internal Auditor orCertified Information Systems Auditor . + Registered Health Information Administrator (for Coding Auditor ... ), Registered Health Information Technician (for Coding Auditor ), Certified Professional Coder (for Coding Auditor ), Certified Coding Specialist Physician… 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 ... compliance with billing regulations and trends in denials of services due to medical necessity or appropriateness of ...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- ManpowerGroup (St. Paul, MN)
- …team. As an Inpatient Auditor , you will be part of the Consulting Services Department supporting various clinical teams. The ideal candidate will have strong ... will align successfully within the organization. **Job Title:** Inpatient Auditor **Location:** Remote **Pay Range:** $58-62 per hour **Job...RHIA, RHIT with CCS certification and 8+ years of clinical coding experience, or Valid RN License… more
- BayCare Health System (Tampa, FL)
- …and Licensures** + **Required:** RHIA/RHIT in conjunction with CCS + **Preferred:** RN , CDIP, CCDS, or clinical degree **Education** + **Required:** associate's ... Team Member who is passionate about providing outstanding customer service to our community. We are looking for an...PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses… more
- Trinity Health (Ann Arbor, MI)
- …travelling between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / ... Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related audits, and identifies opportunities… more
- ProMedica Health System (Toledo, OH)
- REPORTING RELATIONSHIPS Reports to the Director of Compliance Shared Services within the Compliance Department. POSITION SUMMARY Utilize compliance expertise to ... functions at all entities across the system as a service to the Board of Trustees and all levels...a minimum of four (4) years experience in relevant clinical healthcare, education/training, or regulatory compliance. Skills: Must have… more
- Providence (Portland, OR)
- …must be residing in Oregon **Job Description:** The Clinical Documentation Specialist, Registered Nurse ( RN ) is responsible for quality review of all ... **Description** ** CLINICAL DOCUMENTATION SPECIALIST RN - Providence Home Services Oregon**...**Required Qualifications:** + Education sufficient for licensure. + Oregon Registered Nurse License upon hire. + Must… more
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