- 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...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 in healthcare documentation… 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 ensuring compliance in healthcare? **UPMC… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on ... are met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to...or must be obtained within the first year. Prefer RN , LPN, or CMA state of TN/GA but not… 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 ... issues detected through auditing and monitoring or other means to the Lead Nurse Auditor and/or designated departmental leadership. + Ensures that all audits,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more! **Description** Reporting to the Manager, Compliance Audit and Analysis, develops and executes audit, monitoring, and education ... inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/clinical billing… 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 ... Responsibilities Job Summary: As a member of the Regulatory Compliance Team, the Senior Clinical Auditor will conduct compliance focused clinical audits to… more
- Brockton Hospital (Brockton, MA)
- …focus on government payers, including Medicare and Medicaid. Collaborate with SHC's Healthcare's Compliance Auditor to meet audit plan objectives. + Works with ... in the lives and health of our patients. The Assistant Director, Corporate Compliance (Assistant Director) is a member of the Compliance Department and… more
- Molina Healthcare (Provo, UT)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Quality Interventions/ QI … more
- Molina Healthcare (Los Angeles, CA)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Analyst, Quality Improvement (QI) Interventions/… more
- 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 ... substantiated by the documentation in the Medical Record. Seeking RN - BSN or MSN candidates with a HCS-D...charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules… 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...charts to ensure that proper standards are maintained in compliance with Federal and State regulations. + Applies coding… more
- Molina Healthcare (Columbus, OH)
- …Certification, Association + Certified Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager, Health Plan Quality Interventions… 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
- 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 ... timely manner. + Prepares trend and other reports for compliance audits and charge processes. + Serves as a...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- Molina Healthcare (Detroit, MI)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) + Vaccine for Children Program experience (VFC) To all ... current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE)… 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
- BayCare Health System (NC)
- …Carolina. _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member...as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift In person training with work from home option, at Manager's discretion, after ... Position Summary: Performs complex level professional internal auditing work. Work involves compliance audit projects for Covenant Health entities as they relate to… more
- Mohawk Valley Health System (Utica, NY)
- CDI III Educator Auditor - Full Time - Days Department: CLINICAL DOCUMENTATION IMPROVE Job Summary The CDI III Educator Auditor (Clinical Documentation ... educational initiatives while managing denial processes and responses, maintaining compliance with regulatory guidelines and coding conventions. This role emphasizes… more
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