- 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) 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
- Guthrie (Sayre, PA)
- Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures and accepted guidelines ... for medical coding. Works closely with the Compliance Officer and Compliance coding Audit Coordinator...(RHIA, RHIT, or CCS) or AAPC (CPC) required + RN /LPN or CPMA preferred + Required to sit for… more
- Ochsner Health (New Orleans, LA)
- …This job assists with maintaining an effective auditing and compliance program. Independently completes assignments, manages projects, performs research, audits, ... educates and assists employees in applying and improving overall compliance and leads any assisting staff assigned to their...Required - Certification as CPC, CCS, CHC, RHIA, RHIT, RN , or LPN or other related certification. **Knowledge Skills… 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 ... 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
- Robert Half Accountemps (Boston, MA)
- …auditing, claims administration, and compliance within the healthcare sector. The ideal RN Auditor candidate will play a critical role in ensuring program ... Description We are looking for a highly skilled RN Auditor to join our team... within the healthcare industry. * Must be a Registered Nurse ( RN ) in the… more
- Molina Healthcare (El Paso, TX)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) 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) M/F/D/V \#PJCorp \#LI-AC1 Pay Range: $54,922 -… more
- US Tech Solutions (Newark, NJ)
- …of related experience, preferably in the healthcare industry. + **Active New Jersey Registered Nurse ( RN ) License required.** **Skills:** + Knowledge of ... months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state… more
- Actalent (West Des Moines, IA)
- Nurse Auditor Job Description This role...procedures. + Research unclear and unusual claims. Skills + Registered Nurse ( RN ) license required. ... thorough understanding of standard medical coding, including CPT, ICD-10, and HCPCS. The Nurse Auditor is responsible for adjudicating claims to comply with… 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 (Owensboro, KY)
- …License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) + Certified Community Health Worker (CCHW) + Bi-Lingual ... preferred. 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… more
- Molina Healthcare (St. Petersburg, FL)
- …Nursing License ( RN may be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) 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) M/F/D/V. Pay Range: $107,028 - $208,446 / ANNUAL… 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 (Raleigh, NC)
- …position. _Sign on bonuses available!_ Responsibilities + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits...+ **Required:** RHIA/RHIT in conjunction with CCS + **Preferred:** RN , CDIP, CCDS, or clinical degree Education + **Required:**… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible for writing and defending appeal letters to payers with… more
- AdventHealth (Orlando, FL)
- …**The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered Health Information Administrator ... + Additional Licenses and Certifications Current active State license as a Registered Nurse , Nurse Practitioner, Physicians Assistant, Medical Physician,… more
- SSM Health (MO)
- …**Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a ... and improve the quality and best practice methodology related to the corporate compliance program. Ensures that commitment to the compliance program is… more
- US Tech Solutions (Hopewell, NJ)
- …+ Requires License Practical Nurse License or an active New Jersey Registered Nurse License. + Requires valid Motor Vehicle driver's license and access ... preparing weekly, monthly, quarterly and year-end reports. **Note: Candidates need RN OR LPN New Jersey License** **Responsibilities:** + Conducts on-site reviews… more
- Centene Corporation (Jefferson City, MO)
- …Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), Licensed Professional Counselor (LPC), Registered Nurse ( RN ), or Licensed Practical Nurse ... the use of audit process and tools + Facilitate compliance with the auditing process + Act as a...IN MISSOURI **Ideal candidate will be a Licensed Practical Nurse (LPN)** **Education/Experience:** Bachelor's degree in related field or… more