- 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 ... minimum of 3 years of clinical experience as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) + Prefer incumbent to have Certified Risk Adjustment Coder… more
- Omaha Children's Hospital (Omaha, NE)
- …to retrieve data needed for audit. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure valid in the state of ... Nebraska Required Children's is the very best for kids and the very best for your career! At Children's, we put YOU first so together, we can improve the life of every child! **Requisition ID** : 21123 more
- InnovaCare (San Juan, PR)
- …MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare ... resources and develops, coordinates and implements the discharge plan, to ensure that the coordination and continuity of care results in optimal patient outcomes. Will adhere to the department policies related to the care of the Plans' SNP members. Staff will… more
- Northwell Health (Garden City, NY)
- …job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional ... Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** The Compliance Auditor (CA) reports directly to the Vice President of Compliance (VPC) to conduct compliance audits for Health Care Centers (HCC), ... with other partners. **LICENSURE, CERTIFICATION AND EDUCATION REQUIREMENTS:** + Must be a Registered Nurse in good standing in at least one of the states in which… more
- State of Georgia (Fulton County, GA)
- …part of a multi-disciplinary team, which typically includes a prosecutor, investigators, an auditor , a nurse investigator, and an intelligence analyst. Duties & ... Investigative Auditor - Medicaid Fraud Georgia - Fulton -...Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …field + Background working in Correctional Health + Experience working as a Nurse Educator or Healthcare Auditor + Experience working in quality ... Quality Assurance Nurse (Correctional Health Nurse IV) Print...Quality Assurance Nurse (Correctional Health Nurse IV) Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4538236) Apply Quality Assurance… more
- Covenant Health Inc. (Knoxville, TN)
- …Covenant Health standards of Telephone Excellence policy. + Refers patient accounts to nurse auditor upon request by patient or insurance company, and monitors ... account until completion of audit and follow up is done. + Performs other duties as assigned to the satisfaction of the department manager. Serving the Customer + Communicates effectively with patients/public, co-workers, physicians and or their offices, and… more
- State of Indiana (IN)
- …learn, work, or play. Role Overview: This position will serve as a nurse surveyor/ auditor for birthing facilities and neonatal intensive care units (NICUs). ... state. You will need to possess an active Registered Nurse (RN) license to be eligible for this role....requirement to be considered for employment: + Active Registered Nurse (RN) license with the state of Indiana. +… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team!** The Intermediate Clinical Auditor /Analyst is an ... revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains, and analyzes auditing… more
- Universal Health Services (Jacksonville, FL)
- …a whole. We are pleased to announce the following available position: PRN Auditor The Temporary LCD/HBIPS Auditor is responsible for monitoring patient records ... record by specific timelines using an established auditing tool. The Temporary LCD/HBIPS Auditor must be able to identify and discuss trends in the data, interface… more
- University of Pennsylvania (Philadelphia, PA)
- …field preferred. Minimum of seven years of experience as a clinical research monitor/ auditor , research nurse or research coordinator with at least three years' ... of Operations, Compliance and Monitoring (DOCM) is seeking a clinical research monitor/ auditor to support our clinical research mission. The monitor/ auditor is… more
- UNC Health Care (Chapel Hill, NC)
- …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 ... (American Academy of Professional Coders) certification - RN (Registered Nurse ) license - LPN (Licensed Practical Nurse )...(Registered Nurse ) license - LPN (Licensed Practical Nurse ) license - Advance Practice Provider (NP or PA)… more
- Magellan Health Services (Albuquerque, NM)
- …management skills and demonstrated experience. General Job Information Title CISC Clinical Auditor Grade 25 Work Experience - Required Clinical Work Experience - ... Therapist - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred… 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
- Fresenius Medical Center (Irwindale, CA)
- …or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality preferred. **EXPERIENCE ... AND SKILLS:** + 3+ years dialysis experience required + 3+ years management experience in a clinical leadership role + Strong organizational, critical thinking and customer service skills + Demonstrated leadership competencies and adaptability to changes in… more
- Texas Roadhouse (Louisville, KY)
- …delivery service, chair massages just to name a few! We also have a Registered Nurse in the building to help with our wellness initiatives and keep us healthy. ... Willie's Joynt is our full-service cafe that serves breakfast and lunch and prepares delicious TO GO meals. We love taking care of our Roadie family and making our company a LEGENDARY place to work! As our founder, Kent Taylor once said, "We are a people… more
- Northwell Health (Lake Success, NY)
- …related experience. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Current ... license by their home state. + Must have a current coding credential: AHIMA CCS or AAPC CPC-I + Must have 1-3 years of IP DRG Validation experience in a production environment *Additional Salary Detail The salary range and/or hourly rate listed is a good faith… more
- R1 RCM (Salt Lake City, UT)
- …AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to draft ... you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal...a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically… more
- UNC Health Care (Rocky Mount, NC)
- …and well-being of the unique communities we serve. **Summary:** The Recovery Audit Nurse will work closely with other Business Office staff members to assist in ... or prospective review, ie - Medicare and Medicaid RA (Recovery Auditor ) programs. **Responsibilities:** + Ensuring compliant billing guidelines + Assistance with… more