- Ascension Health (Birmingham, AL)
- …Specialists obtained prior to hire date or job transfer date required. + Registered Nurse credentialed from the Alabama Board of Nursing obtained prior ... specifics._ **Responsibilities** Develop, implement, and has oversight over the Clinical Documentation Integrity (CDI) audit plan, utilizing audit findings to… more
- Tenet Healthcare (Detroit, MI)
- Senior Nurse Clinical Auditor Days FT - 2305002165 Description : $10,000 Signing Bonus with relevant experience Children’s Hospital of Michigan is an ... management. Qualifications : 1.Bachelors Degree in Nursing. 2. Licensed Registered Nurse in the State of Michigan....or similar experience preferred. 5.One year experience as a Clinical Auditor . Job : Non- Clinical /Administrative… more
- Northwell Health (Garden City, 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 ... a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to ensure the… more
- Ascension Health (Glendale, WI)
- …and identify savings potential. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Wisconsin Board of Nursing ... accuracy of billing through verification of coding, billing and supporting clinical documentation. + Coordinate all activities associated with insurance carrier… more
- Ascension Health (Nashville, TN)
- …/ Certification / Registration: + One or more of the following required: + Registered Nurse credentialed from the Tennessee Board of Nursing or current home ... accuracy of billing through verification of coding, billing and supporting clinical documentation. + Coordinate all activities associated with insurance carrier… more
- LA Care Health Plan (Los Angeles, CA)
- Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Executive Services Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for...& literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- Trinity Health (Fresno, CA)
- …Day Shift **Description:** Reporting to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of Electronic Medical Records (EMR) ... and education is required. 2. Current licensure as a Registered Nurse (RN) with the state of...state of California is required. 3. Four (4) years clinical experience in cardiovascular service environment is required. 4.… more
- Bloom Healthcare (Lakewood, CO)
- Job Title: RN Clinical Auditor Quality Review Specialist About Bloom: Bloom Healthcare is a pioneering and employee-owned primary care and hospice practice at ... standards of patient care and regulatory compliance. The RN Clinical Auditor & Quality Review Specialist conducts...software products used within the hospice. Minimum Qualifications: + Registered Nurse or a related field preferred.… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical Nurse ) ... across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education… more
- Centene Corporation (Trenton, NJ)
- …State unrestricted license as Licensed Clinical Mental Health Counselor, Licensed Clinical Social Worker (LCSW), Registered Nurse (RN), Licensed ... auditing outcomes and system maintenance with the Sr. + Clinical Systems Specialist to resolve or enhance clinical... Clinical Systems Specialist to resolve or enhance clinical systems + Ability to travel + Performs other… more
- R1 RCM (Boise, ID)
- …ensure internal and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + Active AHIMA or AAPC Coding Certification ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help review and… more
- AdventHealth (Tampa, FL)
- …in medical/surgical, intensive care, progressive care, or emergency department as a registered nurse , nurse practitioner, physician assistant, or physician ... in collaboration with physicians, nursing and HIM coders, the Clinical Documentation Quality Auditor Manager strategically facilitates...Nurses must hold current active state license as a registered nurse . Mid-level providers must hold… more
- Baystate Health (Springfield, MA)
- …**11)** Observes cardiac monitors. Identifies and reports irregular rhythms to registered nurse for interpretation and intervention. Records and processes ... C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples and Kronos access if...forms, etc. **8)** Unit Resource: Post/file MD schedules for clinical team inquiry. In coordination with charge nurse… more
- Corewell Health (Grand Rapids, MI)
- …compliance Required + Legal or regulatory field; healthcare focus desirable Preferred + Compliance auditor , nurse auditor , or other audit function Required + ... record audit and review (facility and/or professional) Required + Education of clinical and non- clinical staff including Medical Staff and mid-level providers… more
- Intrepid USA (Terre Haute, IN)
- …Capable of making challenging decisions and willing to take responsibility for them. + Current Registered Nurse license in the state of practice + One (1) year ... servant based leadership with an inverted organization chart. Our clinical teams are at the top and our CEO...the Administrator should the Administrator be unavailable for the surveyor/ auditor . + Manages the patient care team to assure… more
- Covenant Health (Hobbs, NM)
- …for this position include:** + Bachelor's Degree - Nursing + New Mexico Registered Nurse License + Care Manager RN Auditor , Care Manager Clinical Audit ... Work with physician, Social Worker and interdisciplinary team to facilitate clinical pathways and achievement of desired treatment outcomes + Promote… more
- CGI Technologies and Solutions, Inc. (Dallas, TX)
- …to be successful in this role:** The Payment Integrity Edits Manager is a Registered Nurse (RN) with active, unrestricted licensure through the Board or Agency ... a well-defined process which requires the Edits Manager to incorporate clinical experience, knowledge, and critical thinking skills to assess available information… more