• Community Health Systems (Huntsville, AL)
    Job Description Job Summary The Registered Nurse ( RN ) provides patient-centered care through the nursing process of assessment, diagnosis, planning, ... development, to enhance patient outcomes and care delivery. OR Services RN : Provides comprehensive care to patients...infection control, and quality improvement initiatives. Licenses and Certifications RN - Registered Nurse -… more
    Upward (07/23/25)
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  • 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
    Upward (07/10/25)
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  • Clinical Auditor RN - Hybrid

    Baylor Scott & White Health (Dallas, TX)
    …vary based on position type and/or level **Job Summary** In this job, as a Clinical Auditor RN , you'll perform charge capture accuracy audits by reviewing ... and analyzing clinical documentation from the Electronic Health Record (EHR) compared...least (2) two years of relevant work experience. + Registered Nurse License. As a health care… more
    Baylor Scott & White Health (07/18/25)
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  • Quality Improvement Auditor

    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 (05/10/25)
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  • Compliance Auditor ( clinical )

    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
    Centene Corporation (07/24/25)
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  • Clinical Documentation Specialist…

    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
    UNC Health Care (04/29/25)
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  • ( RN ) HCS-D, COS-C - Registered

    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 (06/02/25)
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  • ( RN ) Registered Nurse

    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
    Northwell Health (07/11/25)
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  • Billing Compliance Auditor ( RN )

    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
    Elara Caring (07/09/25)
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  • RN PRN Surgery Chart Auditor

    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
    Community Health Systems (07/02/25)
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  • Revenue Cycle Auditor RN *Remote

    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
    Providence (07/23/25)
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  • Internal Auditor Senior - Organizational…

    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
    PeaceHealth (07/03/25)
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  • Revenue Integrity Nurse Auditor

    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
    Childrens Hospital of The King's Daughters (07/24/25)
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  • Inpatient Auditor

    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
    ManpowerGroup (07/19/25)
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  • Inpatient Coding Auditor

    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
    BayCare Health System (05/29/25)
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  • Charge Integrity Auditor

    Nuvance Health (Danbury, CT)
    …. a. Reviews individual charge procedures related to each case, identified correct service codes on supplies and/or services . b. Performs review for carve ... *Description* *Summary:* The Charge Integrity Auditor performs detailed chart to bill audits of...record. The audit process begins with registration, orders and clinical workflows. Ensures that the charge triggers work and… more
    Nuvance Health (07/18/25)
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  • Revenue Integrity - Nurse Auditor

    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
    Trinity Health (07/11/25)
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  • Compliance Auditor /Analyst - Compliance…

    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
    ProMedica Health System (07/24/25)
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  • Case Manager, RN or Licensed Behavioral…

    Excellus BlueCross BlueShield (Rochester, NY)
    clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... All Levels + Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist licensure required; or LMSW;… more
    Excellus BlueCross BlueShield (06/27/25)
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  • Revenue Cycle Clinical Review Nurse

    UPMC (Pittsburgh, PA)
    …+ Proficient in Microsoft Word and Microsoft Excel. **Licensure, Certifications, and Clearances:** + Registered Nurse ( RN ) + Act 34 *Current licensure as a ... Review Nurse also serves as a clinical resource person for all Health Services ...validate auditor findings and identify previously unbilled services . + Serve as a clinical liaison… more
    UPMC (07/24/25)
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