- Yale New Haven Health (Southport, CT)
- …the call team. Responsibilities 1. Clinical Care 1.1 The Certified Registered Nurse Anesthetist (CRNA) implements accurate, safe, patient centric anesthetic ... center of everything we do, we focus on improving clinical care, outcomes, patient satisfaction, safety, value, clinical...order to be eligible. LICENSURE Certified Registered Nurse Anesthetist AANA Certification, State of CT RN… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services -Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for ... Practice Plan) is responsible for reviewing and verifying that all billable services and procedures provided to patients are accurately documented, coded, and… more
- Insight Global (Plano, TX)
- …in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN RHIT or RHIA ... DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on… more
- Humana (Corpus Christi, TX)
- …caring community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and ... accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates with leadership to… more
- 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
- 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 ... can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate… 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
- Providence (WA)
- …for Employers and the California Fair Chance Act." **About the Team** Providence Shared Services is a service line within Providence that provides a variety of ... **Description** The Revenue Cycle Auditor is responsible for providing patient focused, standardized,...they're invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person… more
- MD Anderson Cancer Center (Houston, TX)
- …reviews and audits of patient accounts to complete Defense Audits. *Ideal Candidate:* A * Registered Nurse ( RN )* with experience in *appeals* and * nurse ... As a * Nurse Defense Auditor * in our *Hospital...remote. Prefer Houston/local area. *LICENSES AND CERTIFICATIONS* * Required: RN - Registered Nurse -… 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 ... 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
- Insight Global (South Jordan, UT)
- …terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding/ clinical documentation certification (2 years in ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...clinical documentation) OR IF NOT A NURSE : Degree in RHIM, RHIA, RHIT with medical coding… more
- 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
- 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 ... ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes evaluating present on admission (POA)...any other relevant data to ensure coding accuracy. The auditor is also responsible for writing and defending appeal… more
- CVS Health (Phoenix, AZ)
- …and scoring guidelines. + Participates in QM meetings. **Required Qualifications** + Active RN ( Registered Nurse ) or LPN (Licensed Practical Nurse ... heart, each and every day. **Position Summary** The **Healthcare Quality Management Auditor ** participates in the development and ongoing implementation of QM (… more
- Covenant Health Inc. (Knoxville, TN)
- …study or current clinical license/registration in the State of Tennessee as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR ... Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare… more
- University of Washington (Seattle, WA)
- …intellectual excitement, artistic pursuits, and natural beauty. The senior healthcare auditor is responsible for the completion of internal audits within the ... clinical integrated parts of the University of Washington/UW Medicine...and conclusions drawn so other reviewers can follow the auditor 's logic and methodology. . Effectively evaluates audit results,… more
- 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. + Minimum… more
- Banner Health (AZ)
- **Department Name:** Banner Staffing Services -AZ **Work Shift:** Day **Job Category:** Risk, Quality and Safety **Estimated Pay Range:** $26.40 - $44.00 / hour, ... experience. In accordance with State Pay Transparency Rules. Banner Staffing Services (BSS) also offers Registry/Per Diem opportunities within Banner Health.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and represents non- clinical staff in discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new ... + Current NYS RN license with a minimum of three years clinical experience; medical/surgical background preferred. + Current CPC designation or must obtain CPC… more
- SSM Health (MO)
- …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... + Maintains knowledge of Centers for Medicare and Medicaid Services (CMS) requirements related to clinical documentation...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
