• Optum (San Juan, PR)
    …as provide development for other roles you may be interested in. Required Qualifications: Registered Nurse ( RN ), Coding Certificate or Nursing Licensure, for ... example: Puerto Rico Registered Nurse Certified Professional Coder ... Coder (CPC) + CPC A Certified Inpatient Coder (CIC) Certified Outpatient Auditor (COC) Certified… more
    Upward (07/20/25)
    - Save Job - Related Jobs - Block Source
  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    **Diagnosis Related Group Clinical Validation Auditor - RN ** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
    Elevance Health (07/17/25)
    - Save Job - Related Jobs - Block Source
  • Internal Auditor Senior - Organizational…

    PeaceHealth (Vancouver, WA)
    …Coding Auditor ), Registered Health Information Technician (for Coding Auditor ), Certified Professional Coder (for Coding Auditor ), Certified Coding ... + Certified Public Accountant or Certified Internal Auditor orCertified Information Systems Auditor . + Registered Health Information Administrator (for… more
    PeaceHealth (07/03/25)
    - Save Job - Related Jobs - Block Source
  • 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 ... AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered ...Nursing program required. + Minimum of 3 years of clinical experience as a Certified Professional Coder more
    Childrens Hospital of The King's Daughters (04/25/25)
    - Save Job - Related Jobs - Block Source
  • Charge Integrity Auditor

    Nuvance Health (Danbury, CT)
    …an equivalent combination of education and work experience. 2.Certified Professional Coder (CPC) required. RN license preferred. 3.Strong analytic, qualitative, ... *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)
    - Save Job - Related Jobs - Block Source
  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …Medicine/ Revenue Cycle FTE1.0 FLSAExempt Scope of Job To promote appropriate clinical documentation through collaboration with the School of Medicine clinical ... process is followed. Description of Duties * Obtains and promotes appropriate clinical documentation through interaction with clinical staff and physicians to… more
    University of Texas Rio Grande Valley (06/25/25)
    - Save Job - Related Jobs - Block Source
  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice ... Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration requirements… more
    Commonwealth Care Alliance (05/28/25)
    - Save Job - Related Jobs - Block Source
  • Practice Transformation Associate

    CVS Health (Tallahassee, FL)
    …the organization **Preferred Qualifications** + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN or LISW or + Three years' experience ... goal through analyzing and sharing provider performance metrics related to quality, clinical outcomes, coding, and utilization used to support ABH programs. They… more
    CVS Health (07/12/25)
    - Save Job - Related Jobs - Block Source