- The University of Vermont Health Network (Colchester, VT)
- …In-person meetings are also required at least quarterly. Job Summary The Clinical RN Auditor is responsible for ensuring clinical documentation meets regulatory ... *Hold a valid driver's license and have a reliable, registered vehicle with insurance as required by the organization,...patient care. *Completes all duties also associated with Clinical Coder/ Auditor roles which do not require an RN… more
- UPMC (Pittsburgh, PA)
- …Registered Health Information Technician (RHIT) + OR Licensed Professional Nurse (LPN) + Registered Nurse ( RN ) Required: + Act 34 **UPMC is an Equal ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring...Registered Health Information Administrator (RHIA) + … more
- Elara Caring (Fort Worth, TX)
- …Time, in the Right Place. **Job Description:** **REMOTE POSITION** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, ... billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited...in Nursing + 5 years of experience as a Registered Nurse in Home Health and/or Hospice… more
- UPMC (Pittsburgh, PA)
- …Registered Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) or + Registered Nurse ( RN ) + Act 34 **UPMC is an Equal Opportunity ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC… more
- UPMC (Wexford, PA)
- …Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) + Registered Nurse ( RN ) **UPMC is an Equal Opportunity ... be their best selves? UPMC Children's Community Pediatrics is hiring a Full-Time Compliance Auditor , Intermediate to support the office Remotely. Must live in… more
- 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 assist in the performance of compliance audits and support regulatory compliance functions at all entities across the system as a service to the Board of… more
- Centene Corporation (Salem, OR)
- …clinical field or equivalent experience. 4+ years of combined clinical and compliance or auditing experience in a healthcare environment. Familiarity with Health ... managed care practices and policies preferred. **Licensure/Certifications:** Current state RN license required. Valid driver's license.Pay Range: $68,700.00 -… 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 ... **Req Number** 162995 Job Description Seeking RN - BSN or MSN candidates with a...charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules… more
- 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...charts to ensure that proper standards are maintained in compliance with Federal and State regulations. + Applies coding… more
- Molina Healthcare (Fort Worth, TX)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... in applying for this position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $54,922 - $107,099 / ANNUAL… more
- 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 ... and staff. + Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice...control, and quality improvement initiatives. **Licenses and Certifications** + RN - Registered Nurse -… more
- Ochsner Health (Meridian, MS)
- …of related healthcare experience with a master's degree. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. Preferred ... projects and conducts internal training to ensure competency and compliance in all aspects of the revenue cycle. To...apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This… more
- Molina Healthcare (Las Vegas, NV)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... Program Management and Performance oversees and leads activities to maintain compliance with state requirements and federal and/or NCQA quality requirements, as… more
- MyFlorida (Alachua, FL)
- REGISTERED NURSE SPECIALIST - 64082415 Date: Jul 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 852184 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64082415 Pay Plan: Career Service… more
- 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
- 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 ... timely manner. + Prepares trend and other reports for compliance audits and charge processes. + Serves as a...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... 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… more
- ManpowerGroup (St. Paul, MN)
- Our client, a leader in healthcare innovations, is seeking an Inpatient Auditor to join their team. As an Inpatient Auditor , you will be part of the Consulting ... which will align successfully within the organization. **Job Title:** Inpatient Auditor **Location:** Remote **Pay Range:** $58-62 per hour **Job Type:** 12-month… more
- BayCare Health System (Tampa, FL)
- …position. _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... claims. + Acts as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits performed, action taken, outcome… more
- Elevance Health (Mason, OH)
- ** Nurse Audit Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the exception of ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Nurse Audit Senior** will be responsible for identifying, monitoring, and… more
