- Baylor Scott & White Health (Dallas, TX)
- …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 ... tasks in clinical departments/functions. + Evaluate clinical documentation for compliance , meeting all regulations stipulated by federal and state...least (2) two years of relevant work experience. + Registered Nurse License. As a health care… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Days Job Summary: The Compliance Nurse Auditor assists with and supports ... Health System (SFHS). This role supports clinical coding and billing audit functions as well as the performance of...Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 3… more
- Stanford Health Care (Palo Alto, CA)
- …billing practices. + Proficient EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact ... is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research,… more
- Mount Sinai Health System (New York, NY)
- …risk of compliance violations, audits, and potential penalties related to billing errors. + Streamline charge capture processes to improve efficiency and reduce ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue...a key role in ensuring the financial health and compliance of the organization and bridges the gap between… more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and ... requirements. + Minimum 1-year experience in Physician coding and billing and/or compliance field required 5 year...(RHIA, RHIT, or CCS) or AAPC (CPC) required + RN /LPN or CPMA preferred + Required to sit for… 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 ... + Serves as a resource to hospital departments regarding compliance with billing regulations and trends in...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- Covenant Health Inc. (Knoxville, TN)
- …for Covenant Health entities as they relate to charging, coding, documentation and billing compliance . This would include E/M, procedure, and ICD-10 reviews, as ... Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period,...or payment arrangements in relation to charging, coding and billing compliance . + Advises, educates and acts… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case ... or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing… more
- University of Southern California (Alhambra, CA)
- …principles. + Pref Skills and knowledge on the following software: Cerner and Craneware + Pref Registered Nurse - RN (CA Board of Registered Nursing) + ... and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center...of auditors to maximize available tools for Chargemaster and billing compliance . Essential Duties: + Performs maintenance… more
- Community Health Systems (Franklin, TN)
- …Monitoring Calls as needed per Director invite **Qualifications** + Required Education: Registered Nurse + Preferred Education: BSN, MSN, Clinical Informatics ... MCG medical necessity review software (shared responsibility) + Rev Cycle Billing Software (future project, pending education) + Rightfax medical record… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... claims data sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations, and make recommendations… more
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