• 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 ... for further review in a production environment. Primary Responsibilities: Clinical Case Reviews -75% Perform clinical review...example: Puerto Rico Registered Nurse Certified Professional Coder (CPC) +… more
    Upward (07/24/25)
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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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  • 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)
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  • Clinical Coding Auditor & Trainer

    Centene Corporation (New York, NY)
    …Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small ... Skills:** + Inpatient Coding Experience + At least 1 year of clinical experience in a hospital setting + RN , PA, MD, APRN, DO or MBBS license required + Strong… more
    Centene Corporation (06/28/25)
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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 ... across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education… more
    UNC Health Care (04/29/25)
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  • Quality Improvement Auditor

    Centene Corporation (New York, NY)
    …years of nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license (LPN, RN , etc.).Pay Range: $55,100.00 - ... preferred.** **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation, and modify business processes to measure member outcomes.… more
    Centene Corporation (05/10/25)
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  • Compliance Auditor ( clinical )

    Centene Corporation (Salem, OR)
    …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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  • Trainer- Auditor ( Clinical )

    Centene Corporation (Tallahassee, FL)
    …+ Conduct training needs analyses to determine specific training needs for clinical staff + Identify, select, or develop appropriate training programs, including the ... Procedure and/or work process development + Conduct auditing of work performed by clinical staff and present findings and recommendation for areas of improvement to… more
    Centene Corporation (07/18/25)
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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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  • Clinical Research Nurse

    Aveanna Healthcare (Homestead, FL)
    Clinical Research Nurse - Illingworth ( RN ) ApplyRefer a FriendBack Job Details Requisition #: 206664 Location: Homestead, FL 33031 Category: Nursing Salary: ... $50.00 - $55.00 per hour Position Details CLINICAL RESEARCH NURSE - Illingworth ( RN...Requirements: Active and in good standing nursing license ie Registered nurse with a minimum of 2… more
    Aveanna Healthcare (07/19/25)
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  • RN Clinical Review Appeals…

    St. Luke's University Health Network (Allentown, PA)
    …serve, regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, ... Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. .… more
    St. Luke's University Health Network (07/08/25)
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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 + ... but are not limited to eligibility, billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor... clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting… 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 ... for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN ...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...+ Bachelor's Degree - Nursing. + 5 years - Clinical experience in an acute care setting. + 3… 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 ... focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer...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)
    …in clinical coding. + RHIA, RHIT with CCS certification and 8+ years of clinical coding experience, or Valid RN License with 8+ years acute care experience. ... a leader in healthcare innovations, is seeking an Inpatient Auditor to join their team. As an Inpatient ...be part of the Consulting Services Department supporting various clinical teams. The ideal candidate will have strong analytical… 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 ... AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses available!_ **Responsibilities** +… more
    BayCare Health System (05/29/25)
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  • Charge Integrity Auditor

    Nuvance Health (Danbury, CT)
    *Description* *Summary:* The Charge Integrity Auditor performs detailed chart to bill audits of inpatient or outpatient medical accounts, comparing the medical ... documented charging practices across the Nuvance Health System. The Charge Integrity Auditor coordinates and reports audits savings or losses for the facilities and… more
    Nuvance Health (07/18/25)
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