- The UVM Health Network - Home Health & Hospice (Burlington, VT)
- …value-driven patient care. *Completes all duties also associated with Clinical Coder /Auditor roles which do not require an RN Licensure. Professional ... are also required at least quarterly. Job Summary The Clinical RN Auditor is responsible for ensuring...*Hold a valid driver's license and have a reliable, registered vehicle with insurance as required by the organization,… more
- 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 … more
- Tidewater Community College (Richmond, VA)
- …technology resources. Certification in at least one of the following: Certified Professional Coder , Registered Nurse , Medical Assistant, Phlebotomy, EKG, or ... (ie: billing and coding). The following positions are vacant: ( Clinical Medical Assistant, Certified Nurse Aide, Medication...positions are vacant: ( Clinical Medical Assistant, Certified Nurse Aide, Medication Aide, CPR and First Aid and… more
- Banner Health (Phoenix, AZ)
- Primary City/State: Phoenix, Arizona Department Name: Clinical Decision Making Work Shift: Day Job Category: Physicians The Senior Medical Director, Network ... Performance is a senior clinical executive responsible for advancing the performance of Banner...applicable certifications and/or licensures, including but not limited to: RN ; MD or DO; Driver's License; Certified Healthcare Protection… more
- Mobile Health (Queens, NY)
- …Range $35.00-$40.00/hr Overview Mobile Health is seeking a detail-oriented and experienced Clinical Coder to ensure the accurate, compliant, and efficient coding ... overall quality and compliance of our documentation practices. The Clinical Coder will collaborate with the ...critical results as needed. Experience & Education . Licensed RN or Higher . 2+ years in Occupational Health… more
- Commonwealth Care Alliance (Boston, MA)
- …Coding, & Provider Documentation this position will support internal & external clinical and operational coding initiatives at Commonwealth Care Alliance (CCA). The ... Clinical Documentation Sr. Specialist will serve as a primary...designation (CCS, CCS-P, CCA from AHIMA) or Certified Professional Coder (CPC), and Certified Risk Adjustment Coder … more
- Molina Healthcare (Midvale, UT)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of UTAH or have a compact license._ _This ... decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical /medical… more
- Trinity Health (Dubuque, IA)
- … documentation specialist. + Preferred certification or licensure includes: + Current Registered Nurse License, + Registered Health Information Administrator ... Care, Medical or Surgical Inpatient Care Nursing, as an RN , physician assistant (PA), nurse practitioner/advanced practice..., physician assistant (PA), nurse practitioner/advanced practice nurse (NP/APN), or as an inpatient coder … more
- Access Dubuque (Dubuque, IA)
- … documentation specialist. + Preferred certification or licensure includes: + Current Registered Nurse License, + Registered Health Information Administrator ... Care, Medical or Surgical Inpatient Care Nursing, as an RN , physician assistant (PA), nurse practitioner/advanced practice..., physician assistant (PA), nurse practitioner/advanced practice nurse (NP/APN), or as an inpatient coder … more
- Trinity Health (Syracuse, NY)
- …clinical documentation specialist. Preferred certification or licensure includes: Current Registered Nurse License, Registered Health Information ... Care, Medical or Surgical Inpatient Care Nursing, as an RN , physician assistant (PA), nurse practitioner/advanced practice..., physician assistant (PA), nurse practitioner/advanced practice nurse (NP/APN), or as an inpatient coder … more
- Ankura (New York, NY)
- …health care disputes, compliance, and investigations. We combine unparalleled clinical , technical, and operational expertise with financial, economic, analytic ... payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is...Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Phoenix Home Care and Hospice (Springfield, MO)
- Position: QA Nurse / Coder ( RN )...documentation with OASIS and care plans. + Conduct additional clinical record audits and OASIS reviews as assigned. + ... or Kansas (Home Health) Role Overview As a QA Nurse / Coder , you will ensure the...and performance-improvement efforts. + Coordinate with physicians, facilities, and clinical staff to clarify or obtain necessary documentation. Qualifications… more
- Molina Healthcare (Oakland, CA)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... regulations. **Preferred License, Certification, Association** + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) +… more
- AdventHealth (Altamonte Springs, FL)
- … clinical setting + 5 of inpatient coding experience in an acute care hospital + RN - Registered Nurse - State Licensure and/or Compact State Licensure + ... Certified Coding Specialist (CCS) Or Certified Inpatient Coder (CIC) **Preferred:** + Registered Health Information Administrator (RHIA) Registration with AHIMA… more
- Centene Corporation (Cheyenne, WY)
- …organization or acute care hospital. **For Fidelis Care only:** One year of experience in a clinical setting or acute care hospital; RN , PA, MD, APRN, DO or MBBS ... as assigned. + Complies with all policies and standards. **Education/Experience:** RN Degree. One year experience preferred in hospital inpatient coding. Nursing… more
- Elevance Health (Gilbert, MN)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Beth Israel Lahey Health (Charlestown, MA)
- …independent judgment within the scope of the job, the Hospital Inpatient Coder II assigns applicable ICD-10 Codes, Present on Admission (POA), Hospital Acquired ... determine appropriate resolution based on audit. 10. Works with Clinical Decision Specialists regarding MD Queries and correlation of...five years of hospital inpatient coding experience and/or an RN or other healthcare clinician with at least 5… more
- BlueCross BlueShield of North Carolina (NC)
- …+ 7 years leadership experience + RN , LPN, or another relevant clinical licensure required + Certified Professional Coder required **What You'll Get** + ... Description** Direct, manage and lead highly complex functional business area within Clinical Coding Review (CCR) to define and enable strategic and operational… more
- Community Health Systems (Bentonville, AR)
- …maintaining compliance with regulatory standards and corporate policies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... or + Certified Clinical Documentation Specialist (CCDS) required + RHIT - Registered Health Information Technician preferred or + RHIA - Registered Health… more
