- 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...CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid… more
- 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 required ... Shift:** Monday - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records… more
- 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...(2) two years of relevant work experience. + Registered Nurse License. As a health care system committed to… more
- UNC Health Care (Chapel Hill, NC)
- …from entity to entity across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during ... we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or… more
- Trinity Health (Ann Arbor, MI)
- …Patient Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related audits, and identifies ... root causes, which includes performing thorough chart reviews, providing education to clinical colleagues, and tracking of identified trends. Leverages clinical … more
- Northwell Health (Westbury, NY)
- …a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to ensure the ... + Instructs professional staff in code changes, as needed. + Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical… more
- Northwell Health (Garden City, NY)
- …HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Validates Acute Inpatient coded charts to ensure the diagnostic ... by the documentation in the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review… more
- Elara Caring (Fort Worth, TX)
- …audits will include, but are not limited to eligibility, billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are ... the Right Place. **Job Description:** **REMOTE POSITION** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice,… 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 ... for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians,… more
- 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) Job...Investigators, multi-disciplinary research team and Client Company representatives (eg, Clinical Research Associate (CRA), auditor ) Provide support… more
- UPMC (Pittsburgh, PA)
- …RN looking to grow your career? UPMC is hiring a full-time Revenue Cycle Clinical Review Nurse . This position works Monday through Friday during daylight hours. ... is eligible to work from home. The Revenue Cycle Clinical Review Nurse provides support to the...cause. + Coordinate payor audits, conduct post-audit to validate auditor findings and identify previously unbilled services. + Serve… more
- St. Luke's University Health Network (Allentown, PA)
- …or coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with ... regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and… more
- Baystate Health (Springfield, MA)
- …MD schedules for clinical team inquiry. In coordination with the charge nurse , prepare staffing assignments for the next shift. Place calls to replace unplanned ... be applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the...also as a business partner to the department and clinical staff. Orients patients and families to the unit,… more
- Baystate Health (Springfield, MA)
- …records, Kronos variance forms, etc. **8)** Unit Resource: Post/file MD schedules for clinical team inquiry. In coordination with charge nurse , prepare staffing ... be applicable to this role.** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the...also as a business partner to the department and clinical staff. Orients patients and families to the unit,… more
- Baystate Health (Westfield, MA)
- …Operations Associate/Monitor Tech will function in a supportive role to a registered nurse and work collaboratively with the health care team in the management of ... the adult hospital based on staffing needs. Flex Team OA/MTs report to the Clinical Manager but daily activities are coordinated by the clinical supervisor.… more
- AdventHealth (Altamonte Springs, FL)
- …FL **The role you will contribute:** Under general supervision of the Clinical Documentation Integrity (CDI) Manager, and in some situations the supervision of ... the Director of Clinical Documentation Integrity, and in collaboration with physicians, nursing...practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres to strict departmental and organizational goals,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
- Houston Methodist (Houston, TX)
- …or other healthcare related field; may consider HM employee with Registered Nurse license and four additional years of directly related experience (in addition ... health care certifications **OR** + CQA - Certified Quality Auditor (ASQ) -- Related quality, accreditation or health care...that operate at the system level to help enable clinical departments to provide high quality patient care. Houston… more
- Ochsner Health (New Orleans, LA)
- … providers , on- site case management team, as well as LPN/RN or Nurse Auditor in the Pre-Service department. + Performs Pre-Service collection estimation ... functions and communicates patient liability. + Provides point -of - service information and logistics to ensure an exceptional patient experience. + Other related duties as required. The above statements describe the general nature and level of work only.… more
Related Job Searches:
Auditor,
Clinical,
Clinical Auditor,
Clinical Auditor Registered Nurse,
Clinical Nurse,
Nurse,
Nurse Auditor