- Novo Nordisk Inc. (Plainsboro, NJ)
- …Safety, NAO QA, NNI Legal, NNI Compliance, NNI Commercial, NNI Finance, Global Business Services (GBS), PV & GDP Auditor (s) as well as with counterparts in ... or life science area with a minimum of 8 years' relevant experience required; or a healthcare professional (HCP eg RN or R.Ph) with a minimum of 5 years'… more
- University of Washington (Seattle, WA)
- …for diversity, intellectual excitement, artistic pursuits, and natural beauty. The senior healthcare auditor is responsible for the completion of internal audits ... primary care clinics, and an air medical transport. Senior healthcare auditors are also expected to be familiar or...and conclusions drawn so other reviewers can follow the auditor 's logic and methodology. . Effectively evaluates audit results,… more
- CVS Health (Phoenix, AZ)
- …and scoring guidelines. + Participates in QM meetings. **Required Qualifications** + Active RN ( Registered Nurse ) or LPN (Licensed Practical Nurse ... do it all with heart, each and every day. **Position Summary** The ** Healthcare Quality Management Auditor ** participates in the development and ongoing… more
- Mount Sinai Health System (New York, NY)
- … (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor (CHA) can be beneficial. **Computer Skills:** + MS ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services -Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the Mount… more
- Molina Healthcare (Bronx, NY)
- …and/or managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job SummaryProvides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with… more
- Insight Global (Plano, TX)
- …or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). Prior experience of working as a CDI/Coding auditor RN background ... Insight Global is seeking experienced DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic… more
- US Tech Solutions (Newark, NJ)
- …related experience, preferably in the healthcare industry. + **Active New Jersey Registered Nurse ( RN ) License required.** **Skills:** + Knowledge of ... months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state… more
- Humana (Corpus Christi, TX)
- …process management as needed. Requires applicable State licensure in field of study: Registered Nurse ( RN ), Licensed Masters Clinical Social Worker (LCSW), ... first - for our teammates, our customers, and our company. Through our Humana insurance services , and our CenterWell healthcare services , we make it easier… 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 accuracy and...Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing? Do you thrive in a… 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...directly contribute to the accuracy and compliance of our healthcare services , ensuring we meet all regulatory… more
- BJC HealthCare (St. Louis, MO)
- …the Licensed Practical Nurse . + Under the direction of the Registered Nurse , provides patient teaching and discharge planning. Participates in professional ... **City/State:** Saint Louis, Missouri **Categories:** Nursing Services **Job Status:** Full-Time **Req ID** : 96808 **Pay Range:** $24.33 - $34.48 / hour (Salary or… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... are owned or managed that have opted into shared services . This position reports to the HCS Supervisor Coding...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
- Henry Ford Health System (Detroit, MI)
- …Intervention (CI) or Vascular Interventional (VI) or license to practice as a registered nurse in the state of Michigan. * BLS/ACLS. Additional Information ... a Cardiac Cath Lab Tech II or in a registered nursing role in the Cath/EP lab. PRINCIPLE DUTIES...Proposes corrective action in charge capture problem areas; conducts in- service training sessions for perioperative staff to improve documentation… more
- Trinity Health (Ann Arbor, MI)
- …travelling between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / ... **Shift:** **Description:** Responsible for coordinating denials with Patient Business Service (PBS) center and ensures compliant and complete clinical… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... All Levels + Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist licensure required. + Minimum… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing corrective action ... Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with the BCBS Association… more
- Baystate Health (Palmer, MA)
- …**10)** Observes cardiac monitors. Identifies and reports irregular rhythms to a registered nurse for interpretation and intervention. Records and processes EKG ... experience strongly preferred + 1-2 years' experience in customer service ( healthcare setting preferred) + Ability to...applicable to this role.** **Summary** : Reports to the Nurse Manager, but daily activities are coordinated by the… more
- Baystate Health (Springfield, MA)
- …**10)** Observes cardiac monitors. Identifies and reports irregular rhythms to a registered nurse for interpretation and intervention. Records and processes EKG ... + HS Diploma/GED + 1-2 years' experience in customer service ( healthcare setting preferred) + Ability to...be applicable to this role.** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the… more
- Molina Healthcare (Essex, MA)
- …organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based organizations + ... education and work experience + 1-3 years' experience in healthcare with 1-year experience in health plan quality member...Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified… more
- Molina Healthcare (Cedar Rapids, IA)
- …organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based organizations + ... education and work experience. + 3 years' experience in healthcare with a minimum of 2 years' experience in...Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified… more
