• ( RN ) HCS-D, COS-C - Registered

    Northwell Health (Garden City, 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** 125752 Job Description Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS… more
    Northwell Health (06/03/24)
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  • RN Clinical Coder- Nurse

    Vatica Health (Atlanta, GA)
    …We are always looking for great people to join our diverse team. The RN Clinical Coder- Nurse Auditor will independently review cases, ensuring accurate ... Requirements + Must have a minimum of 3 years of clinical experience as a Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) + Prefer incumbent to… more
    Vatica Health (06/08/24)
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  • Intermediate Clinical Auditor /Analyst

    UPMC (Pittsburgh, PA)
    …Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. + Registered Nurse ( RN ). + Bachelor of Science in ... **UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team!** The Intermediate...CCA, CCS, CCS-P, CRC) or AHFI designation required. + Registered Nurse ( RN ) *Current licensure… more
    UPMC (05/30/24)
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  • RN Coding Auditor - CCS or CPC-I…

    Northwell Health (Lake Success, NY)
    …of education and related experience. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications ... as needed. Current license by their home state. + Must have a current coding credential: AHIMA CCS or AAPC CPC-I + Must have 1-3 years of IP DRG Validation experience in a production environment *Additional Salary Detail The salary range and/or hourly rate… more
    Northwell Health (05/18/24)
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  • PRN Auditor (Prof)

    Universal Health Services (Jacksonville, FL)
    …data, interface with department heads/leadership and maintain a flexible schedule. Qualifications Registered Nurse and/or Master's Degree in Social Work, Mental ... a whole. We are pleased to announce the following available position: PRN Auditor The Temporary LCD/HBIPS Auditor is responsible for monitoring patient records… more
    Universal Health Services (05/31/24)
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  • Chart Auditor - Coder

    Robert Half Accountemps (Los Angeles, CA)
    Description A Hospital in Los Angeles is in the need of Chart Auditor . The Chart Auditor is responsible for validating, clearing, and finalizing DNB edits either ... system or claims editing system. At times, the Chart Auditor may conduct insurance audits with designated payer ...accredited program in one of the following areas: LVN, RN , Certified Coding Specialist or detail-oriented Coder. Pref 1… more
    Robert Half Accountemps (05/20/24)
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  • CISC Clinical Auditor

    Magellan Health Services (Albuquerque, NM)
    …MFT - Marriage and Family Therapist - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt ... and identify deficiencies. Other Job Requirements Responsibilities Bachelor's level clinician ( RN ) or master's level clinician (LCSW, LPC, LMHC, MFT) with 3+… more
    Magellan Health Services (06/05/24)
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  • Clinical Documentation Specialist Auditor

    UNC Health Care (Chapel Hill, NC)
    …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as… more
    UNC Health Care (05/28/24)
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  • Inpatient Coding Auditor

    HCA Healthcare (Nashville, TN)
    …where diversity and inclusion thrive? Submit your application for our Inpatient Coding Auditor opening with Parallon today and find out what it truly means to ... vary by location._** We are seeking a Inpatient Coding Auditor for our team to ensure that we continue...to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing… more
    HCA Healthcare (06/12/24)
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  • Inpatient Coding Auditor

    HCA Healthcare (Nashville, TN)
    …where diversity and inclusion thrive? Submit your application for our Inpatient Coding Auditor opening with Parallon today and find out what it truly means to ... vary by location._** **We are seeking a Inpatient Coding Auditor for our team to ensure that we continue...to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN** **Senior Vice President and Chief Nursing… more
    HCA Healthcare (04/24/24)
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  • Compliance Auditor - Nurse

    PruittHealth (Norcross, GA)
    …efforts with other partners. **LICENSURE, CERTIFICATION AND EDUCATION REQUIREMENTS:** + Must be a Registered Nurse in good standing in at least one of the states ... **JOB PURPOSE:** The Compliance Auditor (CA) reports directly to the Vice President of Compliance (VPC) to conduct compliance audits for Health Care Centers (HCC),… more
    PruittHealth (06/15/24)
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  • Auditor , Clinical Services - UM (Remote…

    Molina Healthcare (Dallas, TX)
    …to resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and Associate's or ... **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM),… more
    Molina Healthcare (06/10/24)
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  • Nurse Auditor / Revenue Cycle-20hr,…

    Omaha Children's Hospital (Omaha, NE)
    …and multiple systems to retrieve data needed for audit. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... Licensure valid in the state of Nebraska Required Children's is the very best for kids and the very best for your career! At Children's, we put YOU first so together, we can improve the life of every child! **Requisition ID** : 21123 more
    Omaha Children's Hospital (06/13/24)
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  • Clinic Quality Manager Auditor 3

    Fresenius Medical Center (Irwindale, CA)
    …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... preferred. **EXPERIENCE AND SKILLS:** + 3+ years dialysis experience required + 3+ years management experience in a clinical leadership role + Strong organizational, critical thinking and customer service skills + Demonstrated leadership competencies and… more
    Fresenius Medical Center (06/08/24)
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  • Internal Auditor

    Texas Roadhouse (Louisville, KY)
    …dry cleaning delivery service, chair massages just to name a few! We also have a Registered Nurse in the building to help with our wellness initiatives and keep ... us healthy. Willie's Joynt is our full-service cafe that serves breakfast and lunch and prepares delicious TO GO meals. We love taking care of our Roadie family and making our company a LEGENDARY place to work! As our founder, Kent Taylor once said, "We are a… more
    Texas Roadhouse (06/02/24)
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  • Clinical Quality Auditor

    Healthfirst (TX)
    …review decision-making + Additional duties as assigned **Minimum Qualifications:** + LPN, NYS RN license. + In order to access the Uniform Assessment System (UAS), ... management, communication, and problem-solving skills **License or Certification: LPN,** NYS RN license. **Regulatory or Compliance activities:** n/a WE ARE AN EQUAL… more
    Healthfirst (05/24/24)
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  • Clinical Care QA Trainer/ Auditor

    US Tech Solutions (South San Francisco, CA)
    …+ Certified Diabetes Educator (CDCES) or equivalent mid-level clinical credential (eg, RN ). + Experience in individual education and coaching for disease prevention ... systems (eg, Athena). **Education:** + BS/BA degree in a life science, health science, RN , or related field. **About US Tech Solutions:** US Tech Solutions is a… more
    US Tech Solutions (05/24/24)
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  • Quality Improvement Auditor (clinical)…

    Centene Corporation (Phoenix, AZ)
    …standard statistics software preferred. **License/Certification:** LCSW, LMFT, LPC, LISAC, or RN licensed in Arizona. AZ Independent Behavioral Health License and ... valid driver's license. Certified Professional in Healthcare Quality (CPHQ) preferred.Pay Range: $54,000.00 - $97,100.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans,… more
    Centene Corporation (06/09/24)
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  • Compliance Auditor (clinical)

    Centene Corporation (Charlotte, NC)
    …managed care practices and policies preferred. **Licensure/Certifications:** Current state RN license required. Valid driver's license.Pay Range: $67,400.00 - ... $121,300.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or… more
    Centene Corporation (05/08/24)
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  • Concurrent Review Nurse -( Auditor

    InnovaCare (San Juan, PR)
    …MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare ... EDUCATION AND EXPERIENCE * Bachelor's Degree in Science of Nursing. * Current RN permanent license in Puerto Rico and Collegiate. * Five years clinical acute… more
    InnovaCare (04/17/24)
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