- Vatica Health (Atlanta, GA)
- …looking for great people to join our diverse team. The RN Clinical Coder- Nurse Auditor will independently review cases, ensuring accurate ICD-10-CM risk adjusted ... minimum of 3 years of clinical experience as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) + Prefer incumbent to have Certified Risk Adjustment Coder… more
- Omaha Children's Hospital (Omaha, NE)
- …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
- InnovaCare (San Juan, PR)
- …MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare ... resources and develops, coordinates and implements the discharge plan, to ensure that the coordination and continuity of care results in optimal patient outcomes. Will adhere to the department policies related to the care of the Plans' SNP members. Staff will… more
- Parkview North Hospital (Fort Wayne, IN)
- …Coursework is completed outside of work hours. Nurses with an Associate of Science in Nursing (ASN) hired/rehired or transferred from a non-nursing position prior to ... 12/1/17 are grandfathered into the role and not required to obtain BSN. Must have current RN licensure. 3 to 5 years of clinical experience is required. Healthcare auditing experience with medical documentation interpretation skills is preferred. Must have… more
- Northwell Health (Garden City, NY)
- …job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional ... Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** The Compliance Auditor (CA) reports directly to the Vice President of Compliance (VPC) to conduct compliance audits for Health Care Centers (HCC), ... with other partners. **LICENSURE, CERTIFICATION AND EDUCATION REQUIREMENTS:** + Must be a Registered Nurse in good standing in at least one of the states in which… more
- State of Georgia (Fulton County, GA)
- …part of a multi-disciplinary team, which typically includes a prosecutor, investigators, an auditor , a nurse investigator, and an intelligence analyst. Duties & ... Investigative Auditor - Medicaid Fraud Georgia - Fulton -...Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …field + Background working in Correctional Health + Experience working as a Nurse Educator or Healthcare Auditor + Experience working in quality ... Quality Assurance Nurse (Correctional Health Nurse IV) Print...Quality Assurance Nurse (Correctional Health Nurse IV) Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4538236) Apply Quality Assurance… more
- State of Indiana (IN)
- …learn, work, or play. Role Overview: This position will serve as a nurse surveyor/ auditor for birthing facilities and neonatal intensive care units (NICUs). ... state. You will need to possess an active Registered Nurse (RN) license to be eligible for this role....requirement to be considered for employment: + Active Registered Nurse (RN) license with the state of Indiana. +… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team!** The Intermediate Clinical Auditor /Analyst is an ... revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains, and analyzes auditing… more
- University of Pennsylvania (Philadelphia, PA)
- …field preferred. Minimum of seven years of experience as a clinical research monitor/ auditor , research nurse or research coordinator with at least three years' ... of Operations, Compliance and Monitoring (DOCM) is seeking a clinical research monitor/ auditor to support our clinical research mission. The monitor/ auditor is… more
- UNC Health Care (Chapel Hill, NC)
- …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 ... (American Academy of Professional Coders) certification - RN (Registered Nurse ) license - LPN (Licensed Practical Nurse )...(Registered Nurse ) license - LPN (Licensed Practical Nurse ) license - Advance Practice Provider (NP or PA)… more
- Magellan Health Services (Albuquerque, NM)
- …management skills and demonstrated experience. General Job Information Title CISC Clinical Auditor Grade 25 Work Experience - Required Clinical Work Experience - ... Therapist - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred… more
- Molina Healthcare (Dallas, TX)
- **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), ... them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN) Program and Associate's or bachelor's degree in Nursing OR… more
- UCHealth (Colorado Springs, CO)
- …Nursing program if less than 3 years experience. + State licensure as a Registered Nurse (RN). + Relevant certification as determined at position level. + 2 years of ... surgical nursing experience in perioperative or surgical setting. We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives. UCHealth invests in its Workforce.… more
- Fresenius Medical Center (Irwindale, CA)
- …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 adaptability to changes in… more
- Northwell Health (Lake Success, NY)
- …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 listed is a good faith… more
- R1 RCM (Salt Lake City, UT)
- …AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to draft ... you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal...a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically… more
- UNC Health Care (Rocky Mount, NC)
- …and well-being of the unique communities we serve. **Summary:** The Recovery Audit Nurse will work closely with other Business Office staff members to assist in ... or prospective review, ie - Medicare and Medicaid RA (Recovery Auditor ) programs. **Responsibilities:** + Ensuring compliant billing guidelines + Assistance with… more
- ICON Clinical Research (Raleigh, NC)
- …study documentation in the event of a sponsor or FDA audit and assisting the auditor for the duration of the audit. + Ordering clinical supplies, as well as ... ordering, storing and monitoring of protocol specific rescue drugs and maintaining scheduled assessment of the code/crash cart and AED including maintaining proper documentation for both. + Monitoring and maintaining refrigerators, freezer units and… more