- Phoenix Home Care and Hospice (Springfield, MO)
- Position: QA Nurse / Coder ( RN ) Location: Missouri or Kansas (Home Health) Role Overview As a QA Nurse / Coder , you will ensure the accuracy, ... + Maintain relevant certifications (HCS‑D, HCS‑O or COS‑C). + Participate in quality assurance and performance-improvement efforts. + Coordinate with physicians,… more
- Molina Healthcare (Columbus, OH)
- …years Training & Education **Preferred License, Certification, Association** Active and unrestricted Registered Nurse ( RN ) license and Certified Coding ... 7+ years Clinical Nursing experience * 5+ years of experience in claims auditing, quality assurance , or recovery auditing, ideally in a DRG/ Clinical Validation… more
- Elevance Health (Costa Mesa, CA)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN ** **Virtual:** This role enables associates to work...minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and… more
- Hospice Of San Joaquin (Stockton, CA)
- …of assigned staff, as well as ensuring the compliance of patient visit schedules, quality assurance activities, and coordination of care in the absence of the ... to continuing to be the leader in ensuring the quality of the journey, from a serious illness to...We are seeking a Dynamic, self-motivated Full - Time RN Team Lead who thrives in a fast-paced environment… more
- Marshfield Clinic (Marshfield, WI)
- …risk management plans. The Educator provides overall educational support and coding quality assurance activities to both internal and external stakeholders as ... Bachelor's degree with an emphasis in a business or medical field, or a registered nurse degree. Completion of courses in Current Procedural Terminology (CPT),… more
- UPMC (Pittsburgh, PA)
- …Certifications, and Clearances:** + Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Certified Registered Nurse Practitioner OR ... and DRG assignment required. + Knowledge of computer technology, quality assurance activities, DRG methodology background is...OR Registered Health Information Technician (RHIT) OR Registered Nurse ( RN ) + Act… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA-Claims Job Description **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance , the Claims Sr. Analyst plays a critical role ... the direction of the Director of Claims Operations and Quality Assurance , this role is responsible for...Administration, Finance, or related field preferred. + Certified Professional Coder (CPC) - AAPC + Certified Claims Professional (CCP)… more
- BAYADA Home Health Care (Orlando, FL)
- …Apply now for immediate consideration. OASIS Review, Utilization Review, Quality Assurance , Remote, Home Health Coding, Coder , Medicare **As an accredited, ... Manager with OASIS and Coding certification to work remotely. RN , PT, OT, and SLP's with certifications will be...professional team that is instrumental in providing the highest quality care while developing your career with an industry… more