- LA Care Health Plan (Los Angeles, CA)
- Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Executive Services Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is...& literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Bloom Healthcare (Lakewood, CO)
- Job Title: RN Clinical Auditor Quality Review Specialist About Bloom: Bloom Healthcare is a pioneering and employee-owned primary care and hospice practice ... high standards of patient care and regulatory compliance. The RN Clinical Auditor & Quality...software products used within the hospice. Minimum Qualifications: + Registered Nurse or a related field preferred.… more
- Tenet Healthcare (Detroit, MI)
- Senior Nurse Clinical Auditor Days FT - 2305002165 Description : $10,000 Signing Bonus with relevant experience Children’s Hospital of Michigan is an ... management. Qualifications : 1.Bachelors Degree in Nursing. 2. Licensed Registered Nurse in the State of Michigan....or similar experience preferred. 5.One year experience as a Clinical Auditor . Job : Non- Clinical /Administrative… more
- UNC Health Care (Rocky Mount, NC)
- …see if clinical documentation leads to a physician query. **Experience as a Clinical Documentation Auditor preferred.** ** RN , BSN, LPN, RHIT, RHIA, CDIP ... provided, use of resources and diagnoses treated. Facilitate modifications to clinical documentation through extensive concurrent interaction with physicians and … more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education… more
- Ascension Health (Birmingham, AL)
- …Specialists obtained prior to hire date or job transfer date required. + Registered Nurse credentialed from the Alabama Board of Nursing obtained prior ... specifics._ **Responsibilities** Develop, implement, and has oversight over the Clinical Documentation Integrity (CDI) audit plan, utilizing audit findings to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Description** **JOB DESCRIPTION:** The Lead Clinical Documentation Integrity (CDI) DRG Auditor works under the direction of the Associate Director of CDI ... and Education. He/she performs all the requirements of the Lead CDI DRG Auditor . In addition, this position is responsible for identifying areas of documentation… more
- University of Pennsylvania (Philadelphia, PA)
- …or related field preferred. Minimum of seven years of experience as a clinical research monitor/ auditor , research nurse or research coordinator with ... Department of Operations, Compliance and Monitoring (DOCM) is seeking a clinical research monitor/ auditor to support our clinical research mission. The… more
- Ascension Health (Nashville, TN)
- …/ Certification / Registration: + One or more of the following required: + Registered Nurse credentialed from the Tennessee Board of Nursing or current home ... accuracy of billing through verification of coding, billing and supporting clinical documentation. + Coordinate all activities associated with insurance carrier… more
- 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** 108569 Job Description Seeking RN - BSN candidates with a HCS-D -...- Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to… more
- Ascension Health (Glendale, WI)
- …and identify savings potential. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Wisconsin Board of Nursing ... accuracy of billing through verification of coding, billing and supporting clinical documentation. + Coordinate all activities associated with insurance carrier… more
- Trinity Health (Fresno, CA)
- …or combination of equivalent experience and education is required. 2. Current licensure as a Registered Nurse ( RN ) with the state of California is required. ... to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of...3. Four (4) years clinical experience in cardiovascular service environment is required. 4.… more
- Universal Health Services (Richmond, VA)
- …Kingdom. https://uhs.com/ The Atlantic Region CBO is seeking a dynamic and talented Senior Nurse Auditor . The primary responsibility of the Senior Nurse ... supporting the team with process questions while they analyze clinical claim denials, draft detailed appeal letters, evaluate ...in creating and maintaining work flow processes to help nurse auditor team to be proficient in… more
- 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 ... Eligibility for benefits may vary by location._** **We are seeking a Inpatient Coding Auditor for our team to ensure that we continue to provide all patients with… more
- 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 ... _Note: Eligibility for benefits may vary by location._ We are seeking a Inpatient Coding Auditor for our team to ensure that we continue to provide all patients with… more
- RWJBarnabas Health (Oceanport, NJ)
- Physician Billing Auditor - Oceanport, NJReq #:0000137296 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate ... 2 Crescent Place, Oceanport, NJ 07757 Job Overview: The Physician Billing Auditor prepares and conducts employed provider billing audits according to the current… more
- Trinity Health (Newtown, PA)
- …**Description:** Trinity Health Mid-Atlantic is looking for an experienced Revenue Integrity Nurse Auditor to join our team! Hybrid Schedule: Full-time, ... Patient Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related appeals, and identifies… more
- Centene Corporation (Trenton, NJ)
- …Clinical Mental Health Counselor, Licensed Clinical Social Worker (LCSW), Registered Nurse ( RN ), Licensed Psychologist (Psy.D.), Licensed Marriage and ... auditing outcomes and system maintenance with the Sr. + Clinical Systems Specialist to resolve or enhance clinical... Clinical Systems Specialist to resolve or enhance clinical systems + Ability to travel + Performs other… 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 ... compliance with the Plan's SNP policies and MOC requirements. Clinical staff who do not complete the required annual...* Bachelor's Degree in Science of Nursing. * Current RN permanent license in Puerto Rico and Collegiate. *… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …An approved certification such as CIA, CPA, CFE, CISA, or other business or clinical licensures (eg RN ) as approved by department management is preferred. ... **ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS** + Perform detail testing for financial audits and internal audits to ensure completion of the departmental audit plan while demonstrating sound judgment and decision making, commitment to tasks, persistence in… more