- Trinity Health (Fresno, CA)
- …Day Shift **Description:** Reporting to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of Electronic Medical Records (EMR) ... or combination of equivalent experience and education is required. 2 . Current licensure as a Registered Nurse ...EPIC Super User status is preferred. 7. Ability to work independently with limited supervision is required. 8. Analytical… more
- Clark County, NV (Las Vegas, NV)
- INFORMATION SYSTEMS AUDITOR Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4420716) Apply INFORMATION SYSTEMS AUDITOR Salary $34.35 - ... seeking qualified applicants to apply for the Information Systems Auditor position. As a member of our team, you...or Public Administration or a field related to the work AND three (3) years of full-time professional level… more
- InnovaCare (San Juan, PR)
- LE0010 InHealth Management, LLC It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer ... MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare… more
- 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: Full Time ... nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates… more
- Universal Health Services (Edinburg, TX)
- …or Health Information Management; Advanced degree such as medical doctor or nurse practitioner acceptable/preferred. International MD degree acceptable. 2 . CCDS ... Responsibilities POSITION SUMMARY: The Compliance Auditor - Clinical Documentation Integrity (CDI) is responsible...Position is a remote position with occasional need to work from the facility and/or attend meetings. Qualifications QUALIFICATIONS:… more
- Humana (Indianapolis, IN)
- …description, work plan, and annual evaluation. The Quality Improvement Professional 2 work assignments are varied and frequently require interpretation and ... our caring community and help us put health first** The Quality Auditor Service Coordinator"/Quality Improvement Professional 2 implements quality improvement… 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 ... through webex. This position may travel to clinics and work with physicians and CDS on documentation education and...accuracy and recommends education and training related to results. 2 . Monitor and provide feedback to new-hire CDS, as… more
- Person Centered Services (Buffalo, NY)
- Resource Team Licensed Practical Nurse (LPN) - Hybrid Position 560 Delaware Ave, Buffalo, NY 14202, USA Req #350 Tuesday, April 23, 2024 **Why Work for Person ... and ongoing coaching **Resource team lpn** **JOB SUMMARY** The Licensed Practical Nurse , as a member of the Resource Team, collaborates with Clinical Specialists,… more
- UNC Health Care (Rocky Mount, NC)
- …health and well-being of the unique communities we serve. **Summary:** The Recovery Audit Nurse will work closely with other Business Office staff members to ... 3-Day Rule, and Outpatient Facility-based Infusion and Hydration charging), 2 ) reviews and follow up of claims denied by...in Nursing preferred. **Licensure/Certification Requirements:** * RN Licensed to work as a Registered Nurse in the… more
- CDPHP (Albany, NY)
- …you to be a part of that experience. The Clinical Review and Coding Nurse is responsible to attain procedure and diagnosis coding accuracy and consistency on ... year clinical experience required. + A minimum of two ( 2 ) years quality/utilization review experience in an HMO, managed...or similar experience as a hospital inpatient coder or auditor required. + Experience with data retrieval, analysis, and… more
- R1 RCM (Boise, ID)
- …as a result of a Clinical Validation Review by an insurer or third-party auditor + Draft appeal letters that are well written, logically structured, and persuasive, ... CPC-A, CPC-H (COC), CPMA, CIC, CDI or CDIP + 2 + years of experience in medical record reviews/audits +...the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we… more
- Baystate Health (Springfield, MA)
- …health needs of all communities in need. **QUALIFICATIONS:** + HS Diploma/GED + 1- 2 years experience in customer service (healthcare setting preferred) + Ability to ... work rotating days, including weekends and holidays + Ability...be applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the… more
- Corewell Health (Grand Rapids, MI)
- …compliance Required + Legal or regulatory field; healthcare focus desirable Preferred + Compliance auditor , nurse auditor , or other audit function Required + ... Summary Responsible for implementing and maintaining program standards and work plans for assigned financial compliance program. May assist...Grip > 5 lbs: Seldom + Forceful Pinch > 2 lbs: Seldom + Finger/Hand Dexterity: Frequently + Visual… more
- State of Indiana (IN)
- … work , or play. Role Overview: This position will serve as a nurse surveyor/ auditor for birthing facilities and neonatal intensive care units (NICUs). The ... Requisition ID: 441943 Location: 100% Remote, IN, US, 46808 Work for Indiana Begin a fulfilling career with the...state. You will need to possess an active Registered Nurse (RN) license to be eligible for this role.… more
- Covenant Health (Hobbs, NM)
- …for this position include:** + Bachelor's Degree - Nursing + New Mexico Registered Nurse License + Care Manager RN Auditor , Care Manager Clinical Audit and ... coordination and referral to other levels of care + Work with physician, Social Worker and interdisciplinary team to...(ACM) or Certified Case Manager (CCM) certification - Within 2 years of hire date **Preferred qualifications for this… more
- Covenant Health Inc. (Knoxville, TN)
- …Covenant Health standards of Telephone Excellence policy. + Refers patient accounts to nurse auditor upon request by patient or insurance company, and monitors ... minimum of 60 inquiries per day or an equivalent work assignment, contingent upon which functional area within the...diploma or GED. Minimum Experience: One (1) to two ( 2 ) years experience in Patient Accounts/Customer Service is required.… more