• Clinical Nurse Auditor

    Providence (WA)
    …retain the best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for ... + This posting is for multiple openings of a Nurse Auditor , HEDIS + This position is...position include:** + Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical experience… more
    Providence (10/30/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    **Diagnosis Related Group Clinical Validation Auditor -** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... 50 miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to… more
    Elevance Health (11/08/24)
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  • Nurse Auditor / Revenue Cycle, FT,…

    Omaha Children's Hospital (Omaha, NE)
    Auditor will complete requests for account audits by third party agencies. The Nurse Auditor position ensures clinical documentation supports all patient ... for payment, and provides education/training regarding proper billing requirements. The Nurse Auditor will work collaboratively within Revenue Cycle, Compliance… more
    Omaha Children's Hospital (10/04/24)
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  • Intermediate Clinical Auditor

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday ... Pittsburgh's US Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance and… more
    UPMC (11/01/24)
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  • Clinical Research Monitoring Specialist…

    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
    University of Pennsylvania (10/03/24)
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  • Revenue Integrity Nurse Auditor

    Trinity Health (Albany, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Integrity Nurse Auditor - Remote - St. Peter's Hospital - FT Days** If you are ... Patient Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related appeals, and identifies… more
    Trinity Health (11/27/24)
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  • Revenue Integrity Nurse Auditor

    UNC Health Care (Chapel Hill, NC)
    **Description** **Our department of HIM-Revenue Integrity is seeking a Revenue Integrity Nurse Auditor to facilitate charge code auditing system-wide. This role ... Revenue Integrity leadership and hospital departments to ensure compliance with clinical documentation and revenue cycle billing practices. **Description of Job… more
    UNC Health Care (11/20/24)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer...CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid… more
    Childrens Hospital of The King's Daughters (10/26/24)
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  • Clinical Research Auditor

    Actalent (Philadelphia, PA)
    …Skills + 7 years of clinical research experience as a monitor/ auditor , research nurse , research coordinator, regulatory affairs, quality control, and ... Job Title: Clinical Research Auditor Job Description We are seeking a highly experienced Clinical Research Auditor with a minimum of 7 years of … more
    Actalent (11/19/24)
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  • Nurse Auditor - Medical Bill Review…

    Rising Medical Solutions (Chicago, IL)
    …business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost ... maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee...neuro, rehab, or ER procedures + 3-5 years of clinical experience in acute care, surgery and/or orthopedic +… more
    Rising Medical Solutions (11/13/24)
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  • (RN) HCS-D, COS-C - Registered Nurse Coding…

    Northwell Health (Garden City, NY)
    …a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to ensure the ... + Instructs professional staff in code changes, as needed. + Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical… more
    Northwell Health (09/02/24)
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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 ... compliance with the Plan's SNP policies and MOC requirements. Clinical staff who do not complete the required annual...complete the required annual training may not perform their clinical duties until the training is completes\. ESSENTIAL DUTIES… more
    InnovaCare (10/16/24)
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  • Registered Nurse Coding Auditor

    Northwell Health (Port Jefferson, NY)
    …by the documentation in the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review ... and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.… more
    Northwell Health (11/14/24)
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  • CDM Analyst RI Auditor

    Chesapeake Regional Healthcare (Chesapeake, VA)
    Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of ... billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works...to communicate effectively verbally and in written format to clinical and non- clinical staff and individuals +… more
    Chesapeake Regional Healthcare (10/26/24)
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  • RN Clinical Documentation Auditor

    Ascension Health (Wichita, KS)
    …specifics._ **Responsibilities** Develop, implement, and has oversight over the Clinical Documentation Integrity (CDI) audit plan, utilizing audit findings to ... implement and facilitate this training with CDI staff, physicians, clinical and ancillary staff to improve the overall quality...date or job transfer date required. + Licensed Registered Nurse credentialed from the Kansas Board of Nursing obtained… more
    Ascension Health (11/02/24)
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  • Lead Clinical Documentation Auditor

    Vanderbilt University Medical Center (Nashville, TN)
    …* Conducts audits to ensure accurate and complete data for the clinical documentation improvement program. Advises staff with regards to clinical ... correct diagnosis and procedure codes. * Identifies areas for improvement for clinical documentation workflow, clinical query compliance, data integrity and… more
    Vanderbilt University Medical Center (11/22/24)
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  • Revenue Integrity Auditor RN

    HCA Healthcare (Nashville, TN)
    …Unlock your potential! **Job Summary and Qualifications** The Revenue Integrity Registered Nurse Auditor evaluates medical record documentation for evidence of ... hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part...to obtain missing documentation when applicable. Ability to associate clinical and coding information to national and local coverage… more
    HCA Healthcare (10/10/24)
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  • Coding Quality Auditor , HEDIS *Remote

    Providence (OR)
    …people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... for the Quality Department + Identify and reports issues related to clinical audits to determine potential areas for quality improvement within the HEDIS… more
    Providence (11/16/24)
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  • RN-Clin Documentation Auditor

    Ascension Health (Austin, TX)
    …specifics._ **Responsibilities** Develop, implement, and have oversight over the Clinical Documentation Integrity (CDI) audit plan, utilize audit findings to ... implement and facilitate this training with CDI staff, physicians, clinical and ancillary staff to improve the overall quality...hire date or job transfer date required. + Registered Nurse credentialed from the Texas Board of Nursing obtained… more
    Ascension Health (11/07/24)
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  • RN-Charge Auditor

    Ascension Health (Austin, TX)
    …accuracy of billing through verification of coding, billing and supporting clinical documentation. + Coordinate all activity associated with insurance carrier audit ... potential. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Texas Board of Nursing required. Education: +… more
    Ascension Health (11/23/24)
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