- 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** 125752 Job Description Seeking RN - BSN or MSN candidates with a...assignment can be substantiated by the documentation in the Medical Record. Job Responsibility + Audits and reviews Medicare/non-Medicare… more
- Northwell Health (Port Jefferson, NY)
- …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG… more
- HCA Healthcare (Nashville, TN)
- …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...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... * Identifies areas for improvement for clinical documentation workflow, clinical query compliance , data integrity and training. * Reviews medical records to… more
- HonorHealth (Scottsdale, AZ)
- …institution Required Experience 2 years RN experience Required Licenses and Certifications Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer… more
- Ascension Health (Glendale, WI)
- …and identify savings potential. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Wisconsin Board of Nursing ... **Details** + **Department: Recovery Audit Compliance ** + **Schedule: Full Time, Days, (M-F 8a-5p...+ **Hospital: AW Glendale Corporate Office** + **Location: Remote** ** RN License REQUIRED.** **Candidate MUST reside in Wisconsin.** **Benefits**… more
- UPMC (Pittsburgh, PA)
- … Registered Health Information Technician (RHIT) + ORLicensed Professional Nurse (LPN) + Registered Nurse ( RN ) + Act 34 **UPMC is an Equal Opportunity ... **UPMC Corporate Finance is hiring a full-time Compliance Auditor , Intermediate. This position will...Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder… more
- UPMC (Pittsburgh, PA)
- …Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. + Registered Nurse ( RN ). + Bachelor of Science in ... better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains,...CCA, CCS, CCS-P, CRC) or AHFI designation required. + Registered Nurse ( RN ) + Act… more
- Catholic Health Initiatives (Chattanooga, TN)
- …connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding ... are met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to...(AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) (CMAS)-preferred but not… more
- Omaha Children's Hospital (Omaha, NE)
- …and provides education/training regarding proper billing requirements. The Nurse Auditor will work collaboratively within Revenue Cycle, Compliance and ... to accurately support billing and payment. In addition, the Nurse Auditor will complete requests for account...retrieve data needed for audit. **Licenses and Certifications** + RN - Registered Nurse -… more
- 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 ... medical necessity or appropriateness of services. + Conducts compliance , defense, LifeNet and special focus audits and reports...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- 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 ... itemized charges versus the patient medical record and other applicable hospital documentation, assigning modifiers...billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works… more
- 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 containment. Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and… more
- Actalent (Philadelphia, PA)
- …Essential 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...fast-paced environment. Additional Skills & Qualifications + Nursing degree ( RN /BSN) or BSN/MSN. + Strong understanding of medical… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more! **Description** Reporting to the Manager, Compliance Audit and Analysis, develops and executes audit, monitoring, and education ... inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/clinical billing… more
- 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 ... works with a team of 2 other RN charge code auditors to provide coverage 6a-6p 5...documentation using clinical expertise and billing regulations to ensure compliance with quality of care, medical necessity,… more
- InnovaCare (San Juan, PR)
- …electronically application in accordance with NCQA and CMS regulations to assure compliance standards and federal regulations utilizing established medical care ... MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare… more
- Molina Healthcare (Ypsilanti, MI)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of these… more
- Molina Healthcare (NM)
- **_JOB TITLE: Sr. Specialist, Quality Improvement RN ( REGISTERED NURSE )_** **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of these… more
- Brockton Hospital (Brockton, MA)
- …focus on government payers, including Medicare and Medicaid. Collaborate with SHC's Healthcare's Compliance Auditor to meet audit plan objectives. + Works with ... Working knowledge of Electronic Medical Records, Excel, Word and PowerPoint. + Other: Experience with Wolters Kluwer or Symplr Compliance platform a plus. more