- Omaha Children's Hospital (Omaha, NE)
- …errors or discrepancies to accurately support billing and payment. In addition, the Nurse Auditor will complete requests for account audits by third party ... agencies. The Nurse Auditor position ensures clinical documentation supports all patient billing, verifies all patient services are listed for payment, and… more
- Providence (WA)
- …best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for conducting clinical ... this HEDIS Seasonal Role:_** + This posting is for multiple openings of a Nurse Auditor , HEDIS + This position is affiliated with Providence Health Plan and will… more
- Catholic Charities Family Community Services (Rochester, NY)
- ** Nurse Auditor ** **Job Details** **Job Location** 1099 Jay Street - Rochester, NY **Position Type** Per Diem **Education Level** Associates Degree **Salary ... Hourly **Travel Percentage** Negligible **Job Shift** Day **Description** **General Description** The Nurse Auditor will complete reviews of all medical records… 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 ... AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State license. + Certified Professional… more
- 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 ... constructing warranted appeals for defined populations. **What you will need** : + Registered Nurse and graduate of an accredited school of nursing plus at least 4… 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 ... team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance,… more
- Elevance Health (Atlanta, GA)
- **Diagnosis Related Group Clinical Validation Auditor -** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… 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 ... resources and develops, coordinates and implements the discharge plan, to ensure that the coordination and continuity of care results in optimal patient outcomes. Will adhere to the department policies related to the care of the Plans' SNP members. Staff will… 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 ... the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works directly with revenue producing departments… more
- 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...you! We are reviewing applications for our Revenue Integrity Auditor RN opening. Qualified candidates will be contacted for… more
- Northwell Health (Port Jefferson, NY)
- …and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. ... *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the… more
- Northwell Health (Garden City, NY)
- …job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional ... Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When… 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 experienced Clinical Research Auditor with a minimum of 7 years of clinical research… more
- State of Georgia (Fulton County, GA)
- …part of a multi-disciplinary team, which typically includes a prosecutor, investigators, an auditor , a nurse investigator, and an intelligence analyst. Duties & ... Investigative Auditor - Medicaid Fraud Georgia - Fulton -...Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL… more
- Mohawk Valley Health System (Utica, NY)
- … experience Licensure/Certification Requirements REQUIRED: + Certification as an Internal Auditor . PREFERRED: + Registered Nurse Disclaimer Qualified applicants ... Internal Auditor - Full Time - Days Department: PERFORMANCE EXCELLENCE OFFICE Job Summary Become an Internal Auditor at MVHS and play a vital role in improving… 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 ... account until completion of audit and follow up is done. + Performs other duties as assigned to the satisfaction of the department manager. Serving the Customer + Communicates effectively with patients/public, co-workers, physicians and or their offices, and… more
- 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 - ... Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance and Operational Integrity… more
- Providence (OR)
- …must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... posting is for multiple openings of a Coding Quality Auditor , HEDIS** + **This position is affiliated with Providence...GED Equivalency + Licensure / Certification: Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse +… more
- UPMC (Pittsburgh, PA)
- **UPMC Corporate Finance is hiring a full-time Compliance Auditor , Intermediate. This position will be based out of Forbes Tower in Pittsburgh, PA. This position ... + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified Medical Coder (CMC)… more
- University of Pennsylvania (Philadelphia, PA)
- …field preferred. Minimum of seven years of experience as a clinical research monitor/ auditor , research nurse or research coordinator with at least three years' ... of Operations, Compliance and Monitoring (DOCM) is seeking a clinical research monitor/ auditor to support our clinical research mission. The monitor/ auditor is… more