• Clinical Nurse Auditor , HEDIS…

    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 posting is for multiple openings of a Nurse Auditor , HEDIS + This position is...fill in for staff vacancies. **_Providence Health Plan welcomes remote work for applicants who reside in:_** + Washington… more
    Providence (10/30/24)
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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...any deposition or litigation cases a plus Benefits + Remote position + Employment within a firm committed to… more
    Rising Medical Solutions (11/13/24)
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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 ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (11/08/24)
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  • Intermediate Clinical Auditor /Analyst, QA…

    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
    UPMC (11/01/24)
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  • Coding Quality Auditor , HEDIS…

    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...to fill in for staff vacancies.** **Providence welcomes 100% remote work for applicants who reside in the United… more
    Providence (11/16/24)
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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 ... to provide coverage 6a-6p 5 days per week; fully remote .** Become part of an inclusive organization with over...determined by experience and internal equity Work Assignment Type: Remote Work Schedule: Day Job Location of Job: US:NC:Chapel… more
    UNC Health Care (11/20/24)
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  • Compliance Auditor , Intermediate (Hybrid…

    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 ... will have the possibility of working remote 1-2 days per week.** **Responsibilities:** + Conduct UPMC...Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified… more
    UPMC (10/11/24)
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  • Lead Clinical Documentation Auditor (CCDS…

    Vanderbilt University Medical Center (Nashville, TN)
    …negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC-Registered Nurse - Licensure-Others **Work Experience:** Relevant Work ... Experience **Experience Level:** 5 years **Education:** Graduate of an approved discipline specific program Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has… more
    Vanderbilt University Medical Center (11/22/24)
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  • Clinical Documentation Integrity Auditor

    Ascension Health (Indianapolis, IN)
    …Full Time Days, Monday - Friday, 8:00am - 4:30pm + **Hospital:** Remote + **Location:** Indianapolis, IN **Benefits** Paid time off (PTO) Various health ... Specialists obtained prior to hire date or job transfer date. + Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date… more
    Ascension Health (11/19/24)
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  • RN-Clin Documentation Auditor

    Ascension Health (Austin, TX)
    …M-F /8am-4:30pm** + **Hospital: Seton Admin Offices** + **Location: Austin, TX (may be remote , but must be able to travel to the area as needed)** **Benefits** Paid ... Specialists obtained prior to hire date or job transfer date required. + Registered Nurse credentialed from the Texas Board of Nursing obtained prior to hire date or… more
    Ascension Health (11/07/24)
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  • RN Clinical Documentation Auditor

    Ascension Health (Wichita, KS)
    …Holidays + **Hospital:** Ascension Via Christi, St. Francis + **Location** Wichita, KS--may be remote , but must be able to travel to the area as needed **Benefits** ... obtained prior to hire date or job transfer date required. + Licensed Registered Nurse credentialed from the Kansas Board of Nursing obtained prior to hire date or… more
    Ascension Health (11/02/24)
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  • RN Charge Auditor

    Ascension Health (Glendale, WI)
    …some flexibility)** + **Hospital: AW Glendale Corporate Office** + **Location: Remote ** **RN License REQUIRED.** **Candidate MUST reside in Wisconsin.** **Benefits** ... savings potential. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to… more
    Ascension Health (10/17/24)
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  • Clinical Coding Appeals Nurse

    R1 RCM (Boise, ID)
    …AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to draft ... Proficiency in basic computer skills is essential for excelling in this remote production-drive position. **Here's what you will experience working as a Clinical… more
    R1 RCM (11/22/24)
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  • Sr Specialist, Quality Improvement (RN)…

    Molina Healthcare (NM)
    **_JOB TITLE: Sr. Specialist, Quality Improvement RN (REGISTERED NURSE )_** **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, ... compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement (Registered Nurse ) contributes to one or more of these quality… more
    Molina Healthcare (11/10/24)
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  • Quality Improvement (RN) - Maternity (OB/GYN)

    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 state of MI_ ... _Quality Improvement RN will work in remote setting supporting Maternity Medicaid population. Connect with Medicaid members to ensure all gaps of care or required… more
    Molina Healthcare (10/20/24)
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  • Clinical Trials Applications Specialist II

    AdventHealth (Orlando, FL)
    …_Full Time, Days_ **Shift** : _7:00am - 3:00pm - flexible schedule_ **Location:** Remote **The community you'll be caring for:** AdventHealth Orlando + Located on a ... in a related role, such as a clinical research coordinator, monitor, auditor , clinical data analyst, or research budget development + Experience developing metrics… more
    AdventHealth (11/26/24)
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