• ( RN ) HCS-D, COS-C - Registered

    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 HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS… more
    Northwell Health (09/02/24)
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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 ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
    Elevance Health (11/08/24)
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  • Registered Nurse Coding…

    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 ... 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… more
    Northwell Health (11/14/24)
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  • Revenue Integrity Auditor RN

    HCA Healthcare (Nashville, TN)
    …goals. Unlock your potential! **Job Summary and Qualifications** The Revenue Integrity Registered Nurse Auditor evaluates medical record documentation for ... invested over 156,000 hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part of an organization that is… more
    HCA Healthcare (10/10/24)
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  • RN Auditor Clinical Appeals…

    HonorHealth (Scottsdale, AZ)
    …institution Required Experience 2 years RN experience Required Licenses and Certifications Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... You'll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and… more
    HonorHealth (11/20/24)
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  • RN -Charge Auditor

    Ascension Health (Austin, TX)
    …identify savings potential. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Texas Board of Nursing ... professional licensure at time of hire. **Additional Preferences** + Must be RN + Chart auditing experience and/or experience reviewing or working with electronic… more
    Ascension Health (11/23/24)
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  • RN -Clin Documentation Auditor

    Ascension Health (Austin, TX)
    …Improvement Specialists obtained prior to hire date or job transfer date required. + Registered Nurse credentialed from the Texas Board of Nursing obtained prior ... **Additional Preferences** + Prior clinical documentation program experience + 5 years RN or 3-5 coding quality audit experience strongly preferred + ICU and/or… more
    Ascension Health (11/07/24)
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  • RN Charge Auditor

    Ascension Health (Glendale, WI)
    …and identify savings potential. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Wisconsin Board of Nursing ... flexibility)** + **Hospital: AW Glendale Corporate Office** + **Location: Remote** ** RN License REQUIRED.** **Candidate MUST reside in Wisconsin.** **Benefits** Paid… more
    Ascension Health (10/17/24)
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  • Lead Clinical Documentation Auditor (CCDS…

    Vanderbilt University Medical Center (Nashville, TN)
    …emphasizing 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… more
    Vanderbilt University Medical Center (11/22/24)
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  • RN Clinical Documentation Auditor

    Ascension Health (Wichita, KS)
    …Specialists 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 job transfer date required. Education: + Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire. **Additional Preferences** BSN CCDS certified or will be certified upon start date AHIMA… more
    Ascension Health (11/02/24)
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  • Intermediate Clinical Auditor /Analyst, QA…

    UPMC (Pittsburgh, PA)
    …Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. + Registered Nurse ( RN ). + Bachelor of Science in ... UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role...CCA, CCS, CCS-P, CRC) or AHFI designation required. + Registered Nurse ( RN ) + Act… more
    UPMC (11/01/24)
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  • Auditor RN

    Dignity Health (Phoenix, AZ)
    …of this amazing opportunity! **Qualifications** **Minimum** + Associates Degree. + Completion of RN Program. + (3-5) Three to five years-clinical RN experience. ... Two years Utilization Review Charge Audit Case Management or related experience. + RN + Knowledge of hospital billing and charging processes and understanding of… more
    Dignity Health (11/19/24)
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  • Internal Auditor - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    … experience Licensure/Certification Requirements REQUIRED: + Certification as an Internal Auditor . PREFERRED: + Registered Nurse Disclaimer Qualified ... 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
    Mohawk Valley Health System (09/20/24)
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  • Nurse Auditor / Revenue Cycle, FT,…

    Omaha Children's Hospital (Omaha, NE)
    …and multiple systems to retrieve data needed for audit. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... or discrepancies to accurately support billing and payment. In addition, the Nurse Auditor will complete requests for account audits by third party agencies. The… more
    Omaha Children's Hospital (10/04/24)
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  • Medicare Clinical Auditor

    Medical Mutual of Ohio (OH)
    …Clinical Auditor ** **Education and Experience** + Graduate of a registered nursing program approved by the Ohio State Nursing Board.Bachelor's Degree preferred. ... to work remotely; Ohio residents preferred. Seeking applicants with RN experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities**… more
    Medical Mutual of Ohio (11/15/24)
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  • 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...this position include:** + Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical… more
    Providence (10/30/24)
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  • Compliance Auditor , Intermediate (Hybrid…

    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 be based out of Forbes Tower in Pittsburgh, PA. This position… more
    UPMC (10/11/24)
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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 ... as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State… more
    Childrens Hospital of The King's Daughters (10/26/24)
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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...coding ability demonstrated via a skills assessment or a RN with 20 years of experience as an intensive… more
    Chesapeake Regional Healthcare (10/26/24)
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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 ... constructing warranted appeals for defined populations. **What you will need** : + Registered Nurse and graduate of an accredited school of nursing plus at least… more
    Trinity Health (11/27/24)
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