• RN -Clinical Auditor Manager, Care…

    SSM Health (St. Louis, MO)
    …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... guidelines by reviewing and splitting or combining claims per clinical/ billing guidelines. Enhances net revenue by splitting...Registered Nurse ( RN ) - Missouri Division of Professional… more
    SSM Health (09/19/24)
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  • Nurse Auditor - Days - Full-Time…

    Houston Methodist (Cypress, TX)
    …accurately support reasons for treatment, billing , payment or operations. The Nurse Auditor position ensures clinical documentation supports all patient ... At Houston Methodist, the Nurse Auditor position is responsible auditing...or hospital setting **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (07/25/24)
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  • 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. ... from a clinical coding perspective, applying coding guidelines. Analyzes provider billing for abnormalities, questionable billing practices and proper coding… more
    Medical Mutual of Ohio (09/12/24)
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  • Medical Chart Auditor

    Robert Half Accountemps (Alhambra, CA)
    …Excel. Relevant certification such as Licensed Vocational Nurse - LVN (CA DCA), Registered Nurse - RN (CA DCA), Certified Coding Specialist - CCS ... Description We are in search of a Medical Chart Auditor whose primary responsibilities will involve verifying, rectifying, and finalizing edits in the Patient… more
    Robert Half Accountemps (08/16/24)
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  • Clinical Appeals And Disputes Nurse (100%…

    University of Washington (Seattle, WA)
    …impacting revenue cycle **REQUIREMENTS** + Active licensure to practice as a Registered Nurse in Washington State + Bachelor's degree in Nursing + ... certified case manager, certified documentation specialist, certified coder, certified professional medical auditor + Previous experience working as an RN +… more
    University of Washington (09/18/24)
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  • Clinical Audit Analyst

    CommonSpirit Health Mountain Region (Colorado Springs, CO)
    …care process from physician order, registration, chart documentation, charging, and billing to reimbursement. Has collaborative relationship with revenue ... and leaders who care about your success. The clinical auditor performs clinical and operational audits as a means...clinical aspects of the OR required Must be an RN with OR experience 16 OR Suites Approx. 250-350+… more
    CommonSpirit Health Mountain Region (09/08/24)
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  • Healthcare Medical Claims Coding Sr. Analyst

    Commonwealth Care Alliance (Boston, MA)
    …claims data sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations, and make recommendations ... editing impacts and create new opportunities for savings based on provider billing trends + Liaison between business partners and vendors; bringing and interpreting… more
    Commonwealth Care Alliance (07/18/24)
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