• Senior Clinical Auditor

    Surgery Care Affiliates (Birmingham, AL)
    …+ Current RN license + 4-5 years of experience as a licensed Registered Nurse or equivalent clinical background preferred. + Additional experience ... more
    Surgery Care Affiliates (04/04/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Palo Alto, CA)
    **Diagnosis Related Group Clinical Validation Auditor - RN ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will ... more
    Elevance Health (03/28/25)
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  • Auditor , Clinical Services (Must…

    Molina Healthcare (Farmington, CT)
    **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management ... more
    Molina Healthcare (03/04/25)
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  • Quality Improvement Auditor

    Centene Corporation (New York, NY)
    …years of nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license (LPN, RN , etc.).Pay Range: $55,100.00 - ... more
    Centene Corporation (04/02/25)
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  • ( 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 ... more
    Northwell Health (03/04/25)
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  • ( RN ) Registered Nurse

    Northwell Health (Westbury, NY)
    …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... more
    Northwell Health (04/04/25)
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  • RN Clinical Review Appeals…

    St. Luke's University Health Network (Allentown, PA)
    …serve, regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, ... more
    St. Luke's University Health Network (04/02/25)
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  • RN -Charge Auditor

    Essentia Health (Duluth, MN)
    **Job Description:** The Registered Nurse - Charge Auditor plans, conducts, and performs charge audits, based on clinical documentation and billing ... more
    Essentia Health (03/12/25)
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  • Registered Nurse and Nurse

    Kelly Services (Lake Mary, FL)
    …the Nurse Aide Evaluator programs across the United States. **_IMPORTANT: Must be a Registered Nurse ( RN ) license in good standing, with a compact or ... more
    Kelly Services (04/01/25)
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  • Supervisor Revenue Integrity

    Dignity Health (Phoenix, AZ)
    …assistance with revenue-based statistics; issues associated with patient charge audits. Supervises a Clinical Auditor - RN , Revenue Integrity Analyst, and ... more
    Dignity Health (03/16/25)
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  • Compliance Auditor , Senior I (Hybrid…

    UPMC (Pittsburgh, PA)
    Registered Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) + Registered Nurse ( RN ) Required: + Act 34 **UPMC is an Equal ... more
    UPMC (03/08/25)
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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 ... more
    Childrens Hospital of The King's Daughters (01/25/25)
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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 ... more
    Chesapeake Regional Healthcare (01/25/25)
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  • Cardiovascular Nurse Auditor , Cath…

    Trinity Health (Fresno, CA)
    …or combination of equivalent experience and education is required. 2. Current licensure as a Registered Nurse ( RN ) with the state of California is required. ... more
    Trinity Health (01/18/25)
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  • Coding Auditor - Inpatient

    BayCare Health System (NC)
    …and Licensures** + Required - RHIA/RHIT in conjunction with CCS + Preferred - RN , CDIP, CCDS, or clinical degree **Education** + Required - associate's degree ... more
    BayCare Health System (03/22/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an ... more
    Catholic Health Initiatives (03/06/25)
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  • Nurse Auditor /Rev Intgty Spec

    Chesapeake Regional Healthcare (Chesapeake, VA)
    Job Summary With direction from the Director, the Nurse Auditor /Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient ... more
    Chesapeake Regional Healthcare (04/05/25)
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  • Clinic Quality Manager Auditor 3

    Fresenius Medical Center (Irwindale, CA)
    …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... more
    Fresenius Medical Center (03/28/25)
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  • Payment Accuracy Concept Consultant

    Lyric (Frankfort, KY)
    …strongly preferred + Health Plan experience + Medical background ( Registered Nurse ) + Experience with other Clinical Editing vendors + Background working ... more
    Lyric (03/21/25)
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  • Revenue Integrity Nurse Auditor

    Trinity Health (Syracuse, NY)
    …reflects honest, ethical, and professional behavior. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / ... more
    Trinity Health (04/02/25)
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