- Providence (Fullerton, CA)
- **Description** Clinical Auditor ( RN ) in our Surgical Services Department at Providence St. Jude Medical Center in Fullerton, CA. This is a full-time ... best people, we must empower them. **Required Qualifications:** + Upon hire: California Registered Nurse License. + 1 year Operating Room experience. **Why Join… more
- Elevance Health (Seattle, WA)
- **Diagnosis Related Group Clinical Validation Auditor -** ** Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Molina Healthcare (Columbus, OH)
- For this position we are seeking a ( RN ) Registered Nurse who...and must be licensed for the state they reside Clinical Auditor RN will support ... 5 PM EST **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical ...them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and… more
- 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 ... the offer._ **Responsibilities** Develop, implement, and has oversight over the Clinical Documentation Integrity (CDI) audit plan, utilizing audit findings to… more
- Molina Healthcare (Reno, NV)
- …required. Pacific Time Zone hours** **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in ... Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and...them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and… more
- Houston Methodist (Houston, TX)
- …to accurately support reasons for treatment, billing, payment or operations. The Nurse Auditor position ensures clinical documentation supports all ... At Houston Methodist, the Nurse Auditor position is responsible auditing...or hospital setting **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- University of Pennsylvania (Philadelphia, PA)
- …or related field preferred. Minimum of seven years of experience as a clinical research monitor/ auditor , research nurse or research coordinator with ... Department of Operations, Compliance and Monitoring (DOCM) is seeking a clinical research monitor/ auditor to support our clinical research mission. The… more
- AdventHealth (Orlando, FL)
- …University Research Administrators (NCURA), Research Administrator's Certification Council (RACC) + Registered Nurse _2/28/22_ This facility is an equal ... clinical research in a related role, such as a clinical research coordinator, monitor, auditor , clinical data analyst, or research budget development +… more
- Northwell Health (Westbury, 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** 128397 Job Description Seeking RN - BSN or MSN candidates with a...- Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ensure ... to prevent and detect fraud, waste, and abuse. The RN Compliance Nurse 2, Quality Assurance Audit...RN License the state where you reside + Clinical experience in an acute care, skilled and/or rehabilitation… 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 ... focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** **Description:** ** Nurse Auditor , Revenue Integrity** **Position Purpose:** Responsible for coordinating denials with ... May be require to travel between locations within the Region. **Minimum Requirements:** + Registered Nurse and graduate of an accredited school of nursing plus… 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 ... billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works...to communicate effectively verbally and in written format to clinical and non- clinical staff and individuals +… more
- 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. ... to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of...3. Four (4) years clinical experience in cardiovascular service environment is required. 4.… more
- BayCare Health System (Atlanta, GA)
- …and Licensures** + Required - RHIA/RHIT in conjunction with CCS + Preferred - RN , CDIP, CCDS, or clinical degree **Education** + Required - associate's degree ... 7:00 AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member must currently reside in… more
- 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 ... met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to facilitate and ensure...assist with educating providers on quality opportunities as well. Clinical background preferred but not required. **Essential Key Job… more
- Nuvance Health (Danbury, CT)
- *Description* *Summary:* The Charge Integrity Auditor performs detailed chart to bill audits of inpatient or outpatient medical accounts, comparing the medical ... documented charging practices across the Nuvance Health System. The Charge Integrity Auditor coordinates and reports audits savings or losses for the facilities and… more
- 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 ... billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity Specialist works directly...to communicate effectively verbally and in written format to clinical and non- clinical staff and individuals .… more
- 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 ... and performance improvement activities which positively influence the assigned dialysis clinics clinical quality outcomes. The scope of the clinical quality… more
- BrightSpring Health Services (Louisville, KY)
- …to the governing board + Additional responsibilities as assigned Qualifications + Registered Nurse with current licensure to practice in assigned state(s) ... League for Nursing preferred + Three years' experience in clinical nursing, hospice experience preferred + Two years of...rehabilitation and behavioral health, we provide comprehensive care and clinical solutions in all 50 states to over 400,000… more
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