- Medical Mutual of Ohio (OH)
- …experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Medicare Clinical Auditor ** + **Audits outpatient, inpatient and ... payment recovery staff.** + **Performs other duties as assigned.** **Senior Medicare Clinical Auditor ** + **Audits outpatient, inpatient and professional claims… more
- 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...CCA, CCS, CCS-P, CRC) or AHFI designation required. + Registered Nurse ( RN ) + Act… more
- Actalent (Philadelphia, PA)
- …Skills + 7 years of clinical research experience as a monitor/ auditor , research nurse , research coordinator, regulatory affairs, quality control, and ... Job Title: Clinical Research Auditor Job Description We...fast-paced environment. Additional Skills & Qualifications + Nursing degree ( RN /BSN) or BSN/MSN. + Strong understanding of medical records/patient… more
- Elevance Health (Atlanta, GA)
- **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
- Providence (WA)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for ... + This posting is for multiple openings of a Nurse Auditor , HEDIS + This position is...+ Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical experience… 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 ... specifics._ **Responsibilities** Develop, implement, and has oversight over the Clinical Documentation Integrity (CDI) audit plan, utilizing audit findings to… more
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... * Conducts audits to ensure accurate and complete data for the clinical documentation improvement program. Advises staff with regards to clinical … more
- HonorHealth (Scottsdale, AZ)
- …institution Required Experience 2 years RN experience Required Licenses and Certifications Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization,… more
- Ascension Health (Indianapolis, IN)
- …Improvement Specialists obtained prior to hire date or job transfer date. + Registered Nurse credentialed from the Indiana Board of Nursing obtained prior ... **Details** + **Department:** Clinical Documentation Integrity, CDI Experience required + **Schedule:** Full Time Days, Monday - Friday, 8:00am - 4:30pm +… more
- Omaha Children's Hospital (Omaha, NE)
- …Auditor will complete requests for account audits by third party agencies. The Nurse Auditor position ensures clinical documentation supports all patient ... payment, and provides education/training regarding proper billing requirements. The Nurse Auditor will work collaboratively within Revenue...retrieve data needed for audit. **Licenses and Certifications** + 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 (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...- Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to… more
- 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 ... by the documentation in the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review… more
- HCA Healthcare (Nashville, TN)
- …goals. Unlock your potential! **Job Summary and Qualifications** The Revenue Integrity Registered Nurse Auditor evaluates medical record documentation for ... hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be...to obtain missing documentation when applicable. Ability to associate clinical and coding information to national and local coverage… more
- 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 ... licensure at time of hire. **Additional Preferences** + Prior clinical documentation program experience + 5 years RN... clinical documentation program experience + 5 years RN or 3-5 coding quality audit experience strongly preferred… more
- Ascension Health (Austin, TX)
- …identify savings potential. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Texas Board of Nursing ... accuracy of billing through verification of coding, billing and supporting clinical documentation. + Coordinate all activity associated with insurance carrier audit… more
- 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
- Dignity Health (Phoenix, AZ)
- …Degree. + Completion of RN Program. + (3-5) Three to five years- clinical RN experience. + Two years Utilization Review Charge Audit Case Management ... serves as a liaison to bridge the gap between clinical areas finance and revenue cycle departments. Dignity Health...or related experience. + RN + Knowledge of hospital billing and charging processes… 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