- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Days Job Summary: The Compliance Nurse Auditor assists with and supports ... Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 3 years of healthcare compliance… 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 ... timely manner. + Prepares trend and other reports for compliance audits and charge processes. + Serves as a...CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid… more
- Intermountain Health (Murray, UT)
- …knowledge and critical thinking skills to work collaboratively with internal compliance to research medical records procedures and testing accuracy for Medicare ... patient care. We're looking for a compassionate, sharp, and collaborative RN Auditor ready to make an impact in a fast‑paced, mission‑driven environment.** **What… more
- Clark County, NV (Las Vegas, NV)
- AUDITOR I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/5195322) Apply AUDITOR I/II Salary $32.77 - $52.32 Hourly Location Clark ... Office is seeking qualified candidates to apply for the Auditor I/II position. As a member of our team,...retail or mail order fills) + 24/7 Telephone Advice Nurse - no employee cost + Teledoc, Doctoroo, and… more
- Northwell Health (Garden City, NY)
- …Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and regulations ... the validation review process. 6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to… more
- Banner Health (AZ)
- …employment settings by including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will be an integral part ... Coordinates, retrieves, and performs medical record audits to determine provider compliance with established AHCCCS standards for documentation in conjunction with… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor /Analyst Intermediate! The Clinical Auditor /Analyst Intermediate is an integral part of the ... training new staff and auditing peers. Collects program data to monitor/ensure compliance requirements and establishes and revises better best practice within the… more
- Adecco US, Inc. (Bradenton, FL)
- Adecco Healthcare & Life Sciences is looking for a **Coding Auditor and Educator** for our client in **Bradenton, FL!** **Type:** Full Time Permanent **Schedule:** ... $64,000 to $81,000/year **Location:** Onsite in Bradenton, FL **Position Summary:** The Coding Auditor & Educator plays a dual role in promoting the quality and… more
- Bloom Healthcare (Lakewood, CO)
- RN Clinical Auditor - Location: Mostly Remote (Work from Home) Occasional in-office, field, or education support as directed About Bloom: Bloom Healthcare is a ... delivering high-quality, compliant, and patient-centered end-of-life care. The RN Clinical Auditor plays a vital role in supporting clinical excellence, regulatory … more
- Stanford Health Care (Palo Alto, CA)
- …is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research, ... interpretation and application of laws and regulations. Charge Auditor evaluates the adequacy and effectiveness of internal and operational controls designed to… more
- UNC Health Care (Chapel Hill, NC)
- …the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as ... all patients. Educates on proper creation of provider compliant queries. 8. Ensures compliance with third party and State and Federal regulations. 9. Audits CDS… more
- US Tech Solutions (Newark, NJ)
- …months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state ... Conduct on-site reviews at provider offices to assess record quality and compliance with documentation standards. + Prepare reports summarizing findings and provide… more
- Baylor Scott & White Health (Dallas, TX)
- …position type and/or level **Job Summary** In this job, as a Clinical Auditor RN, you'll perform charge capture accuracy audits by reviewing and analyzing clinical ... audit tasks in clinical departments/functions. + Evaluate clinical documentation for compliance , meeting all regulations stipulated by federal and state agencies as… more
- Centene Corporation (Jefferson City, MO)
- …staff at the health plan in the use of audit process and tools + Facilitate compliance with the auditing process + Act as a consultant related to system auditing to ... RESIDE IN MISSOURI **Ideal candidate will be a Licensed Practical Nurse (LPN) with auditing experience.** **Education/Experience:** Bachelor's degree in related… more
- Molina Healthcare (Macon, GA)
- …requirements for the health plan(s) they support. Identifies risk and non- compliance , issues corrective action, and actively manages the corrective action process ... **Preferred Qualifications** * Certified Credentialing Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Certified Clinical… more
- University of Southern California (Alhambra, CA)
- …to evaluate department charge processes to improve charge capture and coding compliance . The Senior RI Specialist also coordinates with Keck Medical Center of ... USC Administration, IS, Compliance , Clinical Informatics and Integration personnel on technology projects...and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center… more
- St. Luke's University Health Network (Allentown, PA)
- …coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with supporting ... + Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. +… more
- GE Vernova (Boston, MA)
- …Responsibilities** + Perform Quality activities for Advanced Nuclear projects for compliance to regulatory, customer and GEH internal requirements. + Perform project ... + Provide technical guidance to suppliers toward assuring product/process compliance with engineering drawings and specifications. + Work proactively with… more
- GE Vernova (Greenville, SC)
- …and qualification phase to final inspections in order to verify product compliance with technical and quality requirements. Supplier Quality Engineer will be working ... process audits, special process audits and product inspections to verify compliance to GE specifications & technical regulations/standards with timely audit report… more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... hospital personnel politely and appropriately. You will perform and monitor compliance for quality control and performance improvement functions as assigned. You… more
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