• Clinical Nurse Auditor , HEDIS…

    Providence (Beaverton, OR)
    …best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for conducting clinical ... + This posting is for multiple openings of a Nurse Auditor , HEDIS + This position is...employer matching, health care benefits (medical, dental, vision), life insurance , disability insurance , time off benefits (paid… more
    Providence (10/30/24)
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  • Nurse Auditor - Medical Bill Review…

    Rising Medical Solutions (Chicago, IL)
    …business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost ... team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance,… more
    Rising Medical Solutions (09/07/24)
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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 ... and advising the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works directly with revenue producing… more
    Chesapeake Regional Healthcare (10/26/24)
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  • Intermediate Clinical Auditor /Analyst, QA…

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday - ... Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance and Operational Integrity… more
    UPMC (11/01/24)
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  • RN, Provider Clinical Compliance Auditor

    Baystate Health (Springfield, MA)
    …in the region is looking for an experience **RN, Provider** **Clinical Compliance Auditor ** to join the Baystate Medical Practice Revenue Integrity Team **Full Time ... the direct supervision of the Manager, the **RN, Provider** **Clinical Compliance Auditor ** for Baystate Medical Practices, reviews and responds to external carrier… more
    Baystate Health (10/31/24)
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  • Revenue Integrity Auditor RN

    HCA Healthcare (Nashville, TN)
    …Unlock your potential! **Job Summary and Qualifications** The Revenue Integrity Registered Nurse Auditor evaluates medical record documentation for evidence of ... colleagues invested over 156,000 hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part of an organization that is… more
    HCA Healthcare (10/10/24)
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  • Medical Chart Auditor

    Robert Half Accountemps (Alhambra, CA)
    …edits in the Patient Accounting System or claims editing system. The Chart Auditor will occasionally conduct insurance audits in conjunction with chosen payer ... Description We are seeking a Medical Chart Auditor to join our team in the Healthcare...of responsibilities including auditing and rectifying patient records, conducting insurance audits, and liaising with various hospital departments and… more
    Robert Half Accountemps (10/31/24)
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  • Quality Lead Auditor (Hybrid - Wilmington,…

    GE Vernova (Wilmington, NC)
    **Job Description Summary** The Nuclear Programs Quality Lead Auditor will be responsible for managing internal and external quality assessments to ensure and ... capabilities to comply with industry standards and regulations. The Quality Lead Auditor has working knowledge of applicable industry regulations and standards; has… more
    GE Vernova (10/23/24)
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  • Revenue Cycle Auditor RN *Remote

    Providence (OR)
    …in AK, WA, MT, OR, CA, TX or NM are encouraged to apply.** The Nurse Auditor is responsible for providing patient focused, standardized, compliant revenue cycle ... Plan with employer matching, health care benefits (medical, dental, vision), life insurance , disability insurance , time off benefits (paid parental leave,… more
    Providence (10/03/24)
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  • Clinical Services Auditor (Remote)

    Molina Healthcare (Jackson, MS)
    **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), ... + Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA) and professionalism with all… more
    Molina Healthcare (10/17/24)
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  • RN Charge Auditor

    Ascension Health (Glendale, WI)
    …MUST reside in Wisconsin.** **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans ... specifics._ **Responsibilities** Coordinate payer denials and appeals, respond to insurance company requests for medical records, and perform medical record… more
    Ascension Health (10/17/24)
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  • RN Clinical Documentation Auditor

    Ascension Health (Wichita, KS)
    …+ **Location** Wichita, KS **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans ... obtained prior to hire date or job transfer date required. + Licensed Registered Nurse credentialed from the Kansas Board of Nursing obtained prior to hire date or… more
    Ascension Health (11/02/24)
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  • Clinical Research Monitoring Specialist Senior…

    University of Pennsylvania (Philadelphia, PA)
    …field preferred. Minimum of seven years of experience as a clinical research monitor/ auditor , research nurse or research coordinator with at least three years' ... of Operations, Compliance and Monitoring (DOCM) is seeking a clinical research monitor/ auditor to support our clinical research mission. The monitor/ auditor is… more
    University of Pennsylvania (10/03/24)
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  • Operations Associate/Monitor Technician

    Baystate Health (Westfield, MA)
    …OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical, dental and vision insurance + Generous PTO - up to 25 days in the first year, ... limited to mental, physical, and financial health. + Pet, home, auto and personal insurance + Life insurance + Reimbursement for a variety of wellbeing… more
    Baystate Health (11/01/24)
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  • Operations Associate Cardiac Monitor Tech, Part…

    Baystate Health (Springfield, MA)
    …OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical, dental and vision insurance + Generous PTO - up to 25 days in the first year, ... and financial health + Pet, home, auto and personal insurance + Life insurance + Reimbursement for...be applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the… more
    Baystate Health (11/02/24)
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  • Operations Associate

    Baystate Health (Springfield, MA)
    …OF WORKING WITH BAYSTATE! Excellent Compensation High-quality, low-cost medical, dental and vision insurance Generous PTO - up to 25 days in the first year, with ... physical, and financial health Pet, home, auto and personal insurance Life insurance Reimbursement for a variety...be applicable to this role. Summary: Reports to the Nurse Manager but daily activities are coordinated by the… more
    Baystate Health (09/18/24)
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  • HEDIS Quality Management Consultant

    Actalent (Des Moines, IA)
    …internal systems and Microsoft Office Skills: nurse , HEDIS, RN, registered nurse , medical records, insurance , case manager, URAC, NCQA, LPN, licensed ... claims research, preparing medical records for the NCQA HEDIS Auditor , etc. Abstracts medical record data from practitioner's files...Top Skills Details: nurse , HEDIS, RN, registered nurse , medical records, insurance Additional Skills &… more
    Actalent (10/22/24)
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  • Patient Account Rep II

    Covenant Health Inc. (Knoxville, TN)
    …standards of Telephone Excellence policy. + Refers patient accounts to nurse auditor upon request by patient or insurance company, and monitors account until ... Rep II is responsible for inbound inquiries from patients, family members, insurance carriers or other payment sources. The primary responsibility of the Patient… more
    Covenant Health Inc. (10/28/24)
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  • Clinical Trials Applications Specialist II

    AdventHealth (Orlando, FL)
    …Wellbeing Resources - Mental Health Resources and Support - Pet Insurance * - Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense) ... in a related role, such as a clinical research coordinator, monitor, auditor , clinical data analyst, or research budget development + Experience developing metrics… more
    AdventHealth (10/16/24)
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