- Ascension (Austin, TX)
- …to the area as needed)Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term ... Specialists obtained prior to hire date or job transfer date required.Registered Nurse credentialed from the Texas Board of Nursing obtained prior to hire… more
- Providence (WA)
- …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
- 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
- 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
- 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
- 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
- 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
- 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
- Providence (WA)
- …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
- Elevance Health (Denver, CO)
- **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- 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
- 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 (Austin, TX)
- …the area as needed)** **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term ... Specialists obtained prior to hire date or job transfer date required. + Registered Nurse credentialed from the Texas Board of Nursing obtained prior to hire date or… more
- 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
- 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
- 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 (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 (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
- 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
- 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 ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
