- Elevance Health (Wallingford, CT)
- ** Registered Nurse - Diagnosis Related Group Coding Auditor Principal - Carelon Payment Integrity** **Location:** Alternate locations may be considered. This ... more
- Ochsner Health (New Orleans, LA)
- …of related healthcare experience with a master's degree. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. Preferred ... more
- Elevance Health (Palo Alto, CA)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... more
- Ochsner Health (New Orleans, LA)
- …management. Performs and documents audits and presents oral and written conclusions to the Lead Nurse Auditor and department management. Educates and assists ... more
- Centene Corporation (New York, NY)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation, and ... more
- Excellus BlueCross BlueShield (Rochester, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... more
- Molina Healthcare (Columbus, OH)
- …+ Performs the lead role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and data entered by the ... more
- Molina Healthcare (Columbus, OH)
- …+ Performs the lead role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and data entered by the ... more
- Ochsner Health (New Orleans, LA)
- …Works with the clinical providers , on- site case management team, as well as LPN/ RN or Nurse Auditor in the Pre-Service department. + Performs Pre-Service ... more
- Molina Healthcare (Columbus, OH)
- …member and provider outreach. + Serves as operations subject matter expert and lead for Molina Plan quality improvement HEDIS operations using a defined roadmap, ... more