- Ascension (Austin, TX)
- …to travel to the area as needed)Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans ... department, including performing concurrent and retrospective reviews of the medical records, utilizing evidence-based knowledge, protocols, and documentation criteria.Develop… 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 ... Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including...within! + Opportunity to make a difference in reducing health care costs and increasing the value of … more
- Providence (WA)
- …we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... + This posting is for multiple openings of a Nurse Auditor , HEDIS + This position is...including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life… 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 ... reimbursement to the health system from third party payers. Reports to the...regulations and trends in denials of services due to medical necessity or appropriateness of services. + Conducts compliance,… more
- Northwell Health (Garden City, NY)
- …Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group (HHRG) Validation to ensure the diagnostic ... to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility + Audits and reviews Medicare/non-Medicare charts to ensure… more
- InnovaCare (San Juan, PR)
- …daily, to the Utilization Management Inpatient Coordinator.14. Prepares and submits to the Health Services Department / UM Medical Care Manager a monthly report ... duties, weekly reports and/or relevant to the position as requested by the Health Services Department Inpatient Medical Care Manager.18. Documents the discharge… 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 ... and revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains, and analyzes… more
- HCA Healthcare (Nashville, TN)
- …Unlock your potential! **Job Summary and Qualifications** The Revenue Integrity Registered Nurse Auditor evaluates medical record documentation for evidence ... hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part...Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Elevance Health (Denver, CO)
- …of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- GE Vernova (Wilmington, NC)
- …include medical , dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance ... **Job Description Summary** The Nuclear Programs Quality Lead Auditor will be responsible for managing internal and external quality assessments to ensure and… more
- UPMC (Pittsburgh, PA)
- …Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified ... Medical Coder (CMC) + ORRegistered Health Information...ORRegistered Health Information Administrator (RHIA) + Registered Health Information Technician (RHIT) + ORLicensed Professional Nurse… 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 ... benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance, disability… more
- Ascension Health (Austin, TX)
- …travel to the area as needed)** **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans ... department, including performing concurrent and retrospective reviews of the medical records, utilizing evidence-based knowledge, protocols, and documentation criteria.… more
- Ascension Health (Wichita, KS)
- **Details** + **Department:** Health Information Management + **Schedule:** Full-time, 8am-4:30pm Monday-Friday, off for Ascension Holidays + **Hospital:** Ascension ... Francis + **Location** Wichita, KS **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match… 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 ... Coordinate payer denials and appeals, respond to insurance company requests for medical records, and perform medical record reviews. + Review … more
- Molina Healthcare (Jackson, MS)
- …experience in case management, disease management or utilization management in managed care, medical or behavioral health settings. + Two years of clinical ... **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM),… more
- R1 RCM (Chicago, IL)
- …solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company ... Nurse ** , you will help review and interpret medical records to draft appeals of denied and underpaid...transform the patient experience and financial performance of hospitals, health systems and medical groups. We are… more
- Baystate Health (Westfield, MA)
- Baystate Health , a nationally recognized leader in healthcare quality and safety, and home to **Baystate Noble Hospital** is looking for an Operations ... OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical , dental and vision insurance + Generous PTO -...but are not limited to mental, physical, and financial health . + Pet, home, auto and personal insurance +… more
- Baystate Health (Springfield, MA)
- **Baystate Health , a nationally recognized leader in healthcare quality and safety,** **is looking for an Operations Associate Cardiac Monitor Technician to join our ... OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical , dental and vision insurance + Generous PTO -...but are not limited to mental, physical, and financial health + Pet, home, auto and personal insurance +… more
