- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Nurse Auditor position is responsible auditing and reconciling patient charts (ie medical record) on a daily basis or upon request from ... to accurately support reasons for treatment, billing, payment or operations. The Nurse Auditor position ensures clinical documentation supports all patient… more
- 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 ... HEDIS Seasonal Role:_** + **This posting is for multiple openings of a Nurse Auditor , HEDIS** + **This position is affiliated with Providence Health Plan and… more
- Elevance Health (Dearborn, MI)
- Nurse Auditor Senior - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on ... is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The Nurse Auditor Senior is responsible for identifying, monitoring, and… more
- UTMB Health (Galveston, TX)
- Nurse Auditor - Revenue Cycle, Patient Accounts **Galveston, Texas, United States** **New** **Hot** Business, Managerial & Finance UTMB Health Requisition # ... 2404547 ** Nurse Auditor ** **Minimum Qualifications:** RN designation with current Texas license required. Minimum of two years experience in direct patient care… 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
- InnovaCare (San Juan, PR)
- …MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare ... resources and develops, coordinates and implements the discharge plan, to ensure that the coordination and continuity of care results in optimal patient outcomes. Will adhere to the department policies related to the care of the Plans' SNP members. Staff will… more
- Actalent (Philadelphia, PA)
- …willing to go in office 2x a week in Philadelphia. The Clinical Research Nurse Auditor is responsible for scheduling, coordinating and monitoring and/or auditing ... training related to research compliance, quality control and quality assurance. The monitor/ auditor will follow all DOCM policies and procedures and have a strong… more
- Providence (NM)
- …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 ... support that will assist Providence St Joseph Health to in meeting financial objectives. Providence caregivers are not simply valued - they're invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused,… more
- Northwell Health (Garden City, NY)
- …and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. ... Additional Salary Detail** The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the… more
- Northwell Health (Garden City, NY)
- …job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional ... Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When… more
- State of Georgia (Fulton County, GA)
- …part of a multi-disciplinary team, which typically includes a prosecutor, investigators, an auditor , a nurse investigator, and an intelligence analyst. Duties & ... Investigative Auditor - Medicaid Fraud Georgia - Fulton -...Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL… more
- Grace Healthcare Services (Edison, NJ)
- …and families with the highest level of dignity and grace. PURPOSE: The Compliance Auditor is an experienced nurse to oversee the primary responsibility of ... Now Hiring Compliance Auditor LPN license required) Edison, NJ Grace was...through other clinical quality improvement initiatives. QUALIFICATIONS: NJ Registered Nurse or Licensed Practical Nurse required, Bachelors… more
- Covenant Health Inc. (Knoxville, TN)
- …Covenant Health standards of Telephone Excellence policy. + Refers patient accounts to nurse auditor upon request by patient or insurance company, and monitors ... account until completion of audit and follow up is done. + Performs other duties as assigned to the satisfaction of the department manager. Serving the Customer + Communicates effectively with patients/public, co-workers, physicians and or their offices, and… more
- LA Care Health Plan (Los Angeles, CA)
- Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Audit Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates contracted to perform… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Quality Auditor effectively and efficiently manages a diverse workload in a fast- paced, ... rapidly growing environment. The Quality Auditor provides support to the local market teams but...renal care setting is a must. * Current Registered Nurse compact state licensure and other states as deemed… more
- Providence (AK)
- …must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... posting is for multiple openings of a Coding Quality Auditor , HEDIS** + **This position is affiliated with Providence...GED Equivalency + Licensure / Certification: Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse +… more
- Robert Half Accountemps (Alhambra, CA)
- Description We are in search of a Medical Chart Auditor whose primary responsibilities will involve verifying, rectifying, and finalizing edits in the Patient ... System or claims editing system. Occasionally, the Medical Chart Auditor will conduct insurance audits in conjunction with chosen...PC, Windows, Excel. Relevant certification such as Licensed Vocational Nurse - LVN (CA DCA), Registered Nurse … more
- SSM Health (St. Louis, MO)
- …MO-SSM Health Mission Hill **Worker Type:** Regular **Job Highlights:** RN-Clinical Auditor Manager, Care Transformation - Case Management and Social Work 7 ... CERTIFICATIONS State of Work Location: Illinois + Registered Professional Nurse (RN) - Illinois Department of Financial and Professional...Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse (RN) Issued by Compact State + Or +… more
- Elevance Health (Columbus, OH)
- **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
- 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
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