- Northwell Health (Garden City, NY)
- …experience. 2 .Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional ... 1.Leverages clinical expertise to identify and validate DRG code assignment. 2 .Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of… more
- Banner Health (AZ)
- …employment settings by including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will be an integral part ... medical records and survey tools using statistically reliable sampling methods. 2 . Coordinates, retrieves, and performs medical record audits to determine provider… more
- Providence (CA)
- …must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... Seasonal Role:_** + **This posting is for multiple openings of a Coding Quality Auditor , HEDIS** + **This position is affiliated with Providence Health Plan and will… more
- Trinity Health (Fresno, CA)
- …Day Shift **Description:** Reporting to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of Electronic Medical Records (EMR) ... or combination of equivalent experience and education is required. 2 . Current licensure as a Registered Nurse (RN) with the state of California is required. 3.… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in ... and coding terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding/clinical documentation certification ( 2… more
- UNC Health Care (Chapel Hill, NC)
- …the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as ... accuracy and recommends education and training related to results. 2 . Monitor and provide feedback to new-hire CDS, as...(American Academy of Professional Coders) certification - RN (Registered Nurse ) license - LPN (Licensed Practical Nurse )… more
- Baylor Scott & White Health (Dallas, TX)
- …position type and/or level **Job Summary** In this job, as a Clinical Auditor RN, you'll perform charge capture accuracy audits by reviewing and analyzing clinical ... having four years of work experience. + At least ( 2 ) two years of relevant work experience. + Registered...) two years of relevant work experience. + Registered Nurse License. As a health care system committed to… more
- Molina Healthcare (Savannah, GA)
- …* At least 3 years of managed care experience, including at least 2 years of delegation oversight auditing experience, or equivalent combination of relevant ... **Preferred Qualifications** * Certified Credentialing Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Certified Clinical… more
- Health Care Service Corporation (Tulsa, OK)
- …years experience in claims processing operations and reporting systems, including 2 years experience in auditing or developing computer system reports.** **Knowledge ... **Organizational skills and prioritization skills** **Preferred Job Qualifications:** **Registered Nurse (RN) with unrestricted license in state.** **Certified Coder… more
- Baystate Health (Springfield, MA)
- …MA.** **SCHEDULE:** + Part time, 24 hours/week, 3rd Shift + Hours: 7pm-7:30am + 2 shifts per week, rotating days and weekends required **LOCATION** : + Baystate Main ... needs of all communities in need. **QUALIFICATIONS:** + HS Diploma/GED + 1- 2 years experience in customer service (healthcare setting preferred) + Medical… more
- Baystate Health (Springfield, MA)
- …MA.** **SCHEDULE:** + Part time, 24 hours/week, 1st Shift + Hours: 7am-7:30pm + 2 shifts per week, rotating days and weekends required **LOCATION** : + Baystate Main ... needs of all communities in need. **QUALIFICATIONS:** + HS Diploma/GED + 1- 2 years experience in customer service (healthcare setting preferred) + Medical… more
- City of Long Beach (Long Beach, CA)
- …mayor that is elected at-large. Elected officials also include the City Attorney, City Auditor , and City Prosecutor. The Council Members and the Mayor are subject to ... nursing in the State of California and a valid Public Health Nurse Certificate.(*Proof required.) + Candidates may substitute experience offering specific and… more
- Baystate Health (Westfield, MA)
- …or equivalent required + Prior administrative experience strongly preferred + 1- 2 years' experience in customer service (healthcare setting preferred) + Ability ... applicable to this role.** **Summary** : Reports to the Nurse Manager but daily activities are coordinated by the...and meals to ensure a constant flow of ADTs. ** 2 )** Proficiently and accurately utilizes the following computer applications… more
- Baystate Health (Springfield, MA)
- …or equivalent required + Prior administrative experience strongly preferred + 1- 2 years' experience in customer service (healthcare setting preferred) + Ability ... be applicable to this role.** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the...breaks and meals to ensure constant flow of ADTs. ** 2 )** Proficiently and accurately utilizes the following computer applications… more
- SSM Health (MO)
- …Performs as a vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete and clinical documentation ... + Or + Physician - Regional MSO Credentialing + Or + Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) + Or +… more
- Dignity Health (Rancho Cordova, CA)
- …Professional (CCP), Certified Professional in Healthcare Quality (CPQH), Certified Healthcare Auditor (CHA) preferred. - 2 years managed care experience ... ensuring all relevant documentation is presented to the Medical Director. The nurse must meticulously track and document all appeal activities, guaranteeing timely… more
- BJC HealthCare (St. Louis, MO)
- …collaborating within a team setting? BJC Home Care is looking for an licensed practical nurse Scheduler, auditor and field visits to assist our patients and our ... Friday 7 am to 3:30 Weekends: as determined Holidays: 2 per year _*Position requires registration with the Family...within the scope of practice for the Licensed Practical Nurse . + Under the direction of the Registered … 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 ... course sponsored by an ACPE accredited provider. + Minimum 2 years of hospital experience required + Minimum 1...private patient rooms and eight VIP rooms with private nurse stations, Methodist Hospital | Landmark delivers a true… 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 ... of Pharmacy or a course sponsored by an ACPE accredited provider. + Minimum 2 years of hospital experience required + Minimum 1 year sterile compounding experience… more
- NCH (Naples, FL)
- …Specialist for educational opportunities/outcomes. * Collaborates with CDI liaison/quality auditor when educational needs are identified from second level reviews. ... required; Bachelor's Degree preferred. * Licensed as a Registered Nurse in the state of Florida. * 5+ years...or previous CDI experience in an academic institution with 2 + years of leadership experience. * Team leading experience… more