• Clinical Coding Appeals Nurse

    R1 RCM (Chicago, IL)
    …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret ... position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal denied and… more
    R1 RCM (08/21/24)
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  • (RN) HCS-D, COS-C - Home Care Registered…

    Northwell Health (Garden City, NY)
    …- BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical.** Validates Acute Inpatient coded ... 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.… more
    Northwell Health (09/06/24)
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  • (RN) HCS-D, COS-C - Registered Nurse

    Northwell Health (Garden City, NY)
    …RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group ... standards are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes… more
    Northwell Health (09/02/24)
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  • Nurse Auditor - Medical Bill Review…

    Rising Medical Solutions (Chicago, IL)
    …our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule ... to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in...CPC-H certification(s) strongly desired + Specialized training in hospital coding , ortho, neuro, rehab, or ER procedures + 3-5… more
    Rising Medical Solutions (09/07/24)
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  • Registered Nurse CLC (Minimum Data Set)

    Veterans Affairs, Veterans Health Administration (Perry Point, MD)
    …Documenting and taking corrective action when notified by the CLC management team, charge nurse , or designee of any discrepancies in coding or documentation of ... office after complete review of the EDRP application. Responsibilities The Registered Nurse Community Living Center (CLC) Minimum Data Set (MDS) is responsible for… more
    Veterans Affairs, Veterans Health Administration (10/02/24)
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  • Inpatient DRG Reviewer

    Zelis (TX)
    …to Zelis standards regarding privacy Skills, Knowledge, and Experience: + Registered Nurse licensure preferred + Inpatient Coding Certification required (ie, ... post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy… more
    Zelis (09/12/24)
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  • Coding Verifier

    Sanford Health (SD)
    …- $33.00 **Job Summary** Based on location and depending upon role, the Coding Verifier may perform the following tasks, but not limited to, working collaboratively ... released into current procedural terminology (CPT), healthcare common procedure coding system (HCPCS), and international classification of diseases (ICD-10) codes… more
    Sanford Health (09/26/24)
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  • Inpatient Coding /Quality Educator

    Hackensack Meridian Health (Hackensack, NJ)
    …Office and Google Suite platforms. **Licenses and Certifications Required:** + Certified Coding Specialist. + NJ State Professional Registered Nurse License. If ... healthcare and serve as a leader of positive change. The **Inpatient Coding /Quality Educator** designs, delivers and evaluates coding education and training… more
    Hackensack Meridian Health (09/27/24)
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  • Coding Specialist II, Hospital Billing OP…

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    _*SUMMARY:*_ We are currently seeking a* Coding Specialist II*to join our Hospital Billing OP Coding team. This full-time role will primarily work remote (SHIFT: ... * Effectively interacts with providers and ancillary staff for clarification of coding issues * Maintains statistics, records, and logs in relation to assigned… more
    Minnesota Visiting Nurse Agency (09/24/24)
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  • Coding Quality Auditor, HEDIS *Remote

    Providence (MT)
    …best people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical ... + **This posting is for multiple openings of a Coding Quality Auditor, HEDIS** + **This position is affiliated...GED Equivalency + Licensure / Certification: Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse +… more
    Providence (09/20/24)
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  • Chargemaster Coordinator- Coding Specialist

    TEKsystems (Melville, NY)
    …files. + Serves as a communication link between staff, physicians, charge nurse , business office, revenue cycle director, and other reimbursement specialists in ... CDM and Informatic Staff. + Responsible for resolving any coding related errors and denials that are identified by...assigned. Skills and Knowledge: * Outpatient Medicare and Medicaid coding and billing regulations * All components of the… more
    TEKsystems (09/27/24)
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  • Clinical Documentation Specialist (Remote -Texas…

    UTMB Health (Galveston, TX)
    Coding Specialist (CCS) certification, and a minimum of 3 years of medical coding experience. **Or** . Registered nurse (or medical school graduate) with a ... or CDIP certification within 3 years of hire **Preferred Qualifications:** + **For nurse candidates one year of CDI experience is highly desirable.** + Bachelor of… more
    UTMB Health (09/10/24)
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  • Clinical Documentation Specialist, Registered…

    Hackensack Meridian Health (Neptune, NJ)
    …as a leader of positive change. The Clinical Documentation Specialist Registered Nurse facilitates improvement in the overall quality, completeness and accuracy of ... physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to ensure clinical… more
    Hackensack Meridian Health (08/08/24)
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  • Registered Nurse Coder

    Robert Half Accountemps (Minneapolis, MN)
    Description We are looking for a Registered Nurse Coder to join our team in the healthcare industry. Remotely working EST hours, the Registered Nurse Coder role ... sector and contribute to the team's objectives. The Registered Nurse Coder involves working on a COC/SPD project to...on a COC/SPD project to help build out the coding for our benefit plans. Responsibilities: * Identify appropriate… more
    Robert Half Accountemps (09/14/24)
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  • Quality Assurance Nurse

    Northern Light Health (South Portland, ME)
    …Work Schedule: 8:00 AM to 5:00 PM Summary: The Quality Assurance Nurse exercises independent judgement in analyzing clinical documentation to optimize accuracy with ... clinical orders and State and federal regulations. The Quality Assurance Nurse collaborates with staff, Clinical and General Education leadership, and department… more
    Northern Light Health (09/07/24)
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  • Procedural Nurse - Interventional…

    University of Colorado (Aurora, CO)
    Procedural Nurse - Interventional Radiology, Highlands Ranch - 33831 University Staff **Description** **University of Colorado Anschutz Medical Campus** ... **Department: Community Practice** **Job Title: Procedural Nurse - Interventional Radiology, Highlands Ranch** **Position #: 00819432 - Requisition #:** **33831**… more
    University of Colorado (09/08/24)
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  • Physician Assistant / Nurse Practitioner…

    ERP International (Eglin AFB, FL)
    **Overview** ERP International is seeking a Physician Assistant (PA) or Nurse Practitioner (NP) for a full-time position supporting outpatient and inpatient ... for NP:** * Provide a full range of outcome-based nurse practitioner services in accordance with privileges granted by...business hours of the encounter with the patient. * Coding . Contractor employees shall use the proper coding more
    ERP International (09/07/24)
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  • Nurse Reviewer

    Zelis (Morristown, NJ)
    Position Overview: The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical ... guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. Conduct review of facility and outpatient bills… more
    Zelis (09/05/24)
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  • PRN Procedural Nurse - Interventional…

    University of Colorado (Denver, CO)
    **PRN Procedural Nurse - Interventional Radiology, Highlands Ranch** **University of Colorado Denver** **Description** **University of Colorado Anschutz Medical ... Campus** **Department: Community Practice** **Job Title: PRN Procedural Nurse - Interventional Radiology, Highlands Ranch** **Position #: 00798387 - Requisition #:… more
    University of Colorado (09/28/24)
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  • Pre-Service Nurse Coordinator - FT Days…

    Trinity Health (Darby, PA)
    …Shift **Description:** Trinity Health Mid-Atlantic is looking for Clinical Pre-Service Nurse Coordinator to join our Pre-Service team! **Employment Type:** Full Time ... 41 University Drive Newtown, PA 18940. **Summary:** The Clinical Pre-Service Nurse Coordinator is directly responsible for reviewing pre/post service initial… more
    Trinity Health (09/03/24)
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