- Baptist Memorial (Memphis, TN)
- Summary Medicare / Medicaid Appeals Registered Nurse reviews and evaluates medical documentation to support billing compliance and external regulatory requirements. ... care experience and 3 years in Medicare billing environment. Previous audit experience, knowledge of InterQual and Medicare Billing practices. Minimum: Required… more
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- …Come Join The Team! Salem VA Medical Center is looking for a Registered Nurse for our Community Living Center (CLC). The Registered Nurse assumes responsibility ... and customer satisfaction throughout the continuum of care. Responsibilities Registered Nurse (RN) is responsible for providing competent, evidence-based care to… more
- Good Samaritan Society (Kearney, NE)
- …membership reimbursement * Early access to paycheck **Job Summary** The MDS Nurse uses independent judgment in the planning, organizing, directing, and evaluation of ... lead in regards to the Resident Assessment Instrument (RAI) process. MDS Nurse assists in assessment and evaluation of potential admissions. Upon admission,… more
- Community Wellness Partners (Oswego, NY)
- WAGE RATE - $38.00/HR GENERAL DESCRIPTION: MDS (Minimum Data Set) nurse collects and assesses information for the health and well-being resident in Medicare or ... requirements for all MDS sections. Follows facility policy and procedures. The MDS Nurse monitors residents' health and well-being from the time of admission through… more
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - MDS Coordinator - Per Diem - Days Department: UTILIZATION SERVICES Job Summary The RN - MDS Coordinator will play a crucial role in ensuring ... Requirements REQUIRED: + Meets RN licensure as outlined by current State Registered Nurse Licensure. + Certified as a Resident Assessment Coordinator ( RAC ) and… more
- NHS Management, LLC (Lineville, AL)
- …Coordinator Certification ( RAC -CT) through AANAC QUALIFICATIONS + Must be a Nurse with required State license in good standing + Must be knowledgeable in ... might be the perfect fit for a Resident Assessment Nurse (LPN) position within the organization. Under the direction...the Director of Nursing (DON), the Resident Assessment Coordinator ( RAC ) leads an interdisciplinary team using a core set… 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 ... advising the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor/ Revenue Integrity/ CDM Analyst works directly with revenue producing… more
- Sharp HealthCare (San Diego, CA)
- …Commission for Case Manager Certification; Bachelor's Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Master's Degree **Hours** ... or equivalent experience in the healthcare setting. + California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED **Preferred Qualifications**… more
- University of Michigan (Ann Arbor, MI)
- …and share findings with providers + Provide advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials; input into appeals; share findings with providers ... $5.90 / hour + Night Shift Weekend Differential- $6.90 / hour + Charge Nurse Differential- $1.00 / hour The benefit package includes: + Excellent medical, dental and… more
- Covenant Health Inc. (Knoxville, TN)
- …full access to the medical doctors in our facility. 9 North has a registered nurse on duty around the clock. Skilled caregivers on this unit also include licensed ... reports to Administration on reimbursement status. + Functions as Infection Control Nurse for TCU. Collects, monitors and disseminates data relating to infection… more
- STG International (St. Louis, MO)
- …and operation of the health and wellness department. Also performs staff nurse functions as needed. Serve as the disability coordinator or co-disability coordinator ... to discuss changes and possible accommodations. + Schedules monthly RAC Meetings with Co-Disability Coordinators and CMHC. + New...Skills * Licensed by the State as a Registered Nurse . * Minimum of an associate degree in nursing.… more
- Prime Healthcare (Ontario, CA)
- …over quarter improvement in CMS Value Based Purchasing Program.9 Serves as the Assistant RAC Coordinator in consultation with HIM Director and PHS Revenue Audit ... as assigned or required. #LI-CC1 Qualifications 1. Active and current professional registered nurse licensed in the state in which they practice is required. 2. An… more
- Covenant Health Inc. (Knoxville, TN)
- …develop and instill a quality culture throughout the organization. + Reports audit results to departments, leadership, and in team meeting settings as appropriate. ... changes, etc. + Reviews charts for purposes of prebill, ADR, appeals, RAC . Qualifications Minimum Education: None specified; however, must be sufficient to meet… more
- Hackensack Meridian Health (Hackensack, NJ)
- …needs assessment, program development and evaluation of staff competencies. + RAC - Review and distribute letters to appropriate departments, ie **Qualifications** ... Certifications Required:** + Certified Coding Specialist. + NJ State Professional Registered Nurse License. If you feel that the above description speaks directly to… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …prepares, and distributes meaningful reports using multiple databases. * Manage audit processes of medical record documentation and facilitates monitoring, tracking, ... and trending of audit results. Collect and organize data from multiple sources...documentation to minimize risk related to external auditors (ex: RAC , MIC, ZIP, etc.) regarding quality, profiling, coding and… more