- Stanford Health Care (Palo Alto, CA)
- …+ Proficient EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . ... is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research,… more
- Northwell Health (Glen Cove, NY)
- …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical Nurse ) ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record ... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied...in their home time zone. **Required Qualifications** + Active Registered Nurse (RN) license in the state… 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 ... reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- Elevance Health (Seattle, WA)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Insight Global (South Jordan, UT)
- …coding terminology. * Expert coding knowledge (DRG & ICD-10) * Registered Nurse RN (must be inpatient) WITH coding /clinical documentation ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...NURSE : Degree in RHIM, RHIA, RHIT with medical coding degree or just CCS is fine with strong… more
- Robert Half Accountemps (Boston, MA)
- …locally as needed + Strong analytical, organizational, and communication skills + RN ( Registered Nurse ) + Experience working in a Program Integrity role or ... Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts...Experience with MMQ/MDS assessments + Background in claims and coding audits + Strong presentation and stakeholder communication skills… more
- St. Luke's University Health Network (Allentown, PA)
- …Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. . ... Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding... auditor or payor representatives in defense of coding appeals, as needed. + Maintain necessary audit/appeal activity… more
- University of Southern California (Alhambra, CA)
- …principles. + Pref Skills and knowledge on the following software: Cerner and Craneware + Pref Registered Nurse - RN (CA Board of Registered Nursing) + Pref ... Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes… more
- SSM Health (MO)
- …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse (RN) Issued by Compact State + Or + Registered ... vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete...+ Physician - Regional MSO Credentialing + Or + Registered Nurse (RN) Issued by Compact State… more
- NCH (Naples, FL)
- …* Minimum of Associate Degree required; Bachelor's Degree preferred. * Licensed as a Registered Nurse in the state of Florida. * 5+ years CDI auditing/SLR ... potential missed opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code discrepancies, collaborate with… more
- Crouse Hospital (Syracuse, NY)
- …assigned by department leadership . CDI Manager Requirements: + Must be licensed as a Registered Nurse (RN) in New York State. + Bachelor's degree in business, ... experience required. + Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist (CCS) preferred. +… more
- Access Dubuque (Dubuque, IA)
- …Software Corporation Quality Assurance Analyst Rousselot ICU RN - Intensive Care Registered Nurse MercyOne Automation Tender Sedona Staffing Services Bulk ... their Autodesk software and other business applications. With over 600,000 global registered users, our flagship solution, Pinnacle Series, has become the leader in… more
