- Northwell Health (Garden City, NY)
- …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate… more
- Intermountain Health (Murray, UT)
- …support exceptional patient care. We're looking for a compassionate, sharp, and collaborative RN Auditor ready to make an impact in a fast‑paced, mission‑driven ... in nursing (BSN) from an accredited institution (degree will be verified). + Current RN License in state of practice. + Demonstrated clinical nursing experience in a… more
- Elevance Health (Chicago, IL)
- …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)**...One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health… more
- Essentia Health (Duluth, MN)
- **Job Description:** The Registered Nurse - Charge Auditor plans, conducts, and performs charge audits, based on clinical documentation and billing practices ... + Current licensure by the applicable state board of nursing as an RN ( Registered Nurse ) Employee Benefits at Essentia Health: At Essentia Health, we're… more
- Baylor Scott & White Health (Dallas, TX)
- …on 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 ... work experience. + At least (2) two years of relevant work experience. + Registered Nurse License. As a health care system committed to improving the health of… more
- Trinity Health (Fresno, CA)
- …or combination of equivalent experience and education is required. 2. Current licensure as a Registered Nurse ( RN ) with the state of California is required. ... Reporting to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of Electronic Medical Records (EMR) documentation… more
- US Tech Solutions (Newark, NJ)
- …of related experience, preferably in the healthcare industry. + **Active New Jersey Registered Nurse ( RN ) License required.** **Skills:** + Knowledge of ... contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits,… more
- UPMC (Pittsburgh, PA)
- …Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. Registered Nurse ( RN ). Bachelor of Science in Nursing ... Health Plan has an exciting opportunity for a Clinical Auditor /Analyst Intermediate! The Clinical Auditor /Analyst Intermediate is...CIC, CCA, CCS, CCS-P) or AHFI designation required. + Registered Nurse ( RN ) + Act… more
- Humana (Madison, WI)
- …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record… more
- Stanford Health Care (Palo Alto, CA)
- …billing practices. + Proficient EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact ... Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require...and + CPC required . or + RHIT - Registered Health Information Technician required . or + RHIA… 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 ... as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... 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… more
- Insight Global (South Jordan, UT)
- …medical necessity criteria, and coding terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding/clinical ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...(2 years in clinical documentation) OR IF NOT A NURSE : Degree in RHIM, RHIA, RHIT with medical coding… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the Mount ... organization. **Licensing and Certification Requirements** : + Current NYS licensure ( RN , OT, PT, SLP, PA, Social Worker, Laboratory Technologist, Radiological… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ... any other relevant data to ensure coding accuracy. The auditor is also responsible for writing and defending appeal...and organizational skills. **Licenses and Certifications** + CRNP, LPN, RN , MD, PA, or DO preferred + CCS-Certified Coding… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Days Job Summary: The Compliance Nurse Auditor assists with and supports the compliance program activities ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 3 years of… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare ... study or current clinical license/registration in the State of Tennessee as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR… more
- University of Washington (Seattle, WA)
- **Job Description** The senior healthcare auditor is responsible for the completion of internal audits within the clinical integrated parts of the University of ... work performed and conclusions drawn so other reviewers can follow the auditor 's logic and methodology. . Effectively evaluates audit results, weighing the… more
- Insight Global (Plano, TX)
- …working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN RHIT or RHIA ... DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on… more
- Centene Corporation (Jefferson City, MO)
- …Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), Licensed Professional Counselor (LPC), Registered Nurse ( RN ), or Licensed Practical Nurse ... RESIDE IN MISSOURI **Ideal candidate will be a Licensed Practical Nurse (LPN) with auditing experience.** **Education/Experience:** Bachelor's degree in related… more
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