• Registered Nurse RN

    Banner Health (AZ)
    …this leading-edge work, we invite you to bring your experience and skills to BPN. As a Registered Nurse Auditor , you will serve as a vital part of the Banner ... gained with completion of a bachelor's degree in nursing or related field. Registered Nurse ( RN ) licensure in the state of practice. Requires skills and… more
    Banner Health (09/12/24)
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  • ( RN ) HCS-D, COS-C - Registered

    Northwell Health (Garden City, NY)
    …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... **Req Number** 125752 Job Description Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS… more
    Northwell Health (09/02/24)
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  • Home Care Registered Nurse Coding…

    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 ... **Req Number** 137052 Job Description **Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS… more
    Northwell Health (09/06/24)
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  • Delegation Oversight Clinical Auditor

    LA Care Health Plan (Los Angeles, CA)
    …Computer ease & literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Audit Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
    LA Care Health Plan (09/11/24)
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  • Revenue Cycle Auditor RN *Remote

    Providence (CA)
    **Description** **Revenue Cycle Auditor RN \*Remote * Candidates residing in AK, WA, MT, OR, CA, TX or NM are encouraged to apply.** The Nurse Auditor is ... responsible for providing patient focused, standardized, compliant revenue cycle support that will assist Providence St Joseph Health to in meeting financial objectives. Providence caregivers are not simply valued - they're invaluable. Join our team at Revenue… more
    Providence (09/04/24)
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  • Quality Improvement Auditor RN

    Actalent (St. Louis, MO)
    The Quality Improvement Auditor RN will be responsible for leading medical record audits, monitoring and analyzing clinical documentation, and modifying business ... 3+ years of nursing or quality improvement experience. Licenses/Certifications Current state's RN license About Actalent Actalent is a global leader in engineering… more
    Actalent (09/13/24)
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  • Nurse Auditor - Days - Full-Time…

    Houston Methodist (Cypress, TX)
    …auditing in a surgical or hospital setting **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... At Houston Methodist, the Nurse Auditor position is responsible auditing...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
    Houston Methodist (07/25/24)
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  • Clinical Auditor

    Medical Mutual of Ohio (OH)
    …Clinical Auditor ** **Education and Experience** + Graduate of a registered nursing program approved by the Ohio State Nursing Board.Bachelor's Degree preferred. ... to work remotely; Ohio residents preferred. Seeking applicants with RN experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities**… more
    Medical Mutual of Ohio (09/12/24)
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  • Medical Chart Auditor

    Robert Half Accountemps (Alhambra, CA)
    …Excel. Relevant certification such as Licensed Vocational Nurse - LVN (CA DCA), Registered Nurse - RN (CA DCA), Certified Coding Specialist - CCS ... Description We are in search of a Medical Chart Auditor whose primary responsibilities will involve verifying, rectifying, and finalizing edits in the Patient… more
    Robert Half Accountemps (08/16/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    …would provide an equivalent background. + Requires current, active, unrestricted Registered Nurse license in applicable state(s). **Preferred Skills, ... **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid...One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health… more
    Elevance Health (09/11/24)
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  • LPN Compliance Auditor

    Grace Healthcare Services (Edison, NJ)
    …and maintaining compliance through other clinical quality improvement initiatives. QUALIFICATIONS: NJ Registered Nurse or Licensed Practical Nurse required, ... highest level of dignity and grace. PURPOSE: The Compliance Auditor is an experienced nurse to oversee the primary responsibility of auditing patient clinical… more
    Grace Healthcare Services (08/23/24)
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  • Coding Auditor - Inpatient

    BayCare Health System (FL)
    …7:00 AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member must currently reside in ... Georgia, or North Carolina. **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities… more
    BayCare Health System (07/14/24)
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  • Auditor , Clinical Services - Must reside…

    Molina Healthcare (Dallas, TX)
    …to resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and Associate's or ... **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM),… more
    Molina Healthcare (09/06/24)
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  • Nurse Auditor - Revenue Cycle,…

    UTMB Health (Galveston, TX)
    …**New** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2404547 ** Nurse Auditor ** **Minimum Qualifications:** RN designation with current ... Nurse Auditor - Revenue Cycle, Patient...patient care in hospital setting. **Licenses, Registrations, or Certifications:** RN designation with current Texas license required. **Job Summary/Description:**… more
    UTMB Health (09/12/24)
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  • Quality Improvement Auditor (Clinical)

    Actalent (St. Louis, MO)
    Quality Improvement Auditor ( RN ) Position Purpose: Lead medical record audits, monitor and analyze clinical documentation, and modify business processes to ... 3+ years of nursing or quality improvement experience. Licenses/Certifications: Current states RN license. Work Environment: 100% Remote Pay: $30 - $35 About… more
    Actalent (09/13/24)
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  • Nurse Auditor - Medical Bill Review…

    Rising Medical Solutions (Chicago, IL)
    …business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost ... maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee...is part time 20-24 hours a week. Requirements + RN (or LPN) with active professional license or equivalent… more
    Rising Medical Solutions (09/07/24)
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  • Auditor , Elig. Screening - TMG (Milwaukee…

    Molina Healthcare (Milwaukee, WI)
    …from an Accredited School of Nursing, must have an active, unrestricted Wisconsin Registered Nursing ( RN ) license in good standing **PR** **E** **FE** **R** ... **Job Description** **Job Summary** The Auditor , Eligibility Screening is responsible for providing support to the TMG IRIS Consultant Agency (ICA) Long Term Care -… more
    Molina Healthcare (08/28/24)
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  • Trainer- Auditor (Clinical)

    Centene Corporation (Tallahassee, FL)
    …programs and auditing tools for the Payment Integrity department. The Trainer- Auditor (Clinical) is fully remote. Candidates will be considered nationally. ... Cenpas, Lyric/Mckesson, Xcelys and CCMS software experience highly preferred. **License/Certification:** RN or LPN license. Pay Range: $54,000.00 - $97,100.00 per… more
    Centene Corporation (07/30/24)
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  • Concurrent Review Nurse -( Auditor

    InnovaCare (San Juan, PR)
    …MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare ... EDUCATION AND EXPERIENCE * Bachelor's Degree in Science of Nursing. * Current RN permanent license in Puerto Rico and Collegiate. * Five years clinical acute… more
    InnovaCare (07/17/24)
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  • Quality Performance Analyst RN - Kansas…

    Blue KC (Workman, MN)
    …discount program** **Job Description Summary:** The Quality Performance Analyst RN provides clinical interpretation of medical records for HEDIS(R) reporting. ... Responsible for the coordination, development and writing of the first HEDIS(R) Auditor Training Manual and program. + Subject matter expert on HEDIS(R) abstraction… more
    Blue KC (09/07/24)
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