- Catholic Health Initiatives (Chattanooga, TN)
- …connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding ... are met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to...or must be obtained within the first year. Prefer RN , LPN, or CMA state of TN/GA but not… more
- UPMC (Pittsburgh, PA)
- … Registered Health Information Technician (RHIT) + ORLicensed Professional Nurse (LPN) + Registered Nurse ( RN ) + Act 34 **UPMC is an Equal Opportunity ... **UPMC Corporate Finance is hiring a full-time Compliance Auditor , Intermediate. This position will be based out of Forbes Tower in Pittsburgh, PA. This position… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ... to prevent and detect fraud, waste, and abuse. The RN Compliance Nurse 2, Quality...past 3 years + Experience as a Utilization Management Auditor + Health Plan experience working with large carriers… more
- BrightSpring Health Services (Louisville, KY)
- …to the governing board + Additional responsibilities as assigned Qualifications + Registered Nurse with current licensure to practice in assigned state(s) ... Our Company BrightSpring Health Services Overview Our Hospice Compliance Auditors are responsible for supporting the Regional Compliance Directors with chart… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more! **Description** Reporting to the Manager, Compliance Audit and Analysis, develops and executes audit, monitoring, and education ... inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/clinical billing… more
- Brockton Hospital (Brockton, MA)
- …focus on government payers, including Medicare and Medicaid. Collaborate with SHC's Healthcare's Compliance Auditor to meet audit plan objectives. + Works with ... in the lives and health of our patients. The Assistant Director, Corporate Compliance (Assistant Director) is a member of the Compliance Department and… more
- Molina Healthcare (MA)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **Only candidates located in Massachusetts will be considered… more
- Molina Healthcare (South Florida, FL)
- …RN may be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions /… more
- Molina Healthcare (IA)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Analyst, Quality Improvement (QI) Interventions/… more
- Molina Healthcare (Reno, NV)
- …to resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and Associate's or ... NEVADA residents preferred. RN licensure for NEVADA required. Pacific Time Zone...Time Zone hours** **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in… more
- Northwell Health (Westbury, 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** 128397 Job Description Seeking RN - BSN or MSN candidates with a...charts to ensure that proper standards are maintained in compliance with Federal and State regulations. + Applies coding… more
- Molina Healthcare (Columbus, OH)
- For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO or KENTUCY and must be licensed for the state they reside Clinical Auditor ... Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May...them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and… more
- Houston Methodist (Houston, 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
- 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 ... timely manner. + Prepares trend and other reports for compliance audits and charge processes. + Serves as a...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … 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 ... and advising the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works directly with revenue producing… more
- BayCare Health System (Atlanta, GA)
- …Carolina. _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member...as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits… more
- Nuvance Health (Danbury, CT)
- *Description* *Summary:* The Charge Integrity Auditor performs detailed chart to bill audits of inpatient or outpatient medical accounts, comparing the medical ... documented charging practices across the Nuvance Health System. The Charge Integrity Auditor coordinates and reports audits savings or losses for the facilities and… more
- Fresenius Medical Center (Irwindale, CA)
- …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... to the Clinical Quality leadership, Education, Clinical Services, Regulatory and Compliance to take the appropriate steps to facilitate achievement of quality… more
- CVS Health (Columbus, OH)
- …and external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding ... CPC's, working closely with internal and external stakeholders and ensuring compliance with regulatory requirements. The Manager develops strategies to manage… more
- University of Pennsylvania (Philadelphia, PA)
- …as well as assisting with corrective actions and training related to research compliance , quality control and quality assurance. The monitor/ auditor will follow ... field preferred. Minimum of seven years of experience as a clinical research monitor/ auditor , research nurse or research coordinator with at least three years'… more
Related Job Searches:
Auditor,
Compliance,
Compliance Auditor,
Medical Compliance Auditor RN,
RN,
RN Auditor,
RN Compliance