- Stanford Health Care (Palo Alto, CA)
- …billing practices. + Proficient EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact ... is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research,… more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and ... accepted guidelines for medical coding. Works closely with the Compliance Officer and Compliance coding Audit Coordinator...(RHIA, RHIT, or CCS) or AAPC (CPC) required + RN /LPN or CPMA preferred + Required to sit for… more
- Molina Healthcare (Rockford, IL)
- …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
- 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 ... substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding...charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules… 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 ... months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state… more
- Providence (Torrance, CA)
- **Description** The Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle support that will assist Providence St ... financial objectives. - Conduct audits (individual chart/bill audits, focus audits, compliance audits, payer defense audits, patient requests for audit and post… more
- Molina Healthcare (WA)
- …RN may be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are ... implements new and existing healthcare quality improvement activities to maintain compliance with quality program requirements and reporting and monitoring for key… more
- LA Care Health Plan (Los Angeles, CA)
- …Fraud Examiner (CFE) Certified HealthCare Compliance (CHC) Certified Internal Auditor (CIA) Certified Coder, RN , MD, PharmaD, or equivalent Required ... Director, Compliance on Special Investigations Unit and Fraud, Waste...required to achieve that purpose. Job Summary The Director, Compliance on Special Investigations and Fraud, Waste and Abuse… more
- Robert Half Accountemps (Boston, MA)
- …to travel locally as needed + Strong analytical, organizational, and communication skills + RN ( Registered Nurse ) + Experience working in a Program Integrity ... Description Job Title: Medical Claims Auditor - RN Auditor ...desk and onsite audits of healthcare providers to ensure compliance with contractual standards and regulatory requirements. Responsibilities +… more
- Humana (Springfield, IL)
- …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… 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
- Molina Healthcare (NE)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) + Basic SQL experience To all current Molina employees: ... If you are interested in applying for this position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V \#PJCorp \#LI-AC1 Pay… more
- Molina Healthcare (Detroit, MI)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... in applying for this position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $49,930 - $97,363 / ANNUAL *Actual… 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 ... a key role in ensuring the financial health and compliance of the organization and bridges the gap between...**Licensing and Certification Requirements** : + Current NYS licensure ( RN , OT, PT, SLP, PA, Social Worker, Laboratory Technologist,… 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
- BayCare Health System (Tampa, FL)
- …position. _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... claims. + Acts as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits performed, action taken, outcome… 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 ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible for writing and defending appeal letters to payers with… 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 ... Position Summary: Performs complex level professional internal auditing work. Work involves compliance audit projects for Covenant Health entities as they relate to… more
- University of Washington (Seattle, WA)
- …intellectual excitement, artistic pursuits, and natural beauty. The senior healthcare auditor is responsible for the completion of internal audits within the ... ownership or membership interest. Senior auditors plan and conduct financial, operational, compliance and system audits. They are expected to have internal audit… more
- Humana (Corpus Christi, TX)
- …and quality committees. + Support continuous quality improvement initiatives to enhance compliance and patient safety. **Qualifications** + Active RN license ... community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare… more
