• RN Compliance Auditor

    Humana (Boise, ID)
    …of our caring community and help us put health first** The RN , Compliance Nurse 2, Quality Assurance Auditor reviews utilization management activities ... to prevent and detect fraud, waste, and abuse. The RN , Compliance Nurse 2, Quality Assurance Auditor ensures mandatory reporting is completed. Conducts… more
    Humana (11/16/24)
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  • Clinical Coding Appeals Nurse

    R1 RCM (Boise, ID)
    …and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + **Active AHIMA or AAPC Coding Certification** including ... AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to draft… more
    R1 RCM (11/06/24)
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