- Molina Healthcare (Mesa, AZ)
- …to resolve/correct them.. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or ... be discussed during our interview process. This is a remote position. Work hours: Monday- Friday: 8:00am -5:00pm. Michigan...+ Required License, Certification, Association + Active, unrestricted State Registered Nurse ( RN ) License in… more
- Elevance Health (FL)
- **Diagnosis Related Group Clinical Validation Auditor -** ** Registered Nurse ** **Location:** This position will work a hybrid model ( remote and office). ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Elevance Health (Mason, OH)
- **Claims Auditor Lead ** _This position will work a hybrid model ( remote and office), 1-2 times per week. The Ideal candidate will live within 50 miles of one ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Claims Auditor Lead is responsible for leading the high dollar audit… more
- Elevance Health (Winston Salem, NC)
- **Provider Auditor Senior** _This position will work a hybrid model ( remote and office), 1-2 times per week. The Ideal candidate will live within 50 miles of one ... to recover, eliminate and prevent unnecessary medical-expense spending. The Provider Auditor Senior conducts on-site reviews of medical charts, medical notes,… more
- The Cigna Group (Bloomfield, CT)
- …Specialist (CCS) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required.** ** RN License preferred ... **The DRG Auditor performs an in-depth review of the medical record to evaluate the diagnostic and procedural information in the record and validates accurate coding… more
- Molina Healthcare (Hattiesburg, MS)
- …functions: Quality Interventions and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction ... in Health Quality (CPHQ) + Active, unrestricted Nursing License ( RN may be preferred for specific roles) + Active,...for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you… more