- Elevance Health (Atlanta, GA)
- **Diagnosis Related Group Clinical Validation Auditor -** ** Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… 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 HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS… more
- Dignity Health (Phoenix, AZ)
- …of this amazing opportunity! **Qualifications** **Minimum** + Associates Degree. + Completion of RN Program. + (3-5) Three to five years-clinical RN experience. ... Two years Utilization Review Charge Audit Case Management or related experience. + RN + Knowledge of hospital billing and charging processes and understanding of… more
- Mohawk Valley Health System (Utica, NY)
- … experience Licensure/Certification Requirements REQUIRED: + Certification as an Internal Auditor . PREFERRED: + Registered Nurse Disclaimer Qualified ... Internal Auditor - Full Time - Days Department: PERFORMANCE EXCELLENCE OFFICE Job Summary Become an Internal Auditor at MVHS and play a vital role in improving… more
- Omaha Children's Hospital (Omaha, NE)
- …and multiple systems to retrieve data needed for audit. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... or discrepancies to accurately support billing and payment. In addition, the Nurse Auditor will complete requests for account audits by third party agencies. The… 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 ... as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State… more
- Ascension Health (Austin, TX)
- …Improvement Specialists obtained prior to hire date or job transfer date required. + Registered Nurse credentialed from the Texas Board of Nursing obtained prior ... **Additional Preferences** + Prior clinical documentation program experience + 5 years RN or 3-5 coding quality audit experience strongly preferred + ICU and/or… more
- Ascension Health (Wichita, KS)
- …Specialists obtained prior to hire date or job transfer date required. + Licensed Registered Nurse credentialed from the Kansas Board of Nursing obtained prior ... to hire date or job transfer date required. Education: + Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire. **Additional Preferences** BSN CCDS certified or will be certified upon start date AHIMA… more
- UPMC (Pittsburgh, PA)
- …Maintain or exceed designated quality and production goals. Maintain employee/insured confidentiality. + Registered Nurse ( RN ). + Bachelor of Science in ... UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role...CCA, CCS, CCS-P, CRC) or AHFI designation required. + Registered Nurse ( RN ) + Act… 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
- Molina Healthcare (San Francisco, CA)
- …TIME ZONE business hours.** **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management ... **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program **Required… more
- Centene Corporation (Tallahassee, FL)
- …Worker (LMSW), Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), Registered Nurse ( RN ), or Licensed Psychologist (Ph.D. or ... Psy.D.) Pay Range: $54,000.00 - $97,100.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work… more
- R1 RCM (Boise, ID)
- …to ensure internal and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + An active CCS, RHIA, RHIT, CCA, CPC-A, ... AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to draft… more
- CVS Health (Columbus, OH)
- …and external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding ... Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder… more
- City of Long Beach (Long Beach, CA)
- …+ Provides supervision to Nurse Practitioner(s) and or Advanced Practice Registered Nurse (s) ; + Orders, obtains, and interprets laboratory testing and ... city-wide elected Mayor. Other elected officials include the City Attorney, City Auditor , and City Prosecutor. The elected officials are elected to staggered… more
- Houston Methodist (Houston, TX)
- …in nursing or other healthcare related field; may consider HM employee with Registered Nurse license and four additional years of directly related experience ... accreditation or health care certifications **OR** + CQA - Certified Quality Auditor (ASQ) -- Related quality, accreditation or health care certifications **OR** +… more
- AdventHealth (Orlando, FL)
- …University Research Administrators (NCURA), Research Administrator's Certification Council (RACC) + Registered Nurse _2/28/22_ This facility is an equal ... in a related role, such as a clinical research coordinator, monitor, auditor , clinical data analyst, or research budget development + Experience developing metrics… more