- Elevance Health (Dearborn, MI)
- ** RN Hospital Bill Audit /Appeal Lead** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** RN Hospital Audit /Appeal Lead** is...preferred. + Certification as a Professional Coder preferred. + Hospital Bill Audit Experience preferred.… more
- Rising Medical Solutions (Chicago, IL)
- Have you ever looked a medical bill and immediately noticed something was wrong? Were you itching to use your expertise to fix it? We've been there, too. In fact, ... to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in...medical records and medical billing statements, and will: + Audit medical and billing records to determine if services… more
- Houston Methodist (Cypress, TX)
- …in a surgical or hospital setting **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State ... auditors, Patient Accounting, Risk Management, Revenue Cycle, and other hospital entities needing completion of audit for...Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- Tenet Healthcare (Detroit, MI)
- …laws, regulations JCAHO requirements, and DMC policies and procedures. Qualifications : 1. Registered nurse licensure to practice in the state of Michigan. 2. ... specialists have the scope of practice of a Registered Nurse . 2. According to Michigan law,...within 24 hours. Example: vo Dr. Alex Jones/Mary Smith RN 3. Clinical nurse specialists may perform… more
- Robert Half Accountemps (Alhambra, CA)
- …Excel. Relevant certification such as Licensed Vocational Nurse - LVN (CA DCA), Registered Nurse - RN (CA DCA), Certified Coding Specialist - CCS ... for the hospital . Correct charges and coordinate re-bills based on agreed audit results. Validate and handle bill holds related to charge reviews held… more
- Medical Mutual of Ohio (OH)
- …option to work remotely; Ohio residents preferred. Seeking applicants with RN experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** ... combinations, inherent charges, provider supporting documentation, etc.** + **Documents audit results including denial reasons, erroneous activities, etc. and… more