- Northwell Health (Port Jefferson, NY)
- …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.… more
- Northwell Health (Garden City, 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 ... RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group… more
- 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
- 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 ... reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- UPMC (Pittsburgh, PA)
- …or exceed designated quality and production goals. Maintain employee/insured confidentiality. + Registered Nurse (RN). + Bachelor of Science in Nursing (BSN) ... 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 31 Child… more
- HCA Healthcare (Nashville, TN)
- …goals. Unlock your potential! **Job Summary and Qualifications** The Revenue Integrity Registered Nurse Auditor evaluates medical record documentation for ... colleagues invested over 156,000 hours volunteering in our communities. As a Revenue Integrity Auditor RN with Parallon you can be a part of an organization that is… more
- UPMC (Pittsburgh, PA)
- …Administrator (RHIA) + Registered Health Information Technician (RHIT) + ORLicensed Professional Nurse (LPN) + Registered Nurse (RN) + Act 34 **UPMC ... **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
- R1 RCM (Chicago, IL)
- …external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + **Active AHIMA or AAPC Coding Certification** including CCS, ... AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help...a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically… 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 ... **Details** + **Department: Coding Documentation** + **Schedule: M-F /8am-4:30pm** + **Hospital:...relationships with physicians, other health team members and the coding team in order to communicate the benefits of… more
- Intermountain Health (Murray, UT)
- …Clinical Social Worker with a license to practice in the State of Utah + or + Registered Nurse with a current license to practice in the State of Utah. + ... level. + Collaborates with Health Services management, Health Services Trainer/ Nurse Educator, Compliance Consultants, and delegated entities to identify the… 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 ... successes. + Establish relationships with physicians, other health team members and the coding team in order to communicate the benefits of complete and accurate… more
- Ascension Health (Glendale, WI)
- …and identify savings potential. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Wisconsin Board of Nursing ... medical records to determine accuracy of billing through verification of coding , billing and supporting clinical documentation. + Coordinate all activities… more
- Molina Healthcare (MI)
- **_JOB TITLE: Sr. Specialist, Quality Improvement RN ( REGISTERED NURSE )_** **_For this position we prefer someone with 5 - 7 years hospital clinical experience ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
- Molina Healthcare (Ypsilanti, MI)
- **JOB DESCRIPTION** _For this position we are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of MI_ ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more