- Elevance Health (Las Vegas, NV)
- …Nurse license. + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of ... DRG Clinical (RN) Validation Auditor **Virtual** :...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- Humana (Carson City, NV)
- …entry regarding claim/encounter information + Support and participate in process and quality improvement initiatives **What Humana Offers** We are fortunate to ... our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct… more
- Elevance Health (Las Vegas, NV)
- …as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops high quality , high value concept and or process improvement and efficiency ... (DRG) Coding/ Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment… more
- Molina Healthcare (NV)
- … Quality Program Management and Performance implements new and existing healthcare quality improvement activities to maintain compliance with quality ... + Oversees quality program management activities, which include preparation for quality improvement audits, surveys, and other federal and state-required … more
- Datavant (Carson City, NV)
- …in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, interim coding ... you to help shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART software… more
- Molina Healthcare (NV)
- …Specialist, Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of ... maintain critical program milestones, deadlines, and/or deliverables + Participates in quality improvement activities, meetings, and discussions with and between… more