• Diagnosis Related Group Clinical Validation…

    Elevance Health (Costa Mesa, CA)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Title:** Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG and APR-DRG)...One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health… more
    Elevance Health (12/09/25)
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  • Cardiovascular Services RN Auditor

    Trinity Health (Fresno, CA)
    …or combination of equivalent experience and education is required. 2. Current licensure as a Registered Nurse ( RN ) with the state of California is required. ... Reporting to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of Electronic Medical Records (EMR) documentation… more
    Trinity Health (12/08/25)
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  • Nurse Auditor 2

    Humana (Sacramento, CA)
    …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record… more
    Humana (12/11/25)
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  • Revenue Integrity Charge Auditor (Remote)

    Stanford Health Care (Palo Alto, CA)
    …billing practices. + Proficient EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact ... Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require...and + CPC required . or + RHIT - Registered Health Information Technician required . or + RHIA… more
    Stanford Health Care (12/10/25)
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  • Nursing Services Officer

    City of Long Beach (Long Beach, CA)
    …the position, candidates must possess a valid California license to practice as a Registered Nurse . Proof a valid certificate as a California license to practice ... at-large. Elected officials also include the City Attorney, City Auditor , and City Prosecutor. The Council Members and the...as a Registered Nurse is required at the time...as a Registered Nurse is required at the time of filing and… more
    City of Long Beach (12/05/25)
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  • Senior Revenue Integrity Specialist - Clinical Rev…

    University of Southern California (Alhambra, CA)
    …principles. + Pref Skills and knowledge on the following software: Cerner and Craneware + Pref Registered Nurse - RN (CA Board of Registered Nursing) + ... and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center...(CCS or CPC), Certified Outpatient Coder-COC (AAPC) or Certified Auditor (CPMA) obtained within one (1) year of date… more
    University of Southern California (11/19/25)
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  • Director, Compliance on Special Investigations…

    LA Care Health Plan (Los Angeles, CA)
    …Certified Fraud Examiner (CFE) Certified HealthCare Compliance (CHC) Certified Internal Auditor (CIA) Certified Coder, RN , MD, PharmaD, or equivalent ... Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. LA Care offers a wide range… more
    LA Care Health Plan (11/06/25)
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