- UPMC (Pittsburgh, PA)
- …Registered Health Information Technician (RHIT) + OR Licensed Professional Nurse (LPN) + Registered Nurse ( RN ) Required: + Act 34 **UPMC is an Equal ... Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing ? Do...Registered Health Information Administrator (RHIA) + … more
- UPMC (Pittsburgh, PA)
- …Registered Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) or + Registered Nurse ( RN ) + Act 34 **UPMC is an Equal Opportunity ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented...+ 1 year of experience in medical coding, auditing, billing and compliance . + Knowledge of CMS… more
- Guthrie (Sayre, PA)
- Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures and accepted guidelines ... requirements. + Minimum 1-year experience in Physician coding and billing and/or compliance field required 5 year...(RHIA, RHIT, or CCS) or AAPC (CPC) required + RN /LPN or CPMA preferred + Required to sit for… more
- Actalent (West Des Moines, IA)
- Job Title: Nurse Auditor Job Description We are...+ Research unclear and unusual claims. Essential Skills + Registered Nurse ( RN ) license required. ... seeking a highly skilled Nurse Auditor who can understand the intricacies...successful candidate will be responsible for adjudicating claims, maintaining compliance with client contracts, and ensuring accuracy in payment… 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 ... + Serves as a resource to hospital departments regarding compliance with billing regulations and trends in...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- Actalent (West Des Moines, IA)
- Nurse Auditor Job Description This role...procedures. + Research unclear and unusual claims. Skills + Registered Nurse ( RN ) license required. ... thorough understanding of standard medical coding, including CPT, ICD-10, and HCPCS. The Nurse Auditor is responsible for adjudicating claims to comply with… more
- Ochsner Health (New Orleans, LA)
- … billing regulations and medical necessity guidelines (which includes compliance with applicable laws and regulations), business risk, effective risk management ... This job assists with maintaining an effective auditing and compliance program. Independently completes assignments, manages projects, performs research, audits,… more
- SSM Health (MO)
- …**Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a ... are found to be unsubstantiated through review of the medical record and/or billing information. Tracks assigned cases and enters data of audit related information… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …of service rendered to patients. * Conducts complex reviews of physician/provider billing compliance activities in accordance with applicable laws, regulations, ... policies. * Performs prospective and retrospective audits of documentation to confirm compliance with documentation and billing rules and government regulations.… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... claims data sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations, and make recommendations… more