• Risk Adjustment Clinical Auditor

    UPMC (Pittsburgh, PA)
    …departmental staff and outside vendors as necessary to address issues and concerns. + Registered Nurse ( RN ), or Bachelor of Science in Nursing (BSN). ... products (Excel, Access, and Word).Licensure, Certifications, and Clearances:CPC Designation preferred. + Registered Nurse ( RN ) *Current licensure either in… more
    UPMC (09/30/25)
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  • Clinical Revenue Auditor -CDM…

    Mount Sinai Health System (New York, NY)
    …at all levels throughout the organization. **License** ? Current NYS licensure ( Registered Nurse ( RN ), Occupational Therapist (OT), Physical Therapist ... **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical more
    Mount Sinai Health System (09/24/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    **Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... **Work Shift:** Monday - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is… more
    Elevance Health (09/23/25)
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  • Clinical Nurse Auditor

    Providence (OR)
    …retain the best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for ... + This posting is for multiple openings of a Nurse Auditor , HEDIS + This position is...+ Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical experience… more
    Providence (10/15/25)
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  • Clinical Coding Auditor & Trainer

    Centene Corporation (New York, NY)
    …Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small ... Skills:** + Inpatient Coding Experience + At least 1 year of clinical experience in a hospital setting + RN , PA, MD, APRN, DO or MBBS license required + Strong… more
    Centene Corporation (09/27/25)
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  • RN Auditor , Clinical

    Molina Healthcare (Spokane, WA)
    …WA RN licensure required **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization ... The Clinical Services Auditor performs auditing of...them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and… more
    Molina Healthcare (10/09/25)
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  • Clinical Documentation Specialist…

    UNC Health Care (Chapel Hill, NC)
    …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education… more
    UNC Health Care (07/29/25)
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  • Registered Nurse Auditor Cath…

    AdventHealth (Tampa, FL)
    …that compare charges with physician orders, clinical documentation and reports. The Nurse Auditor will work closely with Financial Services and the Patient ... also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience,...cancer and other diseases. **The role you'll contribute:** The Nurse Auditor will ensure that the charges… more
    AdventHealth (10/04/25)
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  • RN Registered Nurse

    AdventHealth (Tampa, FL)
    …be adaptable and flexible as required. Regional Travel up to 20% may be required. Registered Nurse ( RN ) Florida Required This facility is an equal ... Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine,… more
    AdventHealth (09/03/25)
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  • ( RN ) Registered Nurse

    Northwell Health (Westbury, NY)
    …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... the assignment can be substantiated by the documentation in the Medical Record. Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding… more
    Northwell Health (10/03/25)
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