- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the ... financial health and compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the… more
- Elevance Health (Indianapolis, IN)
- **Title:** Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG and APR-DRG) **Virtual:** This role enables associates to work ... an accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor - RN ** is responsible for auditing inpatient medical… more
- Elevance Health (Grand Prairie, TX)
- …the Possibilities. Make an Extraordinary Impact.** **Title** : Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG and APR-DRG) ... reside within a commuting distance from an office.** The **DRG Coding Auditor ** is responsible for auditing inpatient medical records and generating high quality… more
- 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
- Insight Global (Plano, TX)
- …in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN RHIT or RHIA ... DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on… more
- Humana (Corpus Christi, TX)
- …caring community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and ... accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates with leadership to… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied...in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in… more
- Northwell Health (Garden City, NY)
- …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, ... Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. .… more
- 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. ... to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of...3. Four (4) years clinical experience in cardiovascular service environment is required. 4.… more