• Rev Integrity Auditor Sr

    Covenant Health Inc. (Knoxville, TN)
    …study or current clinical license/registration in the State of Tennessee as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR ... Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period,...and billing compliance. + Advises, educates and acts as clinical /billing liaison between CFOs, department managers, providers, and billing… more
    Covenant Health Inc. (11/14/25)
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  • Senior Healthcare Auditor

    University of Washington (Seattle, WA)
    …intellectual excitement, artistic pursuits, and natural beauty. The senior healthcare auditor is responsible for the completion of internal audits within the ... clinical integrated parts of the University of Washington/UW Medicine...and conclusions drawn so other reviewers can follow the auditor 's logic and methodology. . Effectively evaluates audit results,… more
    University of Washington (10/31/25)
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  • Medical Management Auditor

    Centene Corporation (Jefferson City, MO)
    … Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), Licensed Professional Counselor (LPC), Registered Nurse ( RN ), or Licensed Practical Nurse ... the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes + Develop and maintain the audit process and… more
    Centene Corporation (12/05/25)
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  • Compliance Coding Auditor - Integrity…

    Guthrie (Sayre, PA)
    Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures ... and billing and/or compliance field required 5 year of clinical experience and/or knowledge and understanding of Medical Records...(RHIA, RHIT, or CCS) or AAPC (CPC) required + RN /LPN or CPMA preferred + Required to sit for… more
    Guthrie (09/13/25)
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  • Health Plans Licensed Practical Nurse LPN…

    Banner Health (AZ)
    …employment settings by including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will be an integral part ... . This assignment-based role focuses on independent chart review and clinical assessment. **Key Responsibilities** : + Independently review patient medical charts… more
    Banner Health (11/27/25)
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  • Clinical Documentation Specialist, Second…

    SSM Health (MO)
    …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
    SSM Health (11/21/25)
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  • Medical Investigator I/II ( RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …and represents non- clinical staff in discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new ... + Current NYS RN license with a minimum of three years clinical experience; medical/surgical background preferred. + Current CPC designation or must obtain CPC… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Case Manager, RN (Medicare - Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... All Levels + Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist licensure required. + Minimum… more
    Excellus BlueCross BlueShield (12/08/25)
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  • Senior Revenue Integrity Specialist…

    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) + ... As the center of clinical charge capture, the Revenue Integrity (RI) Specialist...and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center… more
    University of Southern California (11/19/25)
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  • Operations Associate Cardiac Monitor Tech, Part…

    Baystate Health (Springfield, MA)
    …**10)** Observes cardiac monitors. Identifies and reports irregular rhythms to a registered nurse for interpretation and intervention. Records and processes EKG ... communication with NEOPO and related paperwork in conjunction with RN . Screen calls for the clinical team...clinical team inquiry. In coordination with the charge nurse , prepare staffing assignments for the next shift. Place… more
    Baystate Health (10/07/25)
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