• Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN (CDI, MS-DRG, AP-DRG...are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical more
    Elevance Health (09/23/25)
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  • Clinical Government Audit Analyst & Appeal…

    Stanford Health Care (Palo Alto, CA)
    …Days or + CCDS - Cert Clinical Document Spec required within 180 Days + RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . ... is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays...Specialist required within 180 Days or + Certified Outpatient Coder - COC required within 180 Days or +… more
    Stanford Health Care (10/10/25)
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  • Medical Records Tech ( Clinical

    Veterans Affairs, Veterans Health Administration (Tampa, FL)
    …AHIMA or AAPC and two years of experience in clinical documentation improvement; OR, Clinical experience such as RN , MD, or DO, and one year of experience in ... - Physician-based (CCS-P), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder more
    Veterans Affairs, Veterans Health Administration (10/10/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    …duties as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and...Nursing program required. + Minimum of 3 years of clinical experience as a Certified Professional Coder more
    Childrens Hospital of The King's Daughters (07/24/25)
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  • RN /LPN-Utilization Manager

    Northeast Alabama Regional Medical Center (Anniston, AL)
    …review of medical records and processes of care. Prefer Alabama License as a LPN, or Registered Nurse , or have experience in a related field such as QA, CM or ... manages the care of patients to facilitate achievement of positive clinical and financial outcomes. Works collaboratively with interdisciplinary providers internal… more
    Northeast Alabama Regional Medical Center (10/14/25)
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  • RN Team Lead

    Hospice Of San Joaquin (Stockton, CA)
    …of everything we do. We are seeking a Dynamic, self-motivated Full - Time RN Team Lead who thrives in a fast-paced environment and supports our mission. POSITION ... PURPOSE/SUMMARY: Responsible for the management and delivery of clinical care to patients and families in the HSJ...laws. Directly supervises and schedules the assignments of the RN nursing staff. Under the direction of the Chief… more
    Hospice Of San Joaquin (08/29/25)
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  • RN Coding Liaison

    AdventHealth (Orlando, FL)
    …accepts responsibility for maintaining relationships that are equally respectful to all. The RN Coding Liaison reports to the HIM Coding Director to assist in ... and quality of the data reported is supported by provider clinical documentation to accurately reflect reimbursement and quality reporting. Maintains knowledge… more
    AdventHealth (08/07/25)
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  • Clinical Reviewer

    Independent Health (Buffalo, NY)
    …regulatory standards, clinical criteria, and member benefit contract. **Qualifications** + Registered Nurse ( RN ) with active, current, unrestricted NYS ... and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical Reviewer will be responsible for the collection and review of medical… more
    Independent Health (10/07/25)
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  • Clinical Denials and Appeals-…

    Catholic Health (Buffalo, NY)
    …finance, business management, operational analysis, information systems or related field + Registered Nurse with a four (4) year degree and Unrestricted ... role of management and oversight of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is...NYS RN license, preferred + Holds, or will obtain within… more
    Catholic Health (10/01/25)
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  • Clinical Revenue Auditor-CDM Patient…

    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 Revenue… more
    Mount Sinai Health System (09/24/25)
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