• Clinical Documentation Auditor

    AdventHealth (Orlando, FL)
    …role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered Health Information Administrator with a high level ... Additional Licenses and Certifications Current active State license as a Registered Nurse , Nurse Practitioner, Physicians Assistant, Medical Physician, or an… more
    AdventHealth (11/14/25)
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  • Healthcare Services Auditor (RN) (New York)

    Molina Healthcare (Bronx, NY)
    …managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice. ... * Strong attention to detail and organizational skills. * Strong analytical and problem-solving skills. * Ability to work in a cross-functional, professional environment. * Ability to work on a team and independently. * Excellent verbal and written… more
    Molina Healthcare (11/21/25)
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  • Clinical Auditor - Cardiac Catheterization…

    Henry Ford Health System (Detroit, MI)
    …(CI) or Vascular Interventional (VI) or license to practice as a registered nurse in the state of Michigan. * BLS/ACLS. Additional Information + Organization: Henry ... Ford Hospital - Detroit Main Campus + Department: Cardiac Catherization + Shift: Day Job + Union Code: Not Applicable Additional Details This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a… more
    Henry Ford Health System (10/18/25)
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  • Case Manager, Maternity (Registered Nurse )

    Excellus BlueCross BlueShield (Rochester, NY)
    …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects of the Case Management department… more
    Excellus BlueCross BlueShield (11/26/25)
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  • Operations Associate Cardiac Monitor Tech, Part…

    Baystate Health (Springfield, MA)
    …incentive payments that may be applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the charge nurse . ... required telemetry training course.** **Summary** : Reports to the Nurse Manager, but daily activities are coordinated by the...C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples, and Kronos access if… more
    Baystate Health (10/07/25)
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  • Operations Associate Cardiac Monitor Tech, Part…

    Baystate Health (Springfield, MA)
    …payments that may be applicable to this role.** **Summary** : Reports to the Nurse Manager, but daily activities are coordinated by the charge nurse . ... ADTs. Checks BMD enters new data and advises Charge Nurse of changes. Checks CIS for discharge orders and...C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples, and Kronos access if… more
    Baystate Health (10/29/25)
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  • Operations Associate, Full Time, Days

    Baystate Health (Springfield, MA)
    …incentive payments that may be applicable to this role.** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the charge nurse . ... ADTs. Checks BMD enters new data and advises Charge Nurse of changes. Checks CIS for discharge orders, follows...C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples and Kronos access if… more
    Baystate Health (11/22/25)
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  • Clinical Documentation Specialist, Second Reviewer

    SSM Health (MO)
    …Performs as a vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete and clinical documentation ... + Or + Physician - Regional MSO Credentialing + Or + Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) + Or +… more
    SSM Health (11/21/25)
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  • Lead Quality Specialist

    GE Vernova (Wilmington, NC)
    …Ability and willingness to complete qualification and certification as a Lead Auditor . + Availability and willingness for periodic travel to business, customer, and ... supplier locations; ~20%. **Desired Characteristics** + Lead Auditor Certification. + RCA (Root Cause Analysis) or NCA...access to Health Coach from GE Vernova, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
    GE Vernova (11/23/25)
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  • Senior Revenue Integrity Specialist - Clinical Rev…

    University of Southern California (Alhambra, CA)
    …closely with revenue auditors and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center of USC in the ... the following software: Cerner and Craneware + Pref Registered Nurse - RN (CA Board of Registered Nursing) +...(CCS or CPC), Certified Outpatient Coder-COC (AAPC) or Certified Auditor (CPMA) obtained within one (1) year of date… more
    University of Southern California (11/19/25)
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