- Actalent (West Des Moines, IA)
- Nurse Auditor Job Description This role requires a...a hybrid schedule of 3 days in-office and 2 days remote . The work hours are Monday to Friday, 8 AM ... of standard medical coding, including CPT, ICD-10, and HCPCS. The Nurse Auditor is responsible for adjudicating claims to comply with client contracts… more
- Virtua Health (Mount Laurel, NJ)
- …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... the Children's Hospital of Philadelphia for pediatrics. Location: 100% Remote Currently Virtua welcomes candidates for 100% remote... Remote Currently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical Revenue ... throughout the organization. **License** ? Current NYS licensure (Registered Nurse (RN), Occupational Therapist (OT), Physical Therapist (PT), Speech-Language… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote . This person should have an extensive background in ... and coding terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding/clinical documentation certification (2 years… more
- UNC Health Care (Chapel Hill, NC)
- …the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as ... certification - AAPC (American Academy of Professional Coders) certification - RN (Registered Nurse ) license - LPN (Licensed Practical Nurse ) license - Advance… more
- Centene Corporation (Jefferson City, MO)
- …other duties as assigned + Complies with all policies and standards POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN MISSOURI **Ideal candidate will be a Licensed ... Practical Nurse (LPN)** **Education/Experience:** Bachelor's degree in related field or...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- AdventHealth (Orlando, FL)
- …we are even better. **Schedule:** Full Time **Shift** : Days **Location: Remote ** **The role you'll contribute:** The Clinical Documentation Integrity Manager is a ... Registered Nurse and/or a Registered Health Information Administrator with a...and Certifications Current active State license as a Registered Nurse , Nurse Practitioner, Physicians Assistant, Medical Physician,… more
- Trinity Health (Livonia, MI)
- …Maintains productivity standards Maintains compliance with regulatory requirements Assist Nurse Auditor and/or Coordinator with denial coordination process; ... RHIA, RHIT, CCS, CPC/COC or other coding credentials and/or Licensed Vocational Nurse / Licensed Practical Nurse licensure is required. CHC (Healthcare Compliance… more
- SSM Health (MO)
- **It's more than a career, it's a calling.** MO- REMOTE **Worker Type:** Regular **Job Summary:** Performs as a vital member of the interdisciplinary care team ... member, an auditor , and an educator ensuring medical records are complete...- Regional MSO Credentialing + Or + Registered Professional Nurse (RN) - Illinois Department of Financial and Professional… more
- Medical Mutual of Ohio (OH)
- …by members, and members' health outcomes.** **Note: This is a fully remote opportunity. Eastern Time Zones preferred.** **Responsibilities** **HEDIS Analyst II** + ... To include data documentation, compilation, reconciliation, and research.Works directly external HEDIS/NCQA auditor to resolve any items on Issue Log. + Reviews data… more