• Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... compliance with billing regulations and trends in denials of services due to medical necessity or appropriateness of ...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered more
    Childrens Hospital of The King's Daughters (07/24/25)
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  • Inpatient Auditor

    ManpowerGroup (St. Paul, MN)
    …team. As an Inpatient Auditor , you will be part of the Consulting Services Department supporting various clinical teams. The ideal candidate will have strong ... will align successfully within the organization. **Job Title:** Inpatient Auditor **Location:** Remote **Pay Range:** $58-62 per hour **Job...RHIA, RHIT with CCS certification and 8+ years of clinical coding experience, or Valid RN License… more
    ManpowerGroup (07/19/25)
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  • Inpatient Coding Auditor

    BayCare Health System (Tampa, FL)
    …and Licensures** + **Required:** RHIA/RHIT in conjunction with CCS + **Preferred:** RN , CDIP, CCDS, or clinical degree **Education** + **Required:** associate's ... Team Member who is passionate about providing outstanding customer service to our community. We are looking for an...PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses… more
    BayCare Health System (05/29/25)
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  • Charge Integrity Auditor

    Nuvance Health (Danbury, CT)
    …. a. Reviews individual charge procedures related to each case, identified correct service codes on supplies and/or services . b. Performs review for carve ... *Description* *Summary:* The Charge Integrity Auditor performs detailed chart to bill audits of...record. The audit process begins with registration, orders and clinical workflows. Ensures that the charge triggers work and… more
    Nuvance Health (07/18/25)
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  • Revenue Integrity - Nurse Auditor

    Trinity Health (Ann Arbor, MI)
    …travelling between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / ... Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related audits, and identifies opportunities… more
    Trinity Health (07/11/25)
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  • Compliance Auditor /Analyst - Compliance…

    ProMedica Health System (Toledo, OH)
    REPORTING RELATIONSHIPS Reports to the Director of Compliance Shared Services within the Compliance Department. POSITION SUMMARY Utilize compliance expertise to ... functions at all entities across the system as a service to the Board of Trustees and all levels...a minimum of four (4) years experience in relevant clinical healthcare, education/training, or regulatory compliance. Skills: Must have… more
    ProMedica Health System (07/24/25)
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  • RN -Medical/Surgical

    Access Dubuque (Dubuque, IA)
    …Days or Nights and Weekend Package Option + **Job ID:** 168422 **Overview** ** Registered Nurse - Medical/Surgical** **Full-time, Days (7a - 7p) or Nights ... Current licensure in good standing to practice as a Registered Nurse in Iowa + Must possess...Opening Grainwell Puffed Grains Structural Engineer (Civil) Sedona Staffing Services Internal Auditor Mound City Bank Server,… more
    Access Dubuque (07/19/25)
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  • Case Manager, RN or Licensed Behavioral…

    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; or LMSW;… more
    Excellus BlueCross BlueShield (06/27/25)
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  • Revenue Cycle Clinical Review Nurse

    UPMC (Pittsburgh, PA)
    …+ Proficient in Microsoft Word and Microsoft Excel. **Licensure, Certifications, and Clearances:** + Registered Nurse ( RN ) + Act 34 *Current licensure as a ... Review Nurse also serves as a clinical resource person for all Health Services ...validate auditor findings and identify previously unbilled services . + Serve as a clinical liaison… more
    UPMC (07/24/25)
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  • Case Manager - RN , LCSW, LMSW, LPC, LMFT…

    Molina Healthcare (Fort Worth, TX)
    …other departments within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with ... Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare,… more
    Molina Healthcare (06/19/25)
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