- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity...across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides… more
- AdventHealth (Tampa, FL)
- …be adaptable and flexible as required. Regional Travel up to 20% may be required. Registered Nurse ( RN ) Florida Required This facility is an equal ... each position may vary based on geographical location. **Category:** Quality / Clinical Effectiveness **Organization:** AdventHealth Tampa **Schedule:** Full-time… more
- AdventHealth (Tampa, FL)
- …that compare charges with physician orders, clinical documentation and reports. The Nurse Auditor will work closely with Financial Services and the Patient ... such as heart failure, cancer and other diseases. **The role you'll contribute:** The Nurse Auditor will ensure that the charges that are generated in the… more
- Elevance Health (Denver, CO)
- **Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... **Work Shift:** Monday - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is… more
- US Tech Solutions (Newark, NJ)
- …with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, ... + Support data services to identify trends and facilitate quality improvement initiatives. + Assist with clinical ...preferably in the healthcare industry. + **Active New Jersey Registered Nurse ( RN ) License required.**… more
- 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...multiple objectives in a rapidly changing environment and deliver quality outcomes. ? Ability to develop and maintain effective… more
- UPMC (Pittsburgh, PA)
- …departmental staff and outside vendors as necessary to address issues and concerns. + Registered Nurse ( RN ), or Bachelor of Science in Nursing (BSN). ... products (Excel, Access, and Word).Licensure, Certifications, and Clearances:CPC Designation preferred. + Registered Nurse ( RN ) *Current licensure either in… more
- Providence (OR)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for ... + Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical experience...RN License: Oregon and Washington + 1 year Quality management/ quality improvement/utilization review auditing experience, including… more
- Humana (Corpus Christi, TX)
- …as needed. Requires applicable State licensure in field of study: Registered Nurse ( RN ), Licensed Masters Clinical Social Worker (LCSW), Licensed Masters ... caring community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and...Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state,… more
- Centene Corporation (New York, NY)
- …Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small ... Skills:** + Inpatient Coding Experience + At least 1 year of clinical experience in a hospital setting + RN , PA, MD, APRN, DO or MBBS license required + Strong… more