• Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    **Diagnosis Related Group Clinical Validation Auditor - RN ** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... an accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor - RN ** is responsible for auditing inpatient medical… more
    Elevance Health (08/01/25)
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  • Clinical Coding Auditor & Trainer

    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
    Centene Corporation (06/28/25)
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  • Clinical Documentation Specialist…

    UNC Health Care (Chapel Hill, NC)
    …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education… more
    UNC Health Care (07/29/25)
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  • Compliance Auditor ( clinical )

    Centene Corporation (Salem, OR)
    …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... reports to subsidiaries as required for audits and risk assessments + Utilize clinical knowledge to determine audit findings and in answering counterclaims + Train… more
    Centene Corporation (08/08/25)
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  • Trainer- Auditor ( Clinical )

    Centene Corporation (Tallahassee, FL)
    …+ Conduct training needs analyses to determine specific training needs for clinical staff + Identify, select, or develop appropriate training programs, including the ... Procedure and/or work process development + Conduct auditing of work performed by clinical staff and present findings and recommendation for areas of improvement to… more
    Centene Corporation (07/18/25)
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  • Clinical Trials Application Specialist II

    AdventHealth (Orlando, FL)
    …University Research Administrators (NCURA), Research Administrator's Certification Council (RACC) + Registered Nurse _2/28/22_ This facility is an equal ... clinical research in a related role, such as a clinical research coordinator, monitor, auditor , clinical data analyst, or research budget development +… more
    AdventHealth (08/07/25)
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  • ( RN ) HCS-D, COS-C - Registered

    Northwell Health (Westbury, NY)
    …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... **Req Number** 128397 Job Description Seeking RN - BSN or MSN candidates with a...- Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to… more
    Northwell Health (06/02/25)
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  • ( RN ) Registered Nurse

    Northwell Health (Garden City, NY)
    …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... **Req Number** 162995 Job Description Seeking RN - BSN or MSN candidates with a...- Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Validates Acute Inpatient coded charts to ensure the… more
    Northwell Health (07/11/25)
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  • RN Clinical Review Appeals…

    St. Luke's University Health Network (Allentown, PA)
    …serve, regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, ... Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. .… more
    St. Luke's University Health Network (07/08/25)
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  • RN PRN Surgery Chart Auditor

    Community Health Systems (Huntsville, AL)
    **Job Summary** The Registered Nurse ( RN ) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and ... for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN ...control, and quality improvement initiatives. **Licenses and Certifications** + RN - Registered Nurse -… more
    Community Health Systems (07/02/25)
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