- Molina Healthcare (Dallas, TX)
- … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical /medical ... Association** Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager… more
- Blue KC (KS)
- …**Employee discount program** **Job Description Summary:** The Medical Policy Nurse Specialist researches, coordinates, analyzes, and provides clinical ... + Associate or Bachelor's degree in Nursing + Licensed RN in Missouri and/or Kansas + 3 years of... clinical experience + Experience reading and understanding clinical literature + Certified Coder with AHIMA… more
- Molina Healthcare (Warren, MI)
- …Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Molina Healthcare (Long Beach, CA)
- …Association** Registered Nursing license in good standing. Certified Clinical Coder , Certified Medical Audit Specialists (CMAS), Certified Case ... Education** Licensed Vocational Nurse / Licensed Practical Nurse . **Required Experience** Minimum three years clinical ...Nurse (LVN) license in good standing. **Preferred Education** Registered Nurse . Bachelor's Degree in Nursing or… more
- Molina Healthcare (Meridian, ID)
- …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement...and unrestricted in state of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist… more
- Carle Health (Peoria, IL)
- …coding based on the procedures performed/completed Validates correct charges/codes with clinical cardiac coder to ensure accuracy when questions/issues arise ... Life Support (ACLS) within 1 year - American Heart Association (AHA); Registered in Radiography (R) - American Registry of Radiologic Technologists (ARRT),… more
- Community Health Systems (Gadsden, AL)
- …maintaining compliance with regulatory standards and corporate policies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... or + Certified Clinical Documentation Specialist (CCDS) required + RHIT - Registered Health Information Technician preferred or + RHIA - Registered Health… more
- Elevance Health (Washington, DC)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN (CDI, MS-DRG, AP-DRG...are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical … more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …duties as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and...Nursing program required. + Minimum of 3 years of clinical experience as a Certified Professional Coder … more
- Hospice Of San Joaquin (Stockton, CA)
- …of everything we do. We are seeking a Dynamic, self-motivated Full - Time RN Team Lead who thrives in a fast-paced environment and supports our mission. POSITION ... PURPOSE/SUMMARY: Responsible for the management and delivery of clinical care to patients and families in the HSJ...laws. Directly supervises and schedules the assignments of the RN nursing staff. Under the direction of the Chief… more
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