- Chesapeake Regional Healthcare (Chesapeake, VA)
- Job Summary With direction from the Director, the Nurse Auditor /Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient ... billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity Specialist works directly...to communicate effectively verbally and in written format to clinical and non- clinical staff and individuals .… more
- Elara Caring (Dallas, TX)
- …Care, at the Right Time, in the Right Place. **Job Description:** The Clinical Quality Auditor performs comprehensive audits within the skilled home health, ... have countless ways to make a difference as a Clinical Quality Auditor , by keeping a team...required + 3 years of experience as a Registered Nurse in home health and/or hospice + Current state… more
- 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 ... focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer...CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid… more
- Surgery Care Affiliates (Birmingham, AL)
- …Responsibilities Job Summary: As a member of the Regulatory Compliance Team, the Senior Clinical Auditor will conduct compliance focused clinical audits to ... support SCA Health' s compliance program . The Senior Clinical Auditor will work with all Support...+ 4-5 years of experience as a licensed Registered Nurse or equivalent clinical background preferred. +… more
- Trinity Health (Germantown, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** Periop Nurse Auditor - Quality Safety Risk **Employment Type:** Full time / ... and Prince George's counties. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for… more
- Elevance Health (Chicago, IL)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... essential face-to-face onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient… more
- Trinity Health (Ann Arbor, MI)
- …Patient Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related audits, and identifies ... root causes, which includes performing thorough chart reviews, providing education to clinical colleagues, and tracking of identified trends. Leverages clinical … more
- UNC Health Care (Chapel Hill, NC)
- …from entity to entity across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during ... we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or… more
- Northwell Health (Westbury, NY)
- …a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to ensure the ... + Instructs professional staff in code changes, as needed. + Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical… more
- Northwell Health (Westbury, NY)
- …HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Job Responsibility 1.Leverages clinical expertise to identify and ... and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.… more