- 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 ... also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience,...cancer and other diseases. **The role you'll contribute:** The Nurse Auditor will ensure that the charges… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical ... financial health and compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the… 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
- Molina Healthcare (Spokane, WA)
- The Clinical Services Auditor performs auditing of clinical staff in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health ... RN licensure required **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM),… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a full time position ... Friday daylight hours and will be fully remote.. The Clinical Auditor /Analyst is an integral part of...as necessary to address issues and concerns. + Registered Nurse (RN), or Bachelor of Science in Nursing (BSN).… more
- Elevance Health (Los Angeles, CA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... an accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records… 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
- AdventHealth (Tampa, FL)
- …Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine, ... This position conducts chart audits comparing charges with physician orders, clinical documentation, and reports while reviewing and correcting any charge errors… more