- Actalent (West Des Moines, IA)
- Job Title: Nurse Auditor Job Description We are seeking a highly skilled Nurse Auditor who can understand the intricacies of standard medical coding, ... claim types and identifying claims requiring further review. The Nurse Auditor will also maintain productivity goals,...or AHIMA. + Experience in health plan operations and insurance claims. Work Environment Our work environment offers a… more
- Trinity Health (Ann Arbor, MI)
- …between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / Licensed Practical ... and utilization management. Outpatient CDI experience preferred. Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare,… more
- Ascension Health (Wichita, KS)
- …St, Wichita, Kansas 67214 **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans ... the offer._ **Responsibilities** Coordinate payer denials and appeals, respond to insurance company requests for medical records, and perform medical record reviews.… more
- Robert Half Accountemps (Boston, MA)
- Description We are looking for a highly skilled RN Auditor to join our team in Boston, Massachusetts. This RN Auditor position offers a long-term contract ... and compliance within the healthcare sector. The ideal RN Auditor candidate will play a critical role in ensuring...within the healthcare industry. * Must be a Registered Nurse (RN) in the state of Massachusetts. * Proficiency… more
- Elevance Health (Mason, OH)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Virtua Health (Mount Laurel, NJ)
- …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... colleagues, including, but not limited to: medical/prescription, dental and vision insurance ; health and dependent care flexible spending accounts; 403(b) (401(k)… more
- Baystate Health (Springfield, MA)
- …OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical, dental and vision insurance + Generous PTO - up to 25 days in the first year, ... and financial health + Pet, home, auto and personal insurance + Life insurance + Reimbursement for...be applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the… more
- Baystate Health (Palmer, MA)
- …OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical, dental and vision insurance + Generous PTO - up to 25 days in the first year, ... and financial health + Pet, home, auto and personal insurance + Life insurance + Reimbursement for...be applicable to this role.** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the… more
- St. Luke's University Health Network (Allentown, PA)
- …APR-DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors JOB DUTIES AND RESPONSIBILITIES: + Conduct ... coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with supporting… more
- Medical Mutual of Ohio (OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... To include data documentation, compilation, reconciliation, and research.Works directly external HEDIS/NCQA auditor to resolve any items on Issue Log. + Reviews data… more