- UnitedHealth Group (Minneapolis, MN)
- …Caring. Connecting. Growing together . In this position as a DRG CVA RN Auditor , you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement ... Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings… more
- Optum (San Juan, PR)
- …for other roles you may be interested in. Required Qualifications: Registered Nurse (RN), Coding Certificate or Nursing Licensure, for example: Puerto Rico ... Registered Nurse Certified Professional Coder (CPC) + CPC A Certified...+ CPC A Certified Inpatient Coder (CIC) Certified Outpatient Auditor (COC) Certified Professional Medical Auditor (CPMA)… 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, with ... physical, and financial health Pet, home, auto and personal insurance Life insurance Reimbursement for a variety...be applicable to this role. Summary: Reports to the Nurse Manager but daily activities are coordinated by the… 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
- Elara Caring (Chicago, IL)
- …the Right Place. **Job Description:** **REMOTE POSITION** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice, ... coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting...at no cost + Opportunities for advancement + Comprehensive insurance plans for medical, dental, and vision benefits +… 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 ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… 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 (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
- 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
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
