• Clinical Nurse Auditor , HEDIS…

    Providence (WA)
    …benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance, disability ... for conducting clinical quality audits for the Quality Department. The auditor identifies and coordinates clinical audits to determine potential areas for… more
    Providence (11/18/25)
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  • Health Plans Licensed Practical…

    Banner Health (AZ)
    …to employment settings by including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will be an ... integral part of the ** Health Plan Medical Management Team** . This assignment-based role focuses on independent chart review and clinical assessment. **Key… more
    Banner Health (11/27/25)
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  • Revenue Integrity Nurse Auditor

    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 ... reimbursement to the health system from third party payers. Reports to the...regulations and trends in denials of services due to medical necessity or appropriateness of services. + Conducts compliance,… more
    Childrens Hospital of The King's Daughters (10/23/25)
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  • (RN) HCS-D, COS-C - Registered Nurse Coding…

    Northwell Health (Westbury, NY)
    …Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group (HHRG) Validation to ensure the diagnostic ... to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility + Audits and reviews Medicare/non-Medicare charts to ensure… more
    Northwell Health (11/02/25)
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  • (RN) Registered Nurse Coding Auditor

    Northwell Health (Garden City, NY)
    …leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding ... and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.… more
    Northwell Health (11/21/25)
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  • Compliance Auditor , Intermediate (Cemc,…

    UPMC (Pittsburgh, PA)
    …Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified ... Medical Coder (CMC) + OR Registered Health ...Health Information Technician (RHIT) + OR Licensed Professional Nurse (LPN) + Registered Nurse (RN) Required:… more
    UPMC (10/10/25)
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  • Coding Quality Auditor , HEDIS *Remote…

    Providence (Lubbock, TX)
    …we know that to inspire and retain the best people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be ... + Utah **Required Qualification:** + Technical certification/licensure in the area of Medical Assistant, Certified Nurse Assistant, or Licensed Practical … more
    Providence (11/21/25)
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  • Healthcare Quality Management Auditor

    CVS Health (Phoenix, AZ)
    …Strong relationship building skills. + Previous experience in an outpatient behavioral health environment. + Previous experience working with medical records ... At CVS Health , we're building a world of health...and every day. **Position Summary** The **Healthcare Quality Management Auditor ** participates in the development and ongoing implementation of… more
    CVS Health (11/27/25)
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  • Clinical Documentation Specialist Auditor

    UNC Health Care (Chapel Hill, NC)
    …inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: This positon ... the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as… more
    UNC Health Care (10/28/25)
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  • Sterile Process Department Regulatory…

    AdventHealth (Orlando, FL)
    …Days Off from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about ... hospital, 1,368-bed AdventHealth Orlando + We offer great benefits with immediate Health Insurance coverage + Career growth and advancement potential + Serves as… more
    AdventHealth (11/14/25)
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