- 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
- Trinity Health (Ann Arbor, MI)
- …between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / Licensed Practical ... CHRI certification/membership strongly preferred. Knowledge of and experience in health care including government payers, applicable federal and state regulations,… more
- 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 (Westbury, NY)
- …information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN - BSN or MSN candidates with a HCS-D - Home ... and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.… more
- BayCare Health System (Clearwater, FL)
- …Clearwater, FL (Hybrid) **Status:** Full Time, Exempt **Shift Hours:** 8 hours **The Medical Auditor is responsible for:** + Compare the detailed charges on ... of Surgical Services experience Equal Opportunity Employer Veterans/Disabled **Position** Medical Auditor **Location** Clearwater | Business and Administrative… more
- 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
- Elevance Health (Chicago, IL)
- …onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Elara Caring (Dallas, TX)
- …Compliance Auditor performs comprehensive audits within the Skilled Home Health , Hospice, Behavioral Health , and Personal Care Services (PCS) agencies ... coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting...Nursing + 5 years of experience as a Registered Nurse in Home Health and/or Hospice with… more
- UPMC (Pittsburgh, PA)
- …Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified ... Medical Coder (CMC) + Registered Health Information Administrator (RHIA) + Registered Health Information Technician (RHIT) + Licensed Professional Nurse … more
- Surgery Care Affiliates (Birmingham, AL)
- …support your health , well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time off, ... conduct compliance focused clinical audits to ensure compliance with medical necessity , coding , or risk management requirements...Health ' s compliance program . The Senior Clinical Auditor will work with all Support Services departments ,… more