- Alpine County (Markleeville, CA)
- …Behavioral Health Clinical Manager Range U36: $8,105-$9,851/month Deputy Auditor Controller Range 41B: $25.97-$31.57/hour Fiscal & Technical Specialist - HHS ... Range 43: $26.98 - $32.81/hour Outreach Nurse Range 48B: $36.49-$44.36/hour To view all open positions...domestic partnership status, past or present military service, family medical history or genetic information, family or parental status,… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Days Job Summary: The Compliance Nurse Auditor assists with and supports the compliance program activities ... within Saint Francis Health System (SFHS). This role supports clinical coding and...and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 3 years of healthcare… more
- Intermountain Health (Murray, UT)
- …for documenting member care, accessing needed information, etc. **Location:** Intermountain Health Intermountain Medical Center **Work City:** Murray **Work ... skills to work collaboratively with internal compliance to research medical records procedures and testing accuracy for Medicare Cost...We're looking for a compassionate, sharp, and collaborative RN Auditor ready to make an impact in a fast‑paced,… more
- 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
- 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
- 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
- UPMC (Pittsburgh, PA)
- …appropriate Health Plan departments including Quality Improvement, Legal, and Medical Management to facilitate the resolution of issue or cases. Responsibilities ... and resolve claim referral issues through research and interaction with other Health Plan Departments including Medical Management, Medical Directors,… more
- Adecco US, Inc. (Bradenton, FL)
- Adecco Healthcare & Life Sciences is looking for a **Coding Auditor and Educator** for our client in **Bradenton, FL!** **Type:** Full Time Permanent **Schedule:** ... $64,000 to $81,000/year **Location:** Onsite in Bradenton, FL **Position Summary:** The Coding Auditor & Educator plays a dual role in promoting the quality and… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research, ... capture workflows and CDM + Knowledge of DRG/APC reimbursement + Knowledge of health information systems for computer application to medical records + Knowledge… more
- Elevance Health (Chicago, IL)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
