• Clinical Documentation Specialist…

    UNC Health Care (Chapel Hill, NC)
    …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity...across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides… more
    UNC Health Care (07/29/25)
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  • RN Registered Nurse

    AdventHealth (Tampa, FL)
    …be adaptable and flexible as required. Regional Travel up to 20% may be required. Registered Nurse ( RN ) Florida Required This facility is an equal ... each position may vary based on geographical location. **Category:** Quality / Clinical Effectiveness **Organization:** AdventHealth Tampa **Schedule:** Full-time… more
    AdventHealth (09/03/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    **Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... **Work Shift:** Monday - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is… more
    Elevance Health (09/23/25)
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  • HEDIS RN - Quality Auditor

    US Tech Solutions (Newark, NJ)
    …with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, ... + Support data services to identify trends and facilitate quality improvement initiatives. + Assist with clinical ...preferably in the healthcare industry. + **Active New Jersey Registered Nurse ( RN ) License required.**… more
    US Tech Solutions (08/22/25)
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  • Clinical Revenue Auditor -CDM…

    Mount Sinai Health System (New York, NY)
    …at all levels throughout the organization. **License** ? Current NYS licensure ( Registered Nurse ( RN ), Occupational Therapist (OT), Physical Therapist ... **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option...multiple objectives in a rapidly changing environment and deliver quality outcomes. ? Ability to develop and maintain effective… more
    Mount Sinai Health System (09/24/25)
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  • Risk Adjustment Clinical Auditor

    UPMC (Pittsburgh, PA)
    …departmental staff and outside vendors as necessary to address issues and concerns. + Registered Nurse ( RN ), or Bachelor of Science in Nursing (BSN). ... products (Excel, Access, and Word).Licensure, Certifications, and Clearances:CPC Designation preferred. + Registered Nurse ( RN ) *Current licensure either in… more
    UPMC (09/30/25)
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  • RN Auditor

    Robert Half Accountemps (Boston, MA)
    …stone into leadership, healthcare administration, or corporate healthcare roles. Requirements Featured Opportunity: RN Auditor / Clinical Reviewer + Work for ... impactful non- clinical roles - including chart review, clinical auditing, utilization management, quality assurance, and...RN license and at least 2 years of clinical experience Who We're Looking For: + Must have… more
    Robert Half Accountemps (09/24/25)
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  • Home Health Quality Assurance…

    Humana (Corpus Christi, TX)
    …as needed. Requires applicable State licensure in field of study: Registered Nurse ( RN ), Licensed Masters Clinical Social Worker (LCSW), Licensed Masters ... caring community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and...Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state,… more
    Humana (10/01/25)
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  • Clinical Coding Auditor & Trainer

    Centene Corporation (New York, NY)
    …Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small ... Skills:** + Inpatient Coding Experience + At least 1 year of clinical experience in a hospital setting + RN , PA, MD, APRN, DO or MBBS license required + Strong… more
    Centene Corporation (09/27/25)
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  • DRG Auditor - November Class

    Insight Global (South Jordan, UT)
    …terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding/ clinical documentation certification (2 years in ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...clinical documentation) OR IF NOT A NURSE : Degree in RHIM, RHIA, RHIT with medical coding… more
    Insight Global (09/18/25)
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