- 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
- Centene Corporation (Atlanta, GA)
- …nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license (LPN, RN , etc.).Pay Range: $56,200.00 - $101,000.00 ... business processes to measure member outcomes. Assess provider performance and quality of care through clinical case reviews. + Lead clinical audits for… more
- Elevance Health (Chicago, IL)
- **Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... an accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor - RN ** is responsible for auditing inpatient medical… more
- 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
- UPMC (Pittsburgh, PA)
- …or exceed designated quality and production goals. Maintain employee/insured confidentiality. Registered Nurse ( RN ). Bachelor of Science in Nursing (BSN) ... UPMC Health Plan has an exciting opportunity for a Clinical Auditor /Analyst Intermediate! The Clinical ...CIC, CCA, CCS, CCS-P) or AHFI designation required. + Registered Nurse ( RN ) + Act… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the ... financial health and compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the… more
- Cleveland Clinic (Cleveland, OH)
- …with one of the most respected healthcare organizations in the world. As a Clinical Senior Internal Auditor , you will conduct audit procedures for assigned ... and regulatory practices consistently meet the highest standards of quality , safety, and compliance. By delivering objective audits, thorough...the ideal future caregiver include: + Advanced degree + RN with a Clinical background + Healthcare… more
- Insight Global (South Jordan, UT)
- …* 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
- 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 ... focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … 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 ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 3 years of… more
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