- CGI Technologies and Solutions, Inc. (Charlotte, NC)
- ** Clinical Nurse Auditor ** **Category:** Administration **Main location:** United States, North Carolina, Charlotte **Position ID:** J1025-2176 **Employment ... Type:** Full Time **Position Description:** The Clinical Nurse Auditor is a member of the CGI CSG Clinical Audit Team, with responsibility for reviewing… 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...CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid… more
- Elevance Health (Las Vegas, NV)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records… more
- Trinity Health (Ann Arbor, MI)
- …Patient Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related audits, and identifies ... root causes, which includes performing thorough chart reviews, providing education to clinical colleagues, and tracking of identified trends. Leverages clinical … more
- UNC Health Care (Chapel Hill, NC)
- …from entity to entity across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during ... we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or… more
- Northwell Health (Westbury, NY)
- …HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Job Responsibility 1.Leverages clinical expertise to identify and ... and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.… more
- 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 collaborates with clinicians to ensure high… more
- Henry Ford Health System (Detroit, MI)
- …in EPIC. Proposes corrective action in charge capture problem areas. Reviews clinical documentation to ensure all records match. Participates in clinical ... Two (2) years of Cath lab experience to gain clinical knowledge and analytical abilities to make informed decisions...Interventional (VI) or license to practice as a registered nurse in the state of Michigan. * BLS/ACLS. Additional… more
- Providence (NM)
- …people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... for the Quality Department + Identify and reports issues related to clinical audits to determine potential areas for quality improvement within the HEDIS… more
- Insight Global (South Jordan, UT)
- …criteria, and coding terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding/ clinical documentation certification ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...in clinical documentation) OR IF NOT A NURSE : Degree in RHIM, RHIA, RHIT with medical coding… more
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