- Actalent (West Des Moines, IA)
- Job Title: Nurse Auditor Job Description We are seeking a highly skilled Nurse Auditor who can understand the intricacies of standard medical coding, ... wide variety of claim types and identifying claims requiring further review. The Nurse Auditor will also maintain productivity goals, uphold quality standards,… more
- Actalent (West Des Moines, IA)
- Job Title: Nurse Auditor Job Description This role requires a thorough understanding of standard medical coding, including CPT, ICD-10, and HCPCS. The Nurse ... and procedures. + Research unclear and unusual claims. Essential Skills + Registered Nurse (RN) license required. + 3+ years of experience in medical record review,… 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 ... AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State license. + Certified Professional… more
- Trinity Health (Ann Arbor, MI)
- …between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / Licensed Practical ... Nurse and graduate of an accredited school of nursing, plus at least four (4) years of nursing experience and two (2) years of charge audit, managed care or comparable patient payment processing experience preferred. Must have current registration with the… more
- AdventHealth (Tampa, FL)
- …flexible as required. Regional Travel up to 20% may be required. Registered Nurse (RN) Florida Required This facility is an equal opportunity employer and complies ... with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within… more
- US Tech Solutions (Newark, NJ)
- …months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state ... experience, preferably in the healthcare industry. + **Active New Jersey Registered Nurse (RN) License required.** **Skills:** + Knowledge of managed care principles… more
- Northwell Health (Westbury, NY)
- …job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional ... Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When… more
- Ascension Health (Wichita, KS)
- …potential. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing required. Education: ... + Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire. **Additional Preferences** Experience with clinical appeals preferred. Experience with denials and coding strongly preferred. **Why Join Our Team**… more
- Northwell Health (Garden City, NY)
- …and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. ... *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the… more
- Trinity Health (Livonia, MI)
- …Maintains productivity standards Maintains compliance with regulatory requirements Assist Nurse Auditor and/or Coordinator with denial coordination process; ... RHIA, RHIT, CCS, CPC/COC or other coding credentials and/or Licensed Vocational Nurse / Licensed Practical Nurse licensure is required. CHC (Healthcare Compliance… more
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