- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... rendered is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require… more
- Northwell Health (Garden City, NY)
- …experience. 2 .Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional ... 1.Leverages clinical expertise to identify and validate DRG code assignment. 2 .Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of… more
- Banner Health (AZ)
- …employment settings by including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will be an integral part ... medical records and survey tools using statistically reliable sampling methods. 2 . Coordinates, retrieves, and performs medical record audits to determine provider… more
- Trinity Health (Fresno, CA)
- …Day Shift **Description:** Reporting to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of Electronic Medical Records (EMR) ... or combination of equivalent experience and education is required. 2 . Current licensure as a Registered Nurse (RN) with the state of California is required. 3.… more
- Essentia Health (Duluth, MN)
- **Job Description:** The Registered Nurse - Charge Auditor plans, conducts, and performs charge audits, based on clinical documentation and billing practices for ... degree or bachelor's degree in nursing Required Qualifications: + 2 years of professional nursing experience AND + ...applicable state board of nursing as an RN (Registered Nurse ) Employee Benefits at Essentia Health: At Essentia Health,… more
- UNC Health Care (Chapel Hill, NC)
- …the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as ... accuracy and recommends education and training related to results. 2 . Monitor and provide feedback to new-hire CDS, as...(American Academy of Professional Coders) certification - RN (Registered Nurse ) license - LPN (Licensed Practical Nurse )… more
- Insight Global (South Jordan, UT)
- Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in ... and coding terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding/clinical documentation certification ( 2… more
- Baylor Scott & White Health (Dallas, TX)
- …position type and/or level **Job Summary** In this job, as a Clinical Auditor RN, you'll perform charge capture accuracy audits by reviewing and analyzing clinical ... having four years of work experience. + At least ( 2 ) two years of relevant work experience. + Registered...) two years of relevant work experience. + Registered Nurse License. As a health care system committed to… more
- Molina Healthcare (Macon, GA)
- …* At least 3 years of managed care experience, including at least 2 years of delegation oversight auditing experience, or equivalent combination of relevant ... **Preferred Qualifications** * Certified Credentialing Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Certified Clinical… more
- Aveanna Healthcare (Homestead, FL)
- …(PPE) Minimum Requirements: Active and in good standing nursing license ie Registered nurse with a minimum of 2 years post qualification experience. Adolescent ... Clinical Research Nurse - Illingworth (RN) ApplyRefer a FriendBack Job...and Client Company representatives (eg, Clinical Research Associate (CRA), auditor ) Provide support to obtain regulatory approvals eg, completion… more