- UNC Health Care (Chapel Hill, NC)
- …of Professional Coders) certification - RN ( Registered Nurse ) license - LPN ( Licensed Practical Nurse ) license - Advance Practice Provider ... and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and...education and training related to results. 2. Monitor and provide feedback to new-hire CDS, as they progress through… more
- UPMC (Pittsburgh, PA)
- …Registered Health Information Technician (RHIT) + Licensed Professional Nurse ( LPN ) or + Registered Nurse ( RN ) + Act 34 **UPMC is an Equal ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...non-physician practitioners based on audit results. These sessions will provide education specific to the issues found during audits… more
- Catholic Health Initiatives (Chattanooga, TN)
- …not required. CRC Certification preferred or must be obtained within the first year. Prefer RN , LPN , or CMA state of TN/GA but not required. **Overview** **CHI ... **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on… more
- Centene Corporation (New York, NY)
- …nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license ( LPN , RN , etc.).Pay Range: $55,100.00 - $99,000.00 per ... clinical documentation, and modify business processes to measure member outcomes. Assess provider performance and quality of care through clinical case reviews. +… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …experience requirements:** + Bachelors degree required. + Clinical background preferred (ie, LPN , RN , etc.). + Current Certified Coding Specialist (CCS) ... career and be what you want to be. We provide : + Comprehensive health benefits that start day 1...works with relevant departments to implement. + Ensures required provider compliance training related to inpatient hospital documentation, coding… more
- Healthfirst (NY)
- …of appeals and grievances determinations + Additional duties as assigned **Minimum Qualifications:** + LPN or RN license + 1+ years of Appeals and Grievances ... any discrepancies or non-compliance issues + Record/track quality assessment scores and provide feedback to reduce errors and improve processes and performance to… more
- Centene Corporation (Jefferson City, MO)
- …oversight activities, and appeals. **This is a remote position.** **The ideal candidate is a licensed RN , based in the Eastern or Central Time zone. We are ... or related field required. 5+ years of related experience required. **License/Certification:** RN or LPN required. Certified in HealthCare Compliance (CHC),… more