- Northwell Health (Garden City, NY)
- …combination of education 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… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record ... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied...in their home time zone. **Required Qualifications** + Active Registered Nurse (RN) license in the state… 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 ... as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State… more
- Robert Half Accountemps (Boston, MA)
- …locally as needed + Strong analytical, organizational, and communication skills + RN ( Registered Nurse ) + Experience working in a Program Integrity role or ... Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire Hours: 40… more
- Elevance Health (Seattle, WA)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health… more
- Stanford Health Care (Palo Alto, CA)
- …+ Proficient EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . ... Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require...and + CPC required . or + RHIT - Registered Health Information Technician required . or + RHIA… 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) ... of equivalent experience and education is required. 2. Current licensure as a Registered Nurse (RN) with the state of California is required. 3. Four (4) years… more
- Insight Global (South Jordan, UT)
- …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%...(2 years in clinical documentation) OR IF NOT A NURSE : Degree in RHIM, RHIA, RHIT with medical coding… 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… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical Nurse ) ... 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… more