• Registered Nurse Coding…

    Northwell Health (Glen Cove, NY)
    …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.… more
    Northwell Health (12/03/25)
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  • (RN) HCS-D, COS-C - Registered Nurse…

    Northwell Health (Westbury, NY)
    …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group… more
    Northwell Health (11/02/25)
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  • Clinical Documentation Specialist Auditor…

    UNC Health Care (Chapel Hill, NC)
    …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical Nurse ) ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
    UNC Health Care (10/28/25)
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  • Revenue Integrity Nurse Auditor

    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 ... reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
    Childrens Hospital of The King's Daughters (10/23/25)
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  • Compliance Auditor , Intermediate (Cemc,…

    UPMC (Pittsburgh, PA)
    …Administrator (RHIA) + Registered Health Information Technician (RHIT) + OR Licensed Professional Nurse (LPN) + Registered Nurse (RN) Required: + Act 34 ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and… more
    UPMC (10/10/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Washington, DC)
    …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...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (12/03/25)
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  • DRG Auditor - January Class

    Insight Global (South Jordan, UT)
    …and coding terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding /clinical documentation ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...NURSE : Degree in RHIM, RHIA, RHIT with medical coding degree or just CCS is fine with strong… more
    Insight Global (11/08/25)
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  • Medical Claims Auditor

    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...Experience with MMQ/MDS assessments + Background in claims and coding audits + Strong presentation and stakeholder communication skills… more
    Robert Half Accountemps (11/15/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. . ... Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding... auditor or payor representatives in defense of coding appeals, as needed. + Maintain necessary audit/appeal activity… more
    St. Luke's University Health Network (10/28/25)
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  • Senior Revenue Integrity Specialist - Clinical Rev…

    University of Southern California (Alhambra, CA)
    …principles. + Pref Skills and knowledge on the following software: Cerner and Craneware + Pref Registered Nurse - RN (CA Board of Registered Nursing) + Pref ... Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes… more
    University of Southern California (11/19/25)
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