THE LARGEST COLLECTION OF AUDITOR JOBS ON EARTH
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Clinical Documentation Specialist (RN)-Hleath Information Management','1748633','Lutheran Health Network encompasses eight separately licensed hospitals and nearly 1,000 inpatient beds, including 793 in Allen County alone. The foundation of LHN is an experienced ..
Medical Audit Coord, RN Spec','625654','Aug 29, 2017','!*!Review claims for services obtained outside of Kaiser facilities for compliance with health plan service agreement with members; identifies health plan claims with potential quality ..
The Senior Compliance Audit Analyst RN plays an important role in a high-profile group tasked with handling all commercial and government audit processes. Performs auditing services for Elliot Health ..
MUST be RN with clear/active license in CA
2 years of auditing experience with a background in quality/auditing - NCQA, MOC, CMS
2 years of Utilization Management experience
nAnthem, Inc. is the nation's leading health benefits company serving the needs of approximately 40 million medical members nationwide. Your Talent. Our Vision. At Amerigroup, a proud member of the Anthem, ..
PA Field HEDIS Nurse Responsibilities will include:
Visit physicians’ offices to retrieve and review specific requested documentation from medical records
Scan relevant components of the medical record to support reviews performed
nRegistered HEDIS Nurse Responsibilities will include:nnnnn Visit physicians’ offices to retrieve and review specific requested documentation from medical recordsn n Scan relevant components of the medical record to support reviews performedn ..
Revenue Integrity Nurse Auditor','1702277','!*!JOB SUMMARY:Assist in resolving billing ... UB04 fields. The Revenue Integrity Nurse Auditor position interprets policies and ... requirement.LICENSE/REGISTRATION/CERTIFICATION: LVN RNEDUCATION & TRAINING:Registered Nurse Degree, a plusSKILLS:..
nDescriptionnDuties and Responsibilities:nnThe Quality Clinical Auditor will conduct, review, analyze and summarize findings of audit plans for internal business units and delegated partners and entities on a monthly, quarterly and/or annual ..
Careers at EmblemHealth: For nine decades, EmblemHealth has been making quality health care accessible and affordable for New Yorkers, and helping to make life better in the communities we ..
nABOUT THE POSITION We are currently seeking a dynamic Clinical Services Quality Auditor to join our team. The Clinical Services Quality Auditor will ensure the delivery of excellent service to internal ..
nJOB SUMMARY: The Revenue Integrity Auditor is responsible for pre- and post-payment auditing of medical records and associated clinical documentation to ensure proper charge capture, billing in accordance with standard billing ..
Clinical Auditor - RN','181993','US-KY-Louisville','US-Texas-Austin, US-Mississippi-Ridgeland','Virtual/Work At Home','Virtual/Work At Home','Full-time','','!*!Role: Clinical Auditor, RN
Location: Work at Home
Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use ..
Must have sound understanding of ICD-9-CM and CPT coding systems; prospective reimbursement system.
Ability to review and analyze issues related coding, billing and medical record documentation.
Excellent interpersonal and ..
Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding ..
Role: Clinical Auditor, RN Location: Work at Home Humanau2019s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and ..
nRole: HCS Compliance & Risk Management Quality Audit Program ManagernAssignment: Healthcare Services (Clinical) nLocation: Louisville, Hum Tower Healthcare isnu2019t just about health anymore. Itu2019s about caring for family, friends, finances, and ..
Job Description: Prefers RN's with HEDIS experience
This position is responsible for conducting quality audits for state audits, HEDIS and quality referral and complaints issues. This position is also ..
Position Description There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a ..
Peer Review Clinical Auditor- Stonerise Therapy
Summary: Responsible for the providing clinical recommendations driven by multidisciplinary outcome data to guide care. Provides education and training to directors of rehabilitation and clinicians ..
RN Clinical Auditor
Per Diem 8a - 4:30p Days (weekends as needed) ADN Required; BSN Preferred Registered Nurse State of South Carolina
Current SC Nursing License required and ..
This position is part of the Physician Services Revenue Integrity and the Physician Services Coding department that provides the coding and ..
nContract opportunity with a Major Health Plan located at their Albuquerque, NM location. Working with annual HEDIS medical record retrieval process. Nurses and Coders are needed to conduct abstraction of medical ..