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Sep 17 Traveling RN Home Health Auditor CSI Companies Nashville, TN

BILLING CLIENTS BILLING AUDITS ANSWER ANY CLINICAL QUESTIONS FROM CLIENTS OR POTENTIAL ... NOT IMMEDIATELY KNOWN ASSIST DIRECTOR OF CLINICAL SERVICES IN THE FORMULATION OF... more

Sep 16 Medical Records Auditor – Licensed Vocational Nurse (LVN) / Registered Nurse (RN) Healthcare Scouts San Antonio, TX

As a Medical Records Auditor – Licensed Vocational Nurse (LVN) / Registered Nurse (RN) you ... The ideal Medical Records Auditor – Licensed Vocational Nurse (LVN) / Registered Nurse (RN... more

Sep 11 Clinical Quality Auditor (Cerritos Caremore Health Plan Downey, CA

or regulatory purposes. Monitors health plan clinical activities and identifies ... equivalent background. Current LPN, LVN, or RN license in applicable state(s) required. more

Sep 11 Clinical Compliance Auditor Centerlight Health Bronx, NY

JOB PURPOSE: The Clinical Compliance Auditor helps to ensure that CenterLight Health ... to the corporate Compliance Program. The Auditor executes audits as directed,... more

Sep 09 Clinical Quality Auditor - Part Time home based position with extensive travel within Carolina Donor Services Durham, NC

and Winston-Salem.We are seeking a part-time Clinical Quality Auditor for our Durham, NC ... Licensure, Certification, and/or Registration: RN preferred* Part-time (20-25 hours per we... more

Sep 09 Denial Management Coordinator - RN St. Joseph Mercy Oakland Pontiac, MI

the appeal process. As front-line auditor, reviews cases denied and makes ... that improve and optimize care delivery, clinical outcomes, and patient and nurse... more

Sep 07 Clinical Trainer/Auditor (RN) Maxim Staffing Solutions Westmont, IL

awareness and commitment to each niche of clinical administrative healthcare. ... a full time position as a Clinical Trainer/Auditor for a one of the largest managed care... more

Sep 05 Nurse Auditor-RN Almost Family Corporate Louisville, KY

developed a culture that fosters innovation, clinical excellence, and integrity. Why ... requirements required. 6. Sound knowledge of clinical practice and leadership abilities. more

Sep 04 RN Clinical Auditor BMC Healthnet Plan Boston, MA

Job Summary:The Clinical Auditor I performs detailed, retrospective chart audit review, ... with paid charges. The Clinical Auditor I is a liaison and resource between... more

Sep 01 Registered Nurse Wake Health Services Raleigh, NC

following clinical and administrative areas: Clinical Duties and Responsibilities · ... in the resolution of clinical issues/concerns · Manages the clinical inventory and... more

Aug 25 Clinical Quality Auditor Sr #81751 WellPoint Fresno, CA

in Fresno, CA. Responsible for ensuring clinical quality through an audit process. ... sciences, health management or a related clinical field 5 years of experience in... more

Aug 21 AUDITOR, RAC Sentara Healthcare Virginia Beach, VA

AUDITOR, RAC Sentara Healthcare is currently recruiting for a RAC Auditor. This position ... Auditor is responsible for determining that clinical necessity that supports the claim in... more

Aug 19 Clinical Delegation Oversight Auditor, RN WellCare Long Beach, CA

delegated entities for the following clinical areas: Utilization Management, ... Licenses/Certifications: Current RN or LCSW unrestricted license required... more

Aug 19 Clinical Denial Consultant - Registered Nurse, Patient Financial Services, Full Time, Day, 8 hour St. Joseph Health Irvine, CA

system perspective when working with payers clinical resources to challenge and overturn ... Managers, Case Management, Experimental, Clinical Appeals, Charge Inquiry Dispute,... more

Aug 18 Quality Improvement Auditor (Clinical) Centene Sacramento, CA

performance and quality of care through clinical case reviews. Lead clinical audits ... Licenses/Certifications: Current state's RN license. more

Aug 18 RN Hospital Bill Auditor Judge Group Boston, MA

on-site audits at provider hospitals. The RN Auditors will perform about 30 audits in ... Coding & Auditing Experience. Outpatient Clinical experience. Revenue code knowledge. more

Aug 04 CHART AUDITOR-PRN Tenet Healthcare St Louis, MO

analysis preferred. * Professional Nursing (RN) or related healthcare field. * 3 years ... directed by Administration. Job : Non-Clinical/Administrative Primary Location :... more

Jul 19 Provider Auditor Sr Thousand Oaks, CA

potential abuse. Mentors and trains Provider Auditor as needed. Drafts department policies ... would provide an equivalent background. RN preferred and medical coding certification... more

Jul 19 RN - Clinical Trainer - Managed Care Nurse Resolutions Long Beach, CA

Evaluate the clinical staff skill level and competency in the delivery of the clinical pro ... www.NurseResolutions.com clinical trainer, auditor, auditing, quality... more

Jul 11 Inpatient Hospital Auditor Execu|search Group Newark, NJ

Inpatient Hospital Auditor Inpatient Hospital Auditor Location: Newark, NJ Salary: ... Job Description The Inpatient Hospital Auditor: Identifies and presents billing... more

Jul 07 Revenue Auditor/RN Humboldt County Entities Eureka, CA

Revenue Auditor/RN - (14003805) National Geographic Traveler calls Humboldt County one of ... for Health Information Management, The Nurse Auditor manages assigned functions to improve... more

Jul 04 Clinical Auditor 1 2 or Senior Danbury Hospital Danbury, CT

and billing. (All levels) CT RN license. Clinical experience, Nursing ... the Network. Supports Manager and Senior Clinical Auditor in performing risk-based... more

Jun 18 RN-Registered Nurse-Manager Code Edit & Med Nec Review-Managed Care Nurse Resolutions Spokane, WA

FunctionsManage direct reports (clinical appeal reviewer, iHT dispute/appeal ... Clinical Coder and/or auditor with a CRN-C (RN-Coder Certification) or CRN-A (Certified... more

Jun 04 Revenue Integrity Auditor Med-call Healthcare Chicago, IL

Auditor Profession: Revenue Integrity Auditor - Medical Coder Specialty: Medical ... SIMILAR POSITIONS * Revenue Integrity Auditor in Chicago IL HOT JOBS * RN -... more

Jan 03 Long Term Care Surveyor/Auditor (RN) Execu|search Group Islip, NY

Long Term Care Surveyor/Auditor (RN) Long Term Care Surveyor/Auditor (RN) Location: Islip, ... In addition, the Long Term Care Surveyor/Auditor will: Assess clinical intervention... more

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