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Revenue Integrity Auditor
Valid Registered Nurse (RN) License. Line item review of medical records with external insurance auditors;...
Clinical/ Denial Auditor: Business Services: RN or LPN (Full...
Beebe Healthcare - 18 reviews - Lewes, DE 19958
Experience as a Nurse Auditor with a hospital or audit firm. The auditor will compare clinical and financial records to ensure that the documentation provided...
Nurse Auditor
Xsolis - Nashville, TN
XSOLIS is a growing and innovative healthcare organization based in Nashville currently seeking experienced Nurse Auditor candidates to provide concurrent...
Easily apply

Clinical Quality Auditor RN

Horizon Blue Cross Blue Shield of New Jersey - 300 reviews - Trenton, NJ
This position is responsible for managing HEDIS and Stars performance by working with low performing providers to identify areas of opportunity. The CQA will

Quality Auditor - RN

Horizon Blue Cross Blue Shield of New Jersey - 300 reviews - Trenton, NJ
Responsible for conducting file audits for all areas of clinical operations. These audits review daily business practice compliance to regulatory compliance

Prior Authorization Nurse Auditor

Health Choice - 8 reviews - Phoenix, AZ
The Prior Authorization Nurse Auditor will be responsible for creating and performing audit protocols for required regulatory guided functions within multiple...

ACO Nurse Coordinator / Chart Auditor

Saint Alphonsus Health System (SAHS) - United States
Must obtain Oregon Registered Nurse license within 90 days of hire. Under supervision of clinical leadership from Saint Alphonsus Health Alliance and Saint...

RN Clinical Documentation / Auditor

Kalispell Regional Healthcare - 5 reviews - Kalispell, MT
RN License Required To communicate with clinicians regarding documentation in order to obtain an accurate and complete clinical record of the patient and his

Medical Investigator I/II

Excellus BlueCross BlueShield - 23 reviews - Rochester, NY
Registered Nurse with current NYS license and a minimum of four years’ clinical experience and current New York State license....

Medical Review Nurse

Quality Health Strategies - Dallas, TX
We have an excellent opportunity for an experienced Medical Review Nurse to Dallas-based Zone Program Integrity Contractor (ZPIC) team....
Easily apply

HEDIS Specialist (478519)

PeopleNTech LLC - North Charleston, SC
Current unrestricted SC Licensed Practice Nurse, Certified Professional Coder, Certified Medical Records Auditor, RHIT, or RHIA. HEDIS Specialist (478519)*....
Easily apply

Clinical Auditor RN

UCHealth - 191 reviews - Colorado Springs, CO  +1 location
Elevating the Possibility of U at UCHealth UCHealth is a special place and it requires a special type of person to work here. We are committed to attracting

Clinical Nurse Auditor - Revinue Cycle

The University of Kansas Hospital - 99 reviews - Westwood, KS 66205
We currently have an opening for Clinical Nurse Auditor Revenue Cycle. Requires current state licensure as a Registered Nurse. Work among the best....
Clinical Documentation Auditor
Active California RN License required for nurse filling role. This position will support LLUMC's strategic plan and the organization's mission to continue the...
Sponsored by Loma Linda University
RN, Care Coordination
Registered Nurse in Iowa or Illinois required upon hire. RN, Care Coordination....

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