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Quality Review Coordinator - RN
Regional Health - 9 reviews - Rapid City, SD
Conducts medical chart review and assignment to committee members. Support the Medical Staff Quality Review Committee's quality and peer review process by...
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MDS Registered Nurse--$3k Sign-On Bonus!
Catholic Eldercare - 8 reviews - Minneapolis, MN 55413
Other duties include direct interview/observation, chart audits, resident/family interviews; In this role, you also will make care plan and referral...
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Clinic RN - Endocrinology *New Pay Rate + $10,000 Student Lo...
Children's Hospital & Medical Center - Omaha - Omaha, NE
Chart audits conducted meets JCAHO and organizational expectations. Reviews patient charts as assigned to facilitate coordination of care by assuring completion...
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Clinical Auditor/Analyst (RN) - Evolent Health

UPMC - 407 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Responsibilities may involve multiple line of business focused reviews, or ad hoc reviews as needed; Prepayment review of high dollar claims, and prepayment...

Consultant – RN Clinical Documentation Improvement (CDI)

The Claro Group - 3 reviews - United States
Candidate would be responsible for CDI engagement delivery, education and training, chart reviews and audits, and client support....

Hospital Charge Auditor – RN (Remote)

Change Healthcare - 160 reviews - Lombard, IL
Develop recommendations and possible solutions to resolve audit disputes that have resulted in incomplete audit closure....

RN Clinical Coding Nurse WellMed - Fort Worth, TX $3,000 Sig...

UnitedHealth Group - 4,492 reviews - Fort Worth, TX
Additional Chart Review Experience. Perform Clinical Chart Audits as business needs dictate. Review and update educational materials as approved by Leadership....

Registered Nurse Auditor-Corporate Compliance

WellSpan Health Services - 101 reviews - Pennsylvania
3 Documents the audit process in the audit work papers. Current RN license in PA. 2 Demonstrates knowledge of DRGs, payer issues, documentation and coding...

Medical Records Nurse

Four Seasons Retirement - Columbus, IN 47203
Prepares charts for admission, compiles all documents for discharge charts, assembles charts in appropriate order, and files charts in an organized manner....
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Quality Assurance/Utilization Review Specialist

HomeCare Hospice - Fall River, MA
Experience in quality management and utilization review preferred. Current RN licensure from the Massachusetts Board of Nursing, BSN preferred....

UPIC Medical Review Nurse

Noridian Healthcare Solutions, LLC - McAllen, TX  +5 locations
Maintaining Medical Review (MR) Activities:. Review of Claims for Medical Necessity:. May assist with reimbursement inquiries related to medical review....

Quality Clinical Review Coordinator

Maria Parham Medical Center - 15 reviews - Henderson, NC
The Quality Clinical Review Coordinator will conduct chart audits/ reviews for clinical practice guidelines, death review, blood review, core measures, and any...

Nurse Coding Educator - Eden Prairie, MN or Telecommute

UnitedHealth Group - 4,492 reviews - Eden Prairie, MN
Active participation in field/remote coding educator activities for HEDIS and Risk Adjustment documentation and coding which may include chart reviews, audits,...
Clinical/ Denial Auditor: Business Services: RN or LPN (Full...
RN or LPN. Medical chart auditing experience. Experience as a Nurse Auditor with a hospital or audit firm....
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Revenue Recovery RN
UCHealth - 204 reviews - Fort Collins, CO
Conduct complete chart reviews. Summary--Revenue Recovery RN. Coordinate with payors to conduct RN reviews via phone, onsite or other communication methods....
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