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RN Clinical Reviewer
Creates reports to summarize audit and consultant quality review findings with corrective action plan recommendations as applicable....
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Clinical Document Improvement Specialist
Maintain current knowledge of clinical documentation national standards, benchmarks, ICD -10CM/PCS and government regulations through self-audit, RAC review and...
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Regional Director of Clinical Reimbursement
Audit MDS’s and Care plans for accuracy. The Regional Clinical Reimbursement Specialist oversees the Clinical Reimbursement nurses to complete onsite reviews in...
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Nurse Auditor

SCL Health - 65 reviews - Broomfield, CO 80038
Knowledge of RAC and other state/federal billing audit programs. If you are a registered nurse with auditing experience, seeking a business office opportunity...

RN Auditor- Clinical Managed Care

Optima Health Community Care - Virginia Beach, VA
$53,000 - $74,000 a year
Registered Nurse- Required. Registered Nurse license required. The Recovery Audit Contractor (RAC) Auditor is responsible for determining the clinical necessity...
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AUDITOR, RAC - CLINICAL

Sentara Healthcare - 358 reviews - Virginia Beach, VA
Registered Nurse license required. Cert Coding Specialist, Cert Professional Coder, Registered Nurse. The Recovery Audit Contractor (RAC) Auditor is responsible...

Clinical Documentation and Audit Supervisor

The Carle Foundation - 88 reviews - Champaign, IL 61822
The Clinical Documentation Improvement (CDI) and Audit Supervisor provides day-to-day oversight, direction and management of Carle's Clinical Documentation...

Coding/Medical Review and Appeals RN

Marshfield Clinic - 108 reviews - Marshfield, WI
The Coding/Medical Review and Appeals Registered Nurse is responsible for the initial development of payor or Recovery Audit Contractors (RAC) appeals...

Care Management Clinical Liaison

Crozer-Keystone Health System - 46 reviews - Chester, PA
Oversees Data entry of RAC and other third party audit correspondence into tracking tools, delegates to others as appropriate....

Internal RAC Auditor

Memorial Hermann - 1,132 reviews - Houston, TX
Internal RAC AuditorSystem Services SSBW Job Description The purpose of the Internal Recovery Audit Contractor I (RAC) position is to protect the assets of the...

Registered Nurse, Senior Case Management Leader

Revenue Cycle Operations - New Orleans, LA
Registered Nurse (RN). Experience in defending government audits such as RAC and medical necessity appeals....
Easily apply

RN, Utilization Management

St. Charles Health System - 23 reviews - Bend, OR 97701
$30.27 an hour
Works closely with compliance auditor to provide clinical reviews and appeals for RAC, CERT, and MAC denials and audits....

Utilization Management Nurse: Memorial Hospital

Beacon Health System - 38 reviews - Indiana
A valid and current Registered Nurse license in the state of Indiana is required. Requires the advanced analytical and critical thinking skills necessary to...
AUDITOR, RAC - CLINICAL
Sentara Healthcare - 358 reviews - Virginia Beach, VA
Registered Nurse license required. Cert Coding Specialist, Cert Professional Coder, Registered Nurse. The Recovery Audit Contractor (RAC) Auditor is responsible...
Registered Nurse, Senior Case Management Leader
Revenue Cycle Operations - New Orleans, LA
Registered Nurse (RN). Experience in defending government audits such as RAC and medical necessity appeals....
Easily apply

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