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Revenue Integrity Auditor
Valid Registered Nurse (RN) License. Assists third party auditors, patients, state agencies, and commercial insurance representatives with outside audits;...
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Trauma Quality Clinical Coordinator RN / FT Days
Del Sol Medical Center - El Paso - El Paso, TX
§ Emergency Nurse Pediatric Course. § Prefer Certified Emergency Room Nurse. Audit all trauma records collecting data about severity of injury and patient...
Sponsored by HCA Inc
MDS Coordinator
Longhorn Village - Austin, TX
Responds timely and in writing to deficiencies in MDS audits. Effectively communicate with nurses and IDT on the current status of Care Plans....
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MPAR Nurse Auditor - Remote

Adreima - Phoenix, AZ 85012 (Alhambra area)
Patient Inquiry Audits. The MPAR Auditor performs audits of medical records on behalf of hospital clients for denials review, defense audits, disallowed charges...

Denial Specialist – Clincal Appeals

Lehigh Valley Health Network - 165 reviews - Allentown, PA
Also assists with the logging, tracking and follow up of the Recovery Audit Contractor (RAC) and other third-party audit activities....

Clinical Nurse Auditor

Adventist HealthCare - 110 reviews - Gaithersburg, MD
Experience of 5-7 years in hospital claims audits and denials appeals and/or case management. Manage and train the government audit response staff in...

Nurse Billing Auditor

Overlake Medical Center and Clinics - Bellevue, WA
Responsible for the coordination of all procedural and substantive elements relating to the Centers for Medicare & Medicaid (CMS) Recovery Audit Contractor (RAC...

Organizational Quality Nurse Specialist

Arbor Hospice - 18 reviews - Ann Arbor, MI 48103
Organizational Quality Nurse Specialist. The Organizational Quality Nurse Specialist (OQNS) is responsible for maintaining compliance with all State, Federal...

Trauma Quality Clinical Coordinator RN / FT Days

Del Sol Medical Center - El Paso - El Paso, TX
§ Emergency Nurse Pediatric Course. § Prefer Certified Emergency Room Nurse. Audit all trauma records collecting data about severity of injury and patient...

Clinical Appeals Nurse

Atlantic Region CBO - Richmond, VA 23227
Insurance Defense Audits,. Clinical Appeals denials analysis, RAC audits and Clinical Appeals. Perform insurance defense audits as requested....

District Director, Clinical Documentation Improvement

Kindred Healthcare - 1,271 reviews - Las Vegas, NV 89146
If RN, current state licensure as a Registered Nurse in state of work location. Prior Clinical Documentation Improvement experience preferred but not required...

Clinical Appeals Nurse

Universal Health Services - Richmond, VA
Insurance Defense Audits,. Clinical Appeals denials analysis, RAC audits and Clinical Appeals. Perform insurance defense audits as requested....

Nurse Auditor

Kavaliro - 6 reviews - Philadelphia, PA
MAC & RAC Audits. Registered Nurse or Licensed Vocational Nurse. Payer Utilization Review Audits. The Nurse Auditor’s main functions will be:....
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MDS Coordinator: Part-Time or Weekend
Longhorn Village - Austin, TX
Responds timely and in writing to deficiencies in MDS audits. Effectively communicate with nurses and IDT on the current status of Care Plans....
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Regional MDS Coordinator
Audits according to established audit plan for MDS process. Registered Nurse in the State of IL with active, unencumbered license. Providence Life Services*....
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