Nurse Auditor Work From Home Jobs

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Home Health Care by Black Stone Hudson, FL
Job Description: Clinical Reviewer / Auditor Clinical Reviewer / Auditor Job Description: The Clinical Reviewer’s principal function is to review the OASIS and 485 for accuracy and completeness and reflects care that we are providing in the home under the direction of the Director of Clinical Services. Clinical Reviewer / Auditor Job Duties: Reviews 485’s and OASIS (SOC, ROC, Recerts and DC) ...
University of Colorado Health Colorado Springs, CO, 80928
UCHealth is a special place and it requires a special type of person to work here. We are committed to attracting exceptional people who possess a rare combination of talent, drive, and intellectual curiosity. They are the people who naturally gravitate toward our culture, our geography, and our passion for discovery — ambitious people for whom UCHealth isn’t just a career, but an elevated state o...
Marten Transport Colorado Springs, CO
Bachelors degree nursing is required UCHealth is a special place and it requires a special type of person to work here. We are committed to attracting exceptional people who possess a rare combination of talent, drive, and intellectual curiosity. They are the people who naturally gravitate toward our culture, our geography, and our passion for discovery - ambitious people for whom UCHealth isn't j...
Description The Outpatient and Specialty Auditor, MCR (Medical Chart Review) position has an extensive background in billing, coding and reimbursement guidelines and specifically has a solid understanding of one or more of the following disciplines from a coding and billing perspective: RUGS, IRF, APC, Home Health, ER, Diagnostics and Professional Service . This is an individual who has knowledge...
Home & Hospice Care of Rhode Island is looking for a full time Manager of Quality and Audits. Under the supervision of the Vice President of Quality & Performance Improvement, this position has organization-wide responsibility for developing and updating the audit processes and tools to support strong clinical quality and compliant practice. Position will insure that audit processes, quality repo...
Presbyterian Healthcare Services Albuquerque, NM, 87102
• Licensure requirements: NM Nursing license . RN preferred, but will consider LPN with at least 5 years experience in UM, UR, claims auditing or case management • Certifications preferred: Eligible for certification within three years of hire as CCM, CPUR, Certified Medical Audit Specialist [or other nationally recognized nurse auditor certification], or similar certification as approved by the m...
Presbyterian Health Servi Albuquerque, NM
Minimum Skills/Requirements • Licensure requirements: NM Nursing license . RN preferred, but will consider LPN with at least 5 years experience in UM, UR, claims auditing or case management • Certifications preferred: Eligible for certification within three years of hire as CCM, CPUR, Certified Medical Audit Specialist [or other nationally recognized nurse auditor certification], or similar cert...
Healthfirst New York, NY
The Assessment Nurse Manager will ensure active enrollees and members are appropriately screened by reassessment staff to meet continued eligibility requirements and ongoing service plans are developed, implemented and communicated with all relevant parties. The individual will direct the daily operations of scheduling, staffing needs, clinical coordination and act as liaison with internal and ext...
Kaiser Permanente Vallejo, CA, 94590
The Clinical Trial Nurse Manager (CTN-Manager) position assists in the administrative leadership and direction of the operational aspects of a large and/or multiple regional clinical trials program. This position oversees clinical trial research activities of non-physician research personnel in a manner that effectively maximizes quality and compliance with clinical research standards, participant...
STG International Inc California, CA
STG International is currently accepting resumes for Clinical Utilization Management Registered Nurses interested in providing full-time services at Buckley Air Force Base in Aurora, Colorado. SUMMARY: Provides Utilization Management activities and functions by using Military Treatment Facility-specific Quality Improvement processes to identify areas for review from data, suspected problem areas...
University of Iowa Iowa City, IA, 52246
Percent Time: 100% Type of Position Regular: A position which is considered essential for the effective long-term operation of the university. Persons appointed to this position will receive the privileges and benefits associated with regular employment status. Duties: BASIC FUNCTION AND RESPONSIBILITY: Coordinate patient care for the Ventricular Assist Device (VAD) patient population across the ...
Blue Cross and Blue Shield Association Washington, DC, 20319
PRINCIPAL ACCOUNTABILITIES: Under the general direction of the Manager of FEP Case Management, the incumbent's accountabilities include, but are not limited to, the following, within the scope of their professional license: 1. Supervises FEP Case Managers and support personnel who perform and support case management activities for CareFirst BCBS FEP members. Assists FEP Case Managers with complex ...
University of Utah Healthcare Houston, TX
Start a Job Search: Keywords: Location: Recent Jobs Added, Apply Today! 07/20 Outpatient Coder II (Virtual) 07/20 Medical Coding; Compliance Auditor, Educator 07/20 Cost Containment Specialist, RN or LPN 07/20 Remote Coder II 07/20 Business Office Specialist - Specialty Surgery Center 07/20 Coder I( Part Time, must work a Saturday OR Sunday; Outpatient coding exp. a must; Work from Home o...
Kelly Healthcare Resources Cincinnati, OH
Start a new search >> Save it Upload Resume Certified Medical Coder Certified Medical Coder Opportunity in Cincinnati, OH Kelly Healthcare Resources Work with the best in the industry Every day, Kelly Healthcare Resources (KHR) specializes in providing highly skilled nursing and allied health professionals within hospitals and other health care facilities, as well as positions in sectors su...
Merit Training Institute Houston, TX
Job Description: Welcome to Merit Training Institute! Don't wait another day to get the IN DEMAND skills you need to become employed! Contact us today at 609.386.6400 or visit our website: http://www.meritinstitute.com/. Do you love your job? … Are you ready for a change? Or are you unemployed? Thinking of getting certified and taking your career to the next level? An 'In Demand' career in Me...
Presbyterian Health Servi Santa Fe, NM
Minimum Skills/Requirements High school (G.E.D) is required. Three years of clerical/office experience is required that includes exposure to revenue cycle protocols such as coordination of benefits and registration. Knowledge of Electronic Health Record charge capture processes are preferred. Epic experience is preferred. Primary Job Functions • Coordinates all activities surrounding charge pos...
Providence Health & Services Portland, OR
Coding QI Review Coordinator Job Number: 58771 Schedule : Full-time Shift : Day Job Category : Billing/Insurance/Coding Location : Oregon-Portland Providence is calling a Coding QI Review Coordinator to Revenue Cycle in Portland, OR. The Coding QI Review Coordinator is critical to the coding compliance program. By performing audits of hospital coding, training new coding staff, preparing an...
State Farm Insurance Tulsa, OK, 74120
Why State Farm®? Our commitment to customers makes us the No. 1 insurer of cars and homes in the United States and an insurance leader in Canada. This same commitment to our work force is how we got here and how we stay here. Our 90-year track record highlights State Farm as an employer of choice committed to providing career opportunities that last a lifetime. From diverse backgrounds and talent...
Presbyterian Healthcare Services Albuquerque, NM, 87102
High school (G.E.D) is required. Three years of clerical/office experience is required that includes exposure to revenue cycle protocols such as coordination of benefits and registration. Knowledge of Electronic Health Record charge capture processes are preferred. Epic experience is preferred. Primary Job Functions • Coordinates all activities surrounding charge posting to include verification ...
State of California Sacramento, CA, 94204
Who Should Apply: Applicants must be a current or former State employee with transfer or reinstatement eligibility for this classification, or be reachable on a current employment list (taken and passed exam) for this classification. Appointment is subject to SROA and State surplus policies. All applicants must clearly indicate their basis for eligibility on the State application (STD 678). All ap...

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