Nurse Auditor I: Medical Necessity & Compliance
Trend Health Partners
Trend Health Partners is seeking a Nurse Auditor I to perform medical necessity reviews of clinical documentation, ensuring compliance with contracts and regulations. The successful candidate will have at least 5 years of clinical experience and an active RN or LPN license. This position offers a competitive salary and a comprehensive benefits package including health insurance and a 401(k) plan. Join us in a collaborative environment driven by innovation in healthcare. Your role includes auditing clinical documentation and developing relationships with medical providers to ensure adherence to guidelines. #J-18808-Ljbffr
- ...Machinify is looking for a Medical Review Nurse to perform medical claims audits for government clients. This remote position requires expertise in coding and a minimum of five years nursing experience. You will work alongside a dedicated team in a dynamic environment...MedicalRemote work
- ...associates, please click here . Overview Safeguards Montefiore Medical Center revenue and reputation, through the following... ...to senior management of applicable department, the Executive Compliance Committee and the Board of Trustees. Conducts close-out meetings...MedicalFor contractorsWork at officeLocal area
$81.6k - $102k
...City/State:**Bronx, New York**Grant Funded:**No**Department:**Compliance - Education And Audits**Work Shift:**Day**Work Days:**MON-FRI*... ...**$81,600.00-$102,000.00**Job Summary** Safeguards Montefiore Medical Center revenue and reputation, through the following activities...MedicalFor contractorsWork at officeLocal areaShift work- ...delivery industry. They audit inventories of medical, surgical, and pharmaceutical products... ...chain and pharmacy operations team. Compliance with our customers' requirements is essential... ...protective gear when required. The auditor will physically count and document all...Medical
$90k - $100k
...Solutions and play a critical role in promoting compliance, accountability, and regulatory excellence. As a Compliance Auditor, you'll help identify risks, strengthen... ...certification. Why Join C2Q Health Solutions? ~ Medical, Dental, and Vision coverage. ~ Multiple...MedicalTemporary workRemote work$83k - $124.49k
...Registered Nurse In Home Health Explore opportunities with Patient... ...by the physician and in compliance with applicable laws, regulations... ...(OASIS) including medication reconciliation accurately and... ...health eligibility and medical necessity guidelines, determines primary...MedicalHourly payWeekend work$83k - $124.49k
...: 2363736 Job category: Nursing Explore opportunities with... ...by the physician and in compliance with applicable laws, regulations... ...(OASIS) including medication reconciliation accurately and... ...health eligibility and medical necessity guidelines, determines primary...MedicalHourly payMinimum wageFull timeWork experience placementLocal areaWeekend work$70k - $75k
...Financial Services & Insurance Attorney Auditor ** This is a fully remote position,... ...communicate with law firms to discuss compliance with client's billing requirements. Effectively... ...benefits offering including medical, dental vision, 401K and PTO. Wellness...MedicalLocal areaRemote workWork from homeFlexible hours- ...Machinify Inc. is seeking a Medical Review Nurse for remote work in the US. You will be part of a dynamic team, performing audits on medical... ...ensuring adherence to guidelines, and collaborating with other auditors. An associate or bachelor's nursing degree and experience in...MedicalRemote work
$2,000 per month
...Description: Why Choose Greenstaff Medical US? Your Trusted Partner in Healthcare Staffing At Greenstaff Medical US, we're... ...Supportive and responsive environment Smooth onboarding and compliance Quick feedback throughout the hiring process A team that...MedicalFlexible hours- ...position as a Clinical DRG RN auditor, you will apply your expert... ...review to ensure accuracy of medical coding and utilize clinical expertise... ...Demonstrate knowledge of and compliance with changes and updates to... ...Unrestricted RN (Registered Nurse) license CCS/CIC or willing...MedicalTemporary workWork at officeRemote workRelocation package
- ...login and apply. Full Time Job Summary: The Coding Auditor performs coding audits to assure compliance with Corporate Compliance Plan standards. This role... ...response to regulatory bodies and insurance companies for medical record reviews and audits. Minimum Education: High...MedicalFull timeWork experience placementWork at office
$35 - $45 per hour
...is seeking a Remote Utilization Review Nurse serves as a key clinical liaison, coordinating... ...to meet patients’ needs while ensuring compliance with federal, state, and organizational... ...7, Milliman Care Guidelines, and medical necessity requirements. Provide feedback to...MedicalContract workRemote workWeekend work- ...Hospice is actively seeking Registered Nurses (RN) to join our team in New Jersey. We... ...caregivers as prescribed by the physician and in compliance with the Hospice Medicare Conditions of... ...with current hospice, home health, medical, surgical or critical care experience....Medical
$87k
...Overview The ACCS Team Nurse (Registered Nurse) promotes the full integration and functioning... ...entities and all associated medical and behavioral health providers. Monitors... ...Medication Administration Program (MAP) compliance for Team and associated GLEs and SIEs. SIGN...MedicalInternshipWork at officeRelocation package- ...re Looking For The ideal Registered Nurse is a versatile and client-focused... ...supports the broader studio team, bringing medical excellence into every interaction. With... ...events and community outreach programs. Compliance & Safety Maintain accurate and...MedicalFull timePart time
$100k - $110k
...Description Job Description Registered Nurse / MDS Coordinator – New York, NY... ...patient assessments, ensure regulatory compliance, and coordinate interdisciplinary care plans... ...Interview patients and record accurate medical codes. Enter medical codes and support...MedicalFull time- ...This is a remote position The Sr. Auditor will report to the Manager of AAPC Services with... ...include but not be limited to: Audit medical records to validate clinical documentation... ...OIG, CMS and other national coding and compliance guidelines Excellent written and verbal...MedicalRemote work
- ...space? If so, we want to hear from you Position Summary The 340B Auditor conducts the audit process and collaborates with 340B Analysts... ..., employment status, and job duties. Benefits include full medical, pharmacy, dental, vision, life and disability insurance, unlimited...Medical
$46.99k - $122.4k
...at a time. Position Summary The Program Integrity Auditor is responsible for the review of records for medical, behavioral, transportation, and other healthcare... ...well as coding and documentation rules. Maintain compliance with company policies and procedures. Perform...MedicalHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$80k - $150k
...Overview CGS Federal (Contact Government Services) is seeking a Senior Auditor to assist district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses. These efforts support...MedicalFull timeFlexible hours- ...productivity expectations. The ideal candidate will have at least one year of experience in risk adjustment coding and hold an active coding certification. This position offers competitive hourly compensation, medical benefits, and a stable project environment. #J-18808-Ljbffr...MedicalHourly pay
- ...integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced knowledge of...MedicalRemote work
$80k - $150k
...Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and...MedicalFull timeFlexible hours$49.92k - $62.73k
## Field Auditor .### General informationCareer areaAuditWork Location(s)NJ, PARemote?YesRef... ...exposure while verifying dealership compliance with the terms of our financing arrangements... ...health and insurance options including medical, dental and vision, employee, spouse and...MedicalFull timeTemporary workPart timeWork experience placementWork at officeRemote workRelocationRelocation packageFlexible hoursNight shift- ...Inpatient Medical Coding Auditor – PPI Coding Disputes Reports to the manager and reviews DRG, ICD-10-CM, and PCS coding assignments for accuracy... ...assignments for accuracy. Ensure overall accuracy and compliance of coding dispute reviews by adhering to coding guidelines....MedicalBi-weekly payWork at officeRemote workWork from homeHome officeMonday to Friday
$74.8k - $112.2k
...Financial Group Job Title: Senior Internal Auditor Location: New York, NY (hybrid) Who We... ...financial, operational, regulatory, and compliance areas, while partnering closely with... ...Annual Bonus Comprehensive Benefits Package (medical, dental, and vision) that starts day one...MedicalWork at office- ...Santa Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit determinations. You will assess cases using clinical guidelines and coordinate with providers and departments...MedicalRemote work
- ...Job Description Job Description Description In this hybrid role, the Senior Compliance Auditor at Verus plays a critical role in ensuring the accuracy and integrity of our compliance audit processes by reviewing and evaluating audits, providing feedback to Auditors, and...Work at officeRemote work
- ...Employvision Inc. Certified in Mastering LinkedIn Recruiter Assessment Summary: The Lead Auditor conducts audit assignments primarily in 2nd line corporate regulatory compliance from planning to issuance of the final report. This includes an assessment of the audited...Full timeLocal area
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