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 Trend Health Partners
- Trend Health Partners, LLC is seeking a full-time Licensed Nurse Auditor to perform medical necessity reviews of clinical documentation. This remote position ensures compliance with contracts and regulations, while building relationships with medical providers and health...MedicalRemote jobFull time
$85k - $90k
...parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and associated claim... ...DRG assignments and/or medical necessity for inpatient level of care.... ...be asked to complete certain compliance requirements set forth by our...MedicalWork at officeRemote work- ...Compliance Auditor Under general supervision, using a unique combination of clinical expertise... ...industry standard billing codes by analyzing medical records, coding records and health... ...established guidelines for medical necessity and other specialty clinical services...MedicalFull timeTemporary workPart timeFlexible hours
$85k - $90k
A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful...Medical- ...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
- ...A leading healthcare organization in New York seeks an experienced Compliance Auditor to enhance revenue protection and compliance through government audits and medical record reviews. Responsibilities include conducting audits, developing education sessions for 500+ staff...MedicalFull time
$90k - $100k
...Compliance Auditor Help Protect the Integrity of Healthcare Join C2Q Health Solutions and play a critical role in promoting compliance... ...certification. Why Join C2Q Health Solutions? ~ Medical, Dental, and Vision coverage. ~ Multiple medical plan options...MedicalTemporary workRemote 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
$100k
...industry since 1945 and is seeking a Premium Auditor as we continue to grow our team. A... ...property and casualty insurers to ensure compliance with laws and regulations. The role is based... ..., physical or mental disability, medical condition, pregnancy, genetic information...MedicalWeekly payLocal areaImmediate startRemote workWork from homeHome office2 days per week3 days per week$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$70k - $79k
...Professional Coding And Billing Auditor Maimonides is currently seeking a professional coding and billing auditor to conduct regular audits of medical records and coding assignments to ensure compliance with current coding guidelines and regulatory requirements....Medical- 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 job
- ...Professional Auditing Specialist to perform coding audits and ensure compliance in healthcare. This fully remote position requires over 5... ...coders and maintaining a high accuracy rate. Benefits include medical, dental, and vision plans, along with paid time off and...MedicalRemote job
- Medix™ in New York is searching for a Clinical Revenue Auditor to join their Revenue Integrity team. This role focuses on ensuring accurate... ...ideal candidate will have clinical experience, knowledge of medical billing, and proficiency with Epic EMR. The position offers a...MedicalRemote workFlexible hours
- A leading healthcare provider in New York seeks a Clinical Revenue Auditor to ensure the accuracy of medical billing and compliance with regulations. Ideal candidates will have 3-5 years of clinical experience, knowledge of medical coding, and proficiency with medical...MedicalRemote jobFull time
$28 - $32 per hour
Kids for the Future is seeking a Remote Professional Auditor to ensure compliance with coding principles through detailed audits of medical records. This role requires a minimum of five years’ experience in coding and auditing with high proficiency in medical terminology...MedicalRemote jobHourly pay$119k - $299.93k
...variety of stakeholders. They evaluate compliance with regulations, including assessing governance... ...(CPA) or Certified Information Systems Auditor (CISA). What Sets You Apart Preferred... ...a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation...MedicalH1b$72.67k - $91.48k
...candidates for the role of Senior Operational Compliance Auditor . In this role, you will be... ...progressive experience within a skilled nursing, healthcare compliance, audit, or regulatory... ...package including health benefits (medical, prescription, dental and vision), flexible...MedicalWork at officeImmediate startFlexible hours$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- Quality Assurance Auditor II Join us as Quality Assurance Auditor II - And enhance our clinical... ...processes by ensuring regulatory compliance and quality standards. What You'll Do: Conduct... ...skills (including appropriate use of medical and scientific terminology) Strong...MedicalRemote work
- Seeking Floating Nurse Auditor to support multiple NJ locations Job Summary: The Nurse Auditor... ...documentation to ensure accuracy, compliance, and quality of care standards. The ideal... .... Auditing & Compliance Review patient medical records for completeness, accuracy, and...MedicalFull time
- ...in New York seeks an experienced individual to safeguard revenue and reputation through auditing and compliance activities. Responsibilities include conducting medical record audits, developing formal reports for senior management, and coordinating education sessions for...Medical
- ...reporting, operational performance, and compliance environment. The team reports findings to... .... We are seeking a Staff Internal Auditor to join our US team, with the position based... ...disability, pregnancy, childbirth, or related medical condition, military or veteran status,...MedicalFor contractorsWork at officeLocal areaWorldwide
- Santa Barbara Cottage Hospital is seeking a Nurse Auditor I to perform charge audits and client assessments, ensuring compliance and preventing revenue loss. The ideal candidate will have current RN or LPN Licensure, and possess strong clinical knowledge of charge capture...
$67.91k - $101.86k
...together. As the Registered Nurse in Home Health you will provide... ...by the physician and in compliance with applicable laws, regulations... ...assessments (OASIS) including medication reconciliation accurately and... ...eligibility and medical necessity guidelines, determines primary...MedicalHourly payMinimum wageFull timeWork experience placementReliefLocal areaWeekend work$28.27 - $50.48 per hour
...together. As the Registered Nurse in Home Health you will provide... ...by the physician and in compliance with applicable laws, regulations... ...assessments (OASIS) including medication reconciliation accurately and... ...eligibility and medical necessity guidelines, determines primary...MedicalHourly payMinimum wageFull timeWork experience placementLocal areaWeekend work- SNF Healthcare is seeking a Floating Nurse Auditor for various locations in New Jersey. The Nurse Auditor (LPN/RN) will review clinical documentation ensuring accuracy and compliance with healthcare standards. The ideal candidate will have attention to detail and auditing...
$96.46k - $144.69k
...organization in New York is seeking a Clinical Revenue Auditor to ensure accurate billing and compliance in patient services. The role involves conducting... ...experience in clinical settings, and proficiency in medical coding and billing systems. This full-time position is...MedicalFull time$34.05 - $51.1 per hour
.... Growing together. As the Registered Nurse you will provide and direct provisions... ...as prescribed by the physician and in compliance with applicable laws, regulations, and... ...Ensure patient/client eligibility and medical necessity for services as defined by payer and agency...MedicalHourly payMinimum wageFull timeWork experience placementLocal area$2,369 per week
...Registered Nurse (RN) | Medical-Surgical Location: New York, NY Agency: FlexCare Pay: $2,369 per week Shift Information:... ...support their success, from payroll to clinical support to compliance. FlexCare pushes beyond healthcare staffing through...MedicalFull timeContract workImmediate startShift work
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