RN Clinical Validation Auditor - DRG & CDI Expert
Jobtailor
Jobtailor is seeking a highly experienced RN auditor to ensure clinical documentation supports DRGs billed and reimbursed across inpatient records. You will audit medical charts, apply ICD-10/9 principles, and substantiate conclusions with clinical guidelines and industry standards. The role requires an unrestricted RN license, 10+ years in claims auditing or CDI, and familiarity with MS-DRG, AP-DRG, and APR-DRG. #J-18808-Ljbffr Jobtailor
- ...inpatient medical records to ensure clinical documentation supports the... ...working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG One or more... ...DRG Coding and/or Clinical Validation Audits or hospital clinical documentation... ...Registered Nurse (RN) Registered Health Information...Suggested
$43.04 - $77.47 per hour
A leading health services company is looking for a Provider Clinical Liaison in California. The role involves building relationships with... ...initiatives. Candidates should have a BA/BS in Nursing and a valid RN license, along with at least 5 years of medical management experience...Suggested- UCLA Outpatient Clinics is hiring a Registered Nurse for the Endoscopy Medical Procedure Unit in North Hollywood. The RN will provide essential nursing care, assist with procedures, and... ...families. Candidates should possess a valid RN license and be ready to assist...SuggestedFull time
- Contra Costa County is seeking a Clinical Laboratory Scientist II to perform clinical laboratory procedures including chemistry, microbiology, and phlebotomy. The ideal candidate will hold a valid license issued by the California State Department of Health Services and...SuggestedFull time
- ...centered care in the Operative suite. The RN will collaborate with physicians and care... ...MSN from an accredited nursing school, a valid California RN license, and have at least one... ...commitment to the organization's vision for exceptional clinical outcomes. #J-18808-Ljbffr ABCardioSuggestedDaily paid
- TryApplyNow is seeking a Bilingual Clinical Research Associate (CRA II/Senior CRA) to join their team in California. In this full-time role, you will conduct monitoring visits to ensure compliance with protocols, manage documentation, and maintain relationships with investigational...Full time
$150k
Clinical Management Consultants is seeking a Blood Bank Clinical Laboratory Scientist CLS in California, United States. This role involves partnering with a diverse care team to deliver exceptional transfusion services while ensuring compliance with AABB, CAP, CLIA, and...$41 per hour
...patients and family members. The ideal candidate will possess a Bachelor’s degree in Dietetics/Nutrition, with prior experience in clinical dietetics. Responsibilities include monitoring patient nutritional intake, participating in staff development, and maintaining...Hourly pay- Children’s Hospital of Orange County is looking for a Clinical Dietitian to provide nutrition care centered around family needs and specialized for pediatric patients in California. The role involves collaboration with medical teams, educating families, and leading nutrition...Internship
- A healthcare provider in California is seeking a Clinical RN to assess, plan, and implement quality patient care. This role involves working... ...and acting as a patient advocate. Candidates must have a valid California RN license and experience in a clinical setting. The...Night shift
- ...Description Summary:**The purpose of the Clinical RN role is to assess, plan, implement,... ...Education:*** Sufficient education to obtain a valid California RN license**Experience:***... ...clinical expertise by serving as a clinical expert, role model, and clinical and...Part timeLocal areaShift workNight shift
- ...Weekly Hours:**36**Job Description Summary:**The purpose of the Clinical RN role is to assess, plan, implement, evaluate, direct, and... ...Essential Functions:**EDUCATION Sufficient education to obtain a valid California RN license EXPERIENCE Clinical RN II, either: a. 6 months...Part timeLocal areaShift workNight shift
- A healthcare provider in California seeks a Clinical RN to assess and implement patient care effectively. You will lead collaborations with... ...as a patient's advocate. The ideal candidate must possess a valid California RN license and demonstrate proficiency in nursing practices...Night shift
$65 - $70 per hour
...a self‑motivated and passionate Hospice RN Clinical Liaison to join our Team. We offer the opportunity... .... Our RN Clinical Liaisons are hospice experts and serve as a resource to their... ...to drive with reliable transportation, valid driver’s license, and auto insurance. $6...Hourly payMonday to Friday$64.38k - $96.58k
...The Medical Risk Adjustment (MRA) Coding Auditor role supports departmental quality... ...of the internal Coding Analyst Team to validate and confirm coding & abstracting quality... ...may be used for training physicians and clinical staff, documentation improvement, and system...Remote jobLocal area$600 per day
...Requisition ID: 7007 Job Title: Dental Auditor Department: Quality Management (QM) Position... ...) Summary The Dental Auditor ensures clinical quality, regulatory compliance. This... ...reports. Timeliness of audits and follow-up validations. Reduction in error rates and repeat...Full timeWork at officeMonday to Friday$85.97k
A registered nurse (RN) is a healthcare professional who has been licensed by a state board of nursing to provide patient care. RNs... ...Health Nurse An occupational health nurse typically works in a clinical setting but may also work for a large corporation as a full‑time...Full timeWork at office- ...Little More About What You Will Be Doing The Supervisor of Clinical Operations RN supports physicians and clinical staff in the delivery of health... ...medical setting required. Licenses and Certifications Valid CA RN license required. Basic Life Support (BLS) required. #J...Work experience placement
- ...and medical records to assess payment qualifications and compliance with Medicare guidelines. The ideal candidate will have an active RN license, significant experience in coding and Medicare reimbursement, and familiarity with standard coding conventions. This full-...Full timeMonday to Friday
- Marin General Hospital is seeking a Clinical RN II to provide comprehensive patient care as part of a dedicated team. This role involves assessing... ...healthcare professionals. The ideal candidate will possess a valid California RN license and experience in a clinical setting,...
- Fresenius Medical Care is seeking an Inpatient RN in California, MO, to provide direct patient care across various dialysis practices while collaborating with healthcare teams for quality outcomes. The ideal candidate will have at least one year of RN experience and must...
- Johnson & Johnson Vision is seeking a Clinical Quality professional to oversee a robust GxP Quality Management System and serve as the GCP subject matter expert for clinical studies and inspections. You will collaborate with R&D and external sites to ensure third‑party...
- RN Clinical Coordinator RMG page is loaded## RN Clinical Coordinator RMGlocations: Riverside Shore Memorial Hospital Medical Office Building... ...for any department specialty specific competencies adn skill validation.* Responsible for facilitating a work environment that...Work at officeFlexible hours
- Overview RN Clinical Program Manager for the Stroke Program at Providence Little Company of... ...leaders, and caregivers as the subject matter expert for care and quality, assisting nursing,... ...: Bachelor’s Degree in Nursing Valid Registered Nurse license in applicable states...Full timeDay shift
$75k - $90k
...that care is delivered. Skilled Wound Care is looking for a RN / LVN Regional Clinical Liaison with a healthcare background to work with our... ...required Experience in long term care and wound care required Valid driver's license and reliable vehicle required Driver's...$100k
...Matching — We thoughtfully match you with intended parents whose values align with yours. Medical Preparation — Work with a top fertility clinic for embryo transfer; all medical costs are covered. Pregnancy & Support — Consistent support from your dedicated care team...Start working today- Solano County is seeking a Clinic Registered Nurse Senior to join Family Health Services Clinics. The role requires three years of clinical... .... Candidates must possess an Associate's degree in Nursing, a valid RN license from the California State Board, and a current CPR...
$3,600 - $3,969 per week
Job Title: Clinical Services Supervisor, RN Department: Medical Reports To: Health Center Manager FLSA Status: Exempt Wage Range that the Company... ..., LICENSES, REGISTRATIONS Possession of current, valid, unrestricted California Driver's License (Class C) required...Work at officeLocal areaFlexible hoursAfternoon shift$51.31 - $78.76 per hour
...Pay Range: CLINICAL RN- $51.31 to $78.76 Imagine coming to work every day knowing that what you do genuinely changes lives. At Henry Mayo Newhall Hospital , that's not just a tagline — it's the reality for every member of our team. We're not just a hospital. We're the...$27.75 - $41.25 per hour
...Education, License/Certification, or Work Experience Registered Nurse (RN) – Board of Nursing, active license in state of practice upon... ..., or Work Experience 1–3 years experience working in a clinical environment. Expectations and Standards Commit to Avera’s mission...Work experience placementMonday to FridayShift workDay shift
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