Average salary: $97,148 /yearly
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- ...best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. The Revenue Cycle Clinical Nurse Auditor leverages clinical knowledge and documentation review to ensure appropriate charge capture and revenue optimization. Responsibilities...SuggestedLocal area
UMC Health System
Lubbock, TX1 day ago $78.4k - $107.8k
Become a part of our caring community and help us put health first The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and coding for services rendered is complete, compliant, and accurate to support optimal reimbursement...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented DRG Nurse Auditor with clinical case management experience to be responsible for analyzing clinical claim denials, drafting detailed appeal letters...SuggestedWork at officeLocal area
- ...experience in using billing and claims forms (UB, CMS, and HCFA). Normally to be proficient in the competencies listed above: •Nurse Auditor would have a/an Associate or Bachelor’s Degree in Nursing or related field and 5 years of hospital quality management, coding or...SuggestedWork at officeRemote work
$78.4k - $107.8k
Become a part of our caring community and help us put health first The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal...SuggestedBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome officeMonday to Friday- ...A leading healthcare company is seeking a Nurse Auditor 2 to perform clinical audits and ensure that medical documentation is compliant and accurate for optimal reimbursement. The role requires an active RN license and a minimum of 2 years of acute inpatient experience...SuggestedRemote work
Humana
Jackson, MS18 hours ago $78.4k - $107.8k
...A leading healthcare company is seeking a Nurse Auditor 2 to validate medical documentation for accuracy and compliance. This remote position requires an active RN license and a minimum of 2 years in acute inpatient care. Ideal candidates will have advanced MS Office skills...SuggestedRemote workHumana, Inc.
Nashville, TN18 hours ago$78.4k - $107.8k
...A healthcare services provider is looking for a Nurse Auditor 2 to ensure accurate medical coding and documentation. This remote position involves validating medical records, reviewing claims, and addressing fraud waste concerns. Candidates should hold an RN license, have...SuggestedRemote workHumana
Atlanta, GA18 hours ago- ...locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-...SuggestedWork experience placementWork at office
Harris Health System
Houston, TX1 day ago Registered Nurse - Diagnosis Related Group (DRG) Coding Auditor Principal - Carelon Payment Int[...]
$113.77k - $215.57k
Registered Nurse - Diagnosis Related Group Coding Auditor Principal - Carelon Payment Integrity Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance...SuggestedDaily paidWork at officeLocal areaRemote work1 day per week- ...Motor Vehicle Accidents, and Out‑of‑State Medicaid claims as well as denials for all payer classes. Position Summary The Clinical Nurse Auditor is responsible for performing comprehensive clinical audits to ensure medical necessity, regulatory compliance, and payer...SuggestedRemote jobWork at office
- Compliance Auditor - Nurse (2604178) Description Job Purpose The Compliance Auditor (CA) reports directly to the Vice President of Compliance (VPC) to conduct compliance audits for Health Care Centers (HCC), Hospice, Home Health and/or SOURCE/CCSP service lines. The CA...SuggestedFlexible hoursShift work
$67.1k
...Compensation Pay Range: Minimum Offer $67,100.80; Maximum Offer $102,460.80 Summary: Presbyterian is seeking a Hybrid Remote RN-Nurse Auditor for the HCC Program Management Department. This role will support the Hierarchical Condition Categories (HCC) processes for PMG...SuggestedFull timeRemote workShift workNight shiftWeekend work$25.01 - $41.25 per hour
A public university in the United States is seeking a Licensed Registered Nurse to perform assessments for elderly and physically disabled individuals. The role includes educating families and professionals on HCB services and requires travel within Boyd County and surrounding...SuggestedHourly pay- A leading staffing and IT company in California is seeking a qualified candidate for a hybrid role requiring an active LVN or RN license. The position involves auditing denied claims, reviewing processes according to UM guidelines, and collaborating with teams to resolve...Suggested
- ...healthcare organization in Norcross, Georgia, is seeking a Compliance Auditor to conduct internal compliance audits across various healthcare service lines. The ideal candidate must be a Registered Nurse with knowledge of federal regulations and possess strong analytical...
- A leading healthcare provider is seeking a DRG Nurse Auditor in Richmond, Virginia. This role involves analyzing clinical claim denials, drafting detailed appeal letters, and performing DRG validation reviews. Candidates should possess an RN or LPN license, ideally with...
- A health care organization is seeking a Compliance Auditor in Georgia. The position reports to the Vice President of Compliance and involves... ..., Hospice, Home Health, and related services. A Registered Nurse license is required, along with strong analytical and communication...
$48.77 - $81.51 per hour
Under direct supervision of the Manager, RN Auditor, the RN Auditor is responsible for the review of medical record documentation for... ...Improvement (PI) activities. Education Degree: Associates Program: Nursing Experience Number of Years Experience: 5 Type of Experience:...Work at office- RN Clinical Denial Auditor Job Category: Nursing Schedule: Full time Shift: 1 - Day Shift Summary Responsible for reviewing and appealing clinical denials, tracking clinical denial trends, identifying continuous improvement opportunities. Responds to any compliance...Full timeShift workDay shift
$81.85k - $155.09k
...-12 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description: Diagnosis... ...Requirements: Requires current, active, unrestricted Registered Nurse license in applicable state(s). Requires a minimum of 10 years of...Full timeTemporary workWork experience placementLocal area1 day per week$16 per hour
...Job Description Job Description Salary: $16.00+ The Weatherization Energy Auditor I assists in the daily management of the Weatherization Assistance (WAP) and HARRP programs and provides education on Weatherization/HARRP and safety, including any available services...For contractorsWork from homeBlue Ridge Community Action
Morganton, NC19 days ago- ...to improve energy efficiency and promote sustainability in the insulation sector, we are seeking a highly qualified BPI Certified Auditor to join our team. Job Description: As a BPI Certified Auditor at Able Home Performance, you will play a crucial role in assessing...
Able Construction LLC
Rockland, MA2 days ago - ...required background checks PREFERRED QUALIFICATIONS: Heating technician License Building Performance Institute (BPI) Energy Auditor Quality Control Inspector Certifications OSHA trainings EPA Lead Renovation Repair and Painting (RRP) Certification...Full timePart timeLocal areaFlexible hours
Comprehensive Community Action
Cranston, RI12 days ago $21.5 per hour
...Do you have experience with developing estimates, working with subcontractors, and completing paperwork and reports? The Energy Auditor position at Community Concepts might be a great fit for you! This position works with clients to help improve the quality of life...Full timeTemporary workWork experience placementFor subcontractorCommunity Concepts
Lewiston, MEa month ago- ...Job Description Job Description Now accepting applications for an Energy Auditor to perform Home Performance with Energy Star audits, with the end goal of moving customers through the client cycle from the initial audit to job completion. Your role will be to educate...Casual workWork at officeWork from home
Elysian Energy
Laurel, MDa month ago - Job Description Job Description Description Under the direct supervision of the Supervisor/Manager/Partner, this position will require independent judgment to plan, prioritize and organize a diversified workload, and recommend changes in office practices or procedures...Work at office
Wei, Wei & Co., LLP
Flushing, NY22 days ago - ...science, weatherization, HVAC, plumbing, electrical, or carpentry Ideal candidate will have an active BPI Building Analyst or Energy Auditor certification , preferably with a minimum of two years' experience conducting home energy audits (We will fund BPI certification...Work at officeWork from homeFlexible hours
True Management LLC
Bethlehem, PA27 days ago - ...Job Description Job Description Description: The Weatherization Energy Auditor is responsible for assessing clients’ housing needs. This position estimates and oversees work for HEAP/Weatherization, DOE and other associated Energy and Housing Programs, and provides...Bi-weekly payTemporary workWork experience placementLocal area
Kennebec Valley Community Action Program
Waterville, ME5 days ago $48.77 - $81.51 per hour
A healthcare institution in Torrance is looking for an RN Auditor to ensure compliance with medical record documentation and regulatory... ...activities. Applicants should have an associate's degree in nursing as well as 5 years of relevant experience in case management or...Hourly payFull time
