Average salary: $96,993 /yearly
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- This full time position will work Monday-Friday from 8:00am-5:00pm in the Operating Room. At Houston Methodist, the Nurse Auditor position is responsible auditing and reconciling patient charts (i.e. medical record) on a daily basis or upon request from Payor's on-site...SuggestedPermanent employmentFull timeWork at officeMonday to Friday
Houston Methodist Willowbrook Hospital
Houston, TX10 hours ago - ...Registered Nurse (RN) Charge Code Auditor Work Arrangement: On-Site Location: Raleigh, NC, US, 27704 At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. Join us and discover...SuggestedWork at officeRemote workMonday to FridayFlexible hoursShift work
Duke University
United States5 hours agonew - ...Revenue Cycle Clinical Nurse Auditor The Revenue Cycle Clinical Nurse Auditor leverages clinical knowledge and documentation review to ensure appropriate charge capture and revenue optimization. Responsibilities include leveraging Epic technology and analytics to identify...SuggestedLocal area
IntelyCare
Richmond, KY16 hours ago - ...surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. Duke Nursing Highlights Duke University Health System is designated as a Magnet organization. Nurses from each hospital are consistently...SuggestedRelocation package
Dukehealth.org
Raleigh, NC5 hours agonew - ...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
- ...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
$116k
Houston Methodist Willowbrook Hospital seeks a detail-oriented Nurse Auditor to support quality, compliance, and accurate reimbursement across our healthcare services. In this role, you will review clinical documentation, coding, and billing—with emphasis on ICU and acute...SuggestedHouston Methodist Willowbrook Hospital
Houston, TX7 days 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, TX10 hours ago $2,110 per month
Job Posting Gross Pay (weekly): $2110.0 Taxable Pay (weekly): 600.0 Non-taxable Pay (weekly): 1510.0 Shift: Identifier: Days, Start: 8:00 AM, End: 5:00 PM, Hours: 8, Description: 8:00AM - 5:00PM/Monday-Friday/40 hours guaranteed/Hybrid Location: Dallas, TX ...SuggestedWeekly payMonday to FridayShift work- Employment Type Full time Shift Day Shift Description Work Remote Position (Pay Range: $31.8795-$47.8193) Purpose The Nursing Support (NS) colleague (uncertified, certified, unlicensed, or licensed) provides safe, quality health care services & / or assistance to patients...SuggestedRemote jobFull timeLocal areaShift workDay shift
- 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
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- Trinity Health in Livonia is seeking a Nursing Support colleague to provide quality healthcare services under supervision. This full-time role involves performing clinical activities, maintaining patient records, and advocating for patients. Candidates should have at least...SuggestedRemote jobFull timeDay shift
$35 - $45 per hour
Oasis Health Partners is seeking a Nursing QA Specialist to ensure Home Health Agency visit notes adhere to Medicare quality guidelines. This role requires a current RN license in Florida and a minimum of two years' experience in Home Health as a QA Nurse. Responsibilities...SuggestedRemote jobDaily paid$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- 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...
- A leading company seeks a Special Project Nurse/Medical Professional responsible for auditing and reviewing medical records to support quality improvement and HEDIS data collection. The ideal candidate will have RN/LPN credentials with extensive clinical and HEDIS experience...
- Harris Health System, Inc. is seeking a Licensed Vocational Nurse in Texas for a hybrid telecommuter role. This position involves obtaining payer authorization for outpatient services and performing clinical reviews according to established guidelines. Candidates must have...
- Houston Methodist is seeking a Registered Nurse (RN) with at least three years of hospital clinical experience, preferably in a surgical setting. This role involves auditing patient charts, collaborating with healthcare teams, and ensuring compliance with necessary regulations...
- 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...
$38.91 - $60.31 per hour
...minimal supervision. Must be able to work in a fast-paced environment and take appropriate action. Requirements: Registered Nurse Graduate of an accredited or state board of nursing approved Registered/Professional Nursing program if less than 3 years...Full timeTemporary workLocal areaRemote workFlexible hoursShift workUCHealth
Littleton, CO10 hours ago$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$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
$86.56k - $155.81k
Diagnosis Related Group Clinical Validation Auditor‑RN (CDI, MS‑DRG, AP‑DRG and APR‑DRG) Virtual: This role enables associates to work virtually... ...: Requires current, active, unrestricted Registered Nurse license in applicable state(s). Requires a minimum of 10 years...Full timeWork experience placementLocal area- ...discrepancies Work as a team member with the OR staff and managers; materials management staff and Hospital Auditor to ensure proper documentation Serve as a nursing resource for staff when issues/needs are of a clinical nature Review medical records and interpret...Full timeTemporary workWork experience placementWork at officeRemote work
- ...utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and restricted in state of practice. • Strong attention to detail and organizational skills. •...Work at office
Molina Healthcare
Long Beach, CA1 day ago $29.05 - $56.64 per hour
...Clinical Auditor Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas... ...equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and restricted in state of practice...Hourly payWork experience placementWork at officeMolina Healthcare
Santa Fe, NM4 days ago- ...our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: The Nurse Auditor I performs charge audits and other assessments as assigned by management. This role is responsible for timely resolution of all...Local areaRemote work
$102,000 per week
UCHealth is seeking a Clinical Auditor RN to join our Quality Assurance and Compliance team. As a nonprofit health care system, UCHealth is committed to providing exemplary patient-centered care. This position plays a crucial role in ensuring that our clinical practices...UCHealth
Aurora, CO7 days ago
