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Clinical Review Auditor jobs

Viewing 1 - 10 of 431 jobs

  • Coding and Billing Auditor (BHMG)

    Bayhealth - Dover, DE

    Associate Degree The Coding and Billing Auditor performs data quality reviews on provider records to validate the ICD-9 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of...

    11 days ago from BayHealth

  • Coding Auditor, Health Information Management

    Bayhealth - Dover, DE

    The Coding Auditor, Health Information Management performs data quality reviews on medical records to validate ICD ... Certified Coder and Certified Professional Medical Auditor (CPMA) preferred. Additional Requirements: -Must exhibit...

    11 days ago from BayHealth

  • Registered Nurse (RN) Pharmacy Clinical Audit Coordinator

    NCH Healthcare System - Naples, FL

    - Associates Degree The Clinical Audit Coordinator performs detail analytical audit studies to verify accuracy of ... Provides back up for the Emergency Room / Utilization Review Auditor as needed...

    4 days ago from NCH Healthcare System

  • Clinical Quality Specialist, SCRI

    HCA Healthcare - Nashville, TN

    and provides routine reporting of variances to QA and Clinical Operations * Identify areas of deficiency in ... and communicate with the Quality Assurance Group and Clinical Operations * Communicate with monitors and auditors...

    18 days ago from HCA Healthcare

  • DRG Nurse Auditor - Remote (work from home)

    Carewise Health - Louisville, KY

    obtain a signed agreement Clearly communicate in writing clinical rationale and/or coding rules to substantiate ... or smart phone Preferred Experience Coding certification Clinical Documentation Improvement Nurse experience a plus...

    16 days ago from CareerBuilder

  • Lead Medical Review RN - Audit MIC - Office or Home-based

    Dallas, TX

    & Medicaid Services (CMS). Health Integritys expert clinical and technical staff identify and investigate ... overpayment, fraud, waste, and abuse. Completes desk review or field audits to meet applicable contract...

    23 days ago from CareerBuilder

  • Nurse Auditor / Chart Review Nurse

    FSS - Houston, TX

    Where clinical documentation does not support items appearing on the bill, the Nurse Auditor will prepare a report of ex ... must be balanced. 3. Works with outside auditors to review claims to ensure charges were billed approprietly.

    2 days ago from ZipRecruiter

  • Nurse Auditor

    Pcs, Inc. - Professional Career Staffing - Houston, TX

    Job Description: Nurse Auditor Houston, TX The Nurse Auditor will have full responsibility to audit patient charts ... Where clinical documentation does not support items appearing on the bill, the Nurse Auditor will prepare a report of ex...

    24 days ago from ZipRecruiter

  • External Quality Review Auditor 73+k Opportunity!

    Maxim Staffing Solutions--nurse Staffing - Seattle, WA

    a plan of care. Job Description: External Quality Review Auditor- 73K+ OpportunityMaxim is looking to hire an ... Familiarity with Federal and state review protocols preferred (e.g., WAC, External Quality Review, CMS).•...

    6 days ago from ZipRecruiter

  • Hospital Inpatient (DRG) Coding Auditor - Remote

    Work at Home Job Connections - Prosper, TX

    the accuracy of payment, code assignment, and adequacy of clinical documentation in accordance with regulatory ... depending on performance, and other factors.The Coding Auditor will have the following responsibilities:...

    14 hours ago from Get Healthcare Jobs