we serve, the Nurse Assessment Coordinator (NAC) plays a critical role in providing leadership in the management of the... Medical necessity per Medicare guidelines. Review Medicaid LOCD compliance during UR meeting and discuss with IDT...
Compliance Nurse Auditor provides support to the Corporate Compliance Office in areas of compliance audit and clinical expertise..., Compliance and Privacy Plan. Ensures compliance with hospital policy and all applicable state and federal laws and regulations...
partnerships. The Compliance Nurse Auditor helps to promote and administer Healogics’ Compliance program, and ensure delivery... to other Clinical Compliance Specialists and serves as a clinical resource/expert for the Compliance Department and Healogics’ Wound...
Job Description: Summary The Clinical Compliance Auditor will report to the Clinical Compliance Supervisor... and procedures. The Clinical Compliance Auditor will coordinate internal audits, analyses, reviews and investigations of home health...
Position Title Clinical Nurse Auditor - Rev Cycle Days - Full Time Southlake Campus Position Summary / Career... activities to assure medical record compliance with regulatory and accreditation bodies. Collaborates with HIM coding staff...
Auditor to join our team. As a Continuous Quality Monitoring Nurse Auditor, you will be responsible for evaluating the quality...Job Description: Staff4Me is currently seeking a detail-oriented and experienced Continuous Quality Monitoring Nurse...
Auditor to join our team. As a Continuous Quality Monitoring Nurse Auditor, you will be responsible for evaluating the quality...Job Description: Staff4Me is currently seeking a detail-oriented and experienced Continuous Quality Monitoring Nurse...
audits as assigned to ensure charge and claim accuracy and compliance. RI Nurse Auditor is responsible for reviewing...Position Summary The Revenue Integrity Nurse Auditor will be responsible for performing pre-billing and post-billing...
GENERAL SUMMARY The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions... for compliance audits and charge processes. Serves as a resource to hospital departments regarding compliance with billing...
us forward every day. Job Overview The Delegation Oversight Nurse Auditor is responsible for performing delegation oversight... recommendations to improve overall compliance of sub-delegates with regulatory entities and standards. Minimum Requirements...
and conducts internal training to ensure competency and compliance in all aspects of the revenue cycle. To perform... and responsibilities. Contents are subject to change at the company's discretion. Education Required - Registered nurse diploma...
WellMed, part of the Optum family of businesses, is seeking a Registered Nurse to join our team in San Antonio, TX... is responsible for monitoring and reporting compliance issues, with Utilization Management (UM) organization determinations...
WellMed, part of the Optum family of businesses, is seeking a Registered Nurse to join our team in San Antonio, TX... is responsible for monitoring and reporting compliance issues, with Utilization Management (UM) organization determinations...
business units: Insurance, Health, Analytics, and Emerging businesses. EXL is hiring a CVA Auditor III. This is a remote..., work from home opportunity. Summary: In this fully remote position as a Clinical Validation Auditor...
Under the general supervision of the department leadership, the auditor: Reviews and appraises the soundness, adequacy... and application of accounting, financial and other operating controls in performing financial, operational and compliance audits...
of clinical research experience as a monitor/auditor, research nurse, research coordinator, regulatory affairs, quality control...Job Title: Clinical Research Auditor Job Description We are seeking a highly experienced Clinical Research Auditor...
Auditor II performs detailed medical record and chart audit review of the health plan’s inpatient, outpatient, professional... and ancillary claims to ensure that all reimbursement to the provider is paid accurately. The Clinical Auditor II is a liaison...
, visit EXL USA Healthcare is looking for a CVA Nurse Auditor III - DRG Coding. This position is a full-time, work from home... opportunity. In this fully remote position as a Clinical Validation Auditor you will apply your expert clinical knowledge in the...
Healthcare is looking for a CVA Nurse Auditor III - DRG Coding. This position is a full-time, work from home opportunity.... In this fully remote position as a Clinical Validation Auditor you will apply your expert clinical knowledge in the auditing...
as hospital-based services, to patients throughout the region. Position Overview: Claims Integrity Auditor COST CENTER... and patient bills for accuracy, compliance, and responsibility. MINIMUM REQUIREMENTS Education:Any healthcare technical...