- Catholic Health Initiatives (Chattanooga, TN)
- …connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding ... are met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to...or must be obtained within the first year. Prefer RN , LPN, or CMA state of TN/GA but not… more
- UPMC (Pittsburgh, PA)
- … Registered Health Information Technician (RHIT) + ORLicensed Professional Nurse (LPN) + Registered Nurse ( RN ) + Act 34 **UPMC is an Equal Opportunity ... **UPMC Corporate Finance is hiring a full-time Compliance Auditor , Intermediate. This position will be based out of Forbes Tower in Pittsburgh, PA. This position… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ... to prevent and detect fraud, waste, and abuse. The RN Compliance Nurse 2, Quality...past 3 years + Experience as a Utilization Management Auditor + Health Plan experience working with large carriers… more
- BrightSpring Health Services (Louisville, KY)
- …to the governing board + Additional responsibilities as assigned Qualifications + Registered Nurse with current licensure to practice in assigned state(s) ... Our Company BrightSpring Health Services Overview Our Hospice Compliance Auditors are responsible for supporting the Regional Compliance Directors with chart… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more! **Description** Reporting to the Manager, Compliance Audit and Analysis, develops and executes audit, monitoring, and education ... inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/clinical billing… more
- Ochsner Health (New Orleans, LA)
- …This job assists with maintaining an effective auditing and compliance program. Independently completes assignments, manages projects, performs research, audits, ... educates and assists employees in applying and improving overall compliance and leads any assisting staff assigned to their...Required - Certification as CPC, CCS, CHC, RHIA, RHIT, RN , or LPN or other related certification. **Knowledge Skills… more
- Brockton Hospital (Brockton, MA)
- …focus on government payers, including Medicare and Medicaid. Collaborate with SHC's Healthcare's Compliance Auditor to meet audit plan objectives. + Works with ... in the lives and health of our patients. The Assistant Director, Corporate Compliance (Assistant Director) is a member of the Compliance Department and… more
- Molina Healthcare (Chandler, AZ)
- …RN may be preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions /… more
- Molina Healthcare (MA)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **Only candidates located in Massachusetts will be considered… more
- Molina Healthcare (IA)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Analyst, Quality Improvement (QI) Interventions/… more