Auditor Nursing Jobs

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Provider – Vendor Auditor IV - 1268Blue Cross Blue Shield Of Florida(Gainesville/Jacksonville/Ocala, Florida)
Job Title: Provider – Vendor Auditor IV - 1268 Requisition ID: 1268 Full/Part Time: Full Time, Employee Location: Jacksonville Job duties include but are not limited to the following: A senior level position. Independently performs comprehensive, multidimensional, complex facility claim audit, both in the field and desk, for all Lines of Business. Ensures claims are paid according to the member be...
Full job description at Monster
Posted Wed 4th January
Auditor- SeniorBureau Of Financial Management(Madison, Wisconsin)
Auditor - Senior Madison or Green Bay, Wisconsin Good with numbers? Are you a team player? An analytical thinker? Interested in public service? The Bureau of Financial Management within the Division of Long Term Care (DLTC) of the Wisconsin Department of Health Services (DHS) is seeking a highly motivated Auditor-Senior to assist with the statewide oversight and payment of nursing facilities that ...
Full job description at Monster
Posted Sat 21st January
AuditorUniversity Of Tennessee Health Science Center - Memphis(Memphis, Tennessee)
UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER The University of Tennessee Health Science Center, located at the very heart of the Downtown medical center, has been serving the greater Memphis area since 1911. Our vision is to be the preeminent public research and teaching university linking the people of Tennessee to the nation and the world. The Health Science Center aims to improve human health ...
Full job description at Monster
Posted Tue 31st January
Remote Nurse AuditorConnolly(Dallas, Texas)
Remote Nurse Auditor/Nurse Coder IMMEDIATE OPPORTUNITIES: Frisco, TX Connolly is a growing and profitable recovery audit firm that serves clients in the retail, healthcare, and commercial industries. Founded in 1979 and headquartered in Atlanta, GA, Connolly reviews over 1 Billion dollars in claims annually for over 120 of the world's largest and best run companies in the United States, Europe and...
Full job description at Monster
Posted Yesterday
Remote Nurse Auditor/Nurse CoderConnolly(Atlanta, Georgia)
Remote NurseAuditor/Nurse Coder Description Summary: Remote Nurse Auditor TheNurse Auditoris a clinically experienced professional who has a strong background in commercial insurance, coding and reimbursement guidelines. The position is responsible for reviewing medical records to determine the accuracy of payment through verification of coding, billing and supporting clinical documentation. Requi...
Full job description at Monster
Posted Fri 10th February
Remote Inpatient Coding AuditorConnolly(Atlanta, Georgia)
REMOTE INPATIENT CODING AUDITOR Essential Functions Specific experience andbackground in CMS &/or Commercial Insurance billing, coding and reimbursement guidelines. Direct experience in medical chart review for inpatient providers. Responsible for reviewing medical records to determine the accuracy of coding, billing and supporting clinical documentation. Knowledge, Skills and Abilities Knowledge ...
Full job description at Monster
Posted Fri 10th February
Registered Nurse Auditor(Baltimore, Maryland)
We are looking for a strong nurse auditor to come to work in our fast growing government-based healthcare practice … please contact me for details. • Integrity • Entrepreneurial • Self-Motivated • Passionate • Team Player • Results Oriented • Reliable • Professional Nurse Auditor wanted … Established in January, 2005, our audit firm, based in Baltimore, MD is dedicated to health care compliance of...
Full job description at Monster
Posted Fri 10th February
Inpatient Coding AuditorConnolly(Atlanta, Georgia)
INPATIENT CODING AUDITOR Immediate Opening in ourAtlanta OFFICE Essential Functions Specific experience andbackground in CMS &/or Commercial Insurance billing, coding and reimbursement guidelines. Direct experience in medical chart review for inpatient providers. Responsible for reviewing medical records to determine the accuracy of coding, billing and supporting clinical documentation. Knowledge,...
Full job description at Monster
Posted Today
Remote Inpatient Coding AuditorConnolly(Dallas, Texas)
REMOTE INPATIENT CODING AUDITOR Immediate Opening in our FRisco Texas OFFICE Essential Functions Specific experience andbackground in CMS &/or Commercial Insurance billing, coding and reimbursement guidelines. Direct experience in medical chart review for inpatient providers. Responsible for reviewing medical records to determine the accuracy of coding, billing and supporting clinical documentatio...
Full job description at Monster
Posted Today
Remote Inpatient Coding AuditorConnolly(Philadelphia, Pennsylvania)
REMOTE INPATIENT CODING AUDITOR Immediate Opening in our PHILADELPHIA, PAOFFICE Essential Functions Specific experience andbackground in CMS or commercial insurance billing, coding and reimbursement guidelines. Direct experience in medical chart review for inpatient providers. Responsible for reviewing medical records to determine the accuracy of coding, billing and supporting clinical documentati...
Full job description at Monster
Posted Today
Medical Chart AuditorGood Shepherd Rehabilitation Network(Allentown, Pennsylvania)
Performs professional billing audits of inpatient medical records. Reviewing medical records to determine the accuracy of coding, billing and supporting clinical documentation as it relates to insurance and government regulations. Education: 1. Must be certified or in the process of certification in any of the following: Certified Procedural Coder (CPC); Certified Coder Specialist (CCS); Registere...
Full job description at Monster
Posted Thu 5th January
Quality Auditor- RNHorizon-Blue Cross Blue Shield New Jersey(Central, New Jersey)
Job Summary Responsible for the quality review of claims to enhance the clinical, network, and case management services offered by Horizon Casualty Services, Inc. (HCS) Also responsible for coordinating all aspects of continuing clinical, nursing, and Certified Case Manager (CCM) in-service programs and medical consultant services. Qualifications Education/Experience: - Prefers a Bachelors degree....
Full job description at Monster
Posted Mon 30th January
Utilization Review Nurse AuditorInVentiv Health(Central/Augusta, Georgia)
inVentiv Medical Management (formerly AWAC), is a rapidly growing medical consulting and cost management firm located in Augusta, GA, working on behalf of health plans and employers around the nation. inVentiv Medical Management employs a dedicated team of physicians, nurses and other team member to help reduce healthcare costs and improve patient outcomes. We seek bright and energetic service ori...
Full job description at Monster
Posted Tue 20th December
Utilization Review Nurse AuditorInVentiv Health(Charlotte, North Carolina)
inVentiv Medical Management (formerly AWAC), is a rapidly growing medical consulting and cost management firm located in Augusta, GA, working on behalf of health plans and employers around the nation. inVentiv Medical Management employs a dedicated team of physicians, nurses and other team member to help reduce healthcare costs and improve patient outcomes. We seek bright and energetic service ori...
Full job description at Monster
Posted Wed 11th January
Compliance AuditorStanford Hospital & Clinics(Silicon Valley/Peninsula, California)
We all strive to become the best at what we do. But it helps to have like-minded people surrounding you. At Stanford Hospital & Clinics, forward thinking and a passion for advancement are things we all have in common. It's the standard we hold for our hospitals, and one we each take great pride in. compliance auditorS - billing/coding/fees We seek seasoned professionals to conduct audits to determ...
Full job description at Monster
Posted Fri 27th January
Clinical RN AuditorComforce(Seattle, Washington)
Job Description Postings Screening Auto-Reply Job Description PREREQUISITES: Current RN State of Washington professional nursing license required. Minimum three years experience in Utilization Review in a Hospital Setting. Demonstrates ability to communicate in writing and verbally in the English language in an effective manner. Effective communication includes ability to spell accurately and writ...
Full job description at Monster
Posted Tue 7th February
RN Clinical AuditorGeorgia Department Of Audits And Accounts(Atlanta, Georgia)
The Georgia Department of Audits and Accounts exists to provide decision-makers with credible management information to promote improvements in accountability and stewardship in state and local government. We are currently seeking RN clinical auditors to evaluate clinical and billing practices of Medicaid providers. Specifically, our clinical auditors will review medical record and billing documen...
Full job description at Monster
Posted Wed 8th February
Audit ManagerNYC Health And Hospitals Corporation(New York City, New York)
AUDIT MANAGER Salary range: $75,000 - $95,000 Job #: 5415 Marketing Statement The New York City Health and Hospitals Corporation (HHC), the largest municipal hospital and health care system in the country, is a $5.4 billion public benefit corporation that serves 1.3 million New Yorkers and nearly 400,000 who are uninsured. HHC provides medical, mental health and substance abuse services through it...
Full job description at Monster
Posted Thu 19th January
Director, Compliance And Data Analytics JobMedStar Health(Columbia, Maryland)
Job Description: Directs the compliance and data analytics operational activities managed by the Office of Corporate Business Integrity relating to compliance with federal and state laws, regulations, rules, and processes. Oversees the data analytics program and risk assessment-related process. Manages documentation and coding reviews, resulting action plans, and the development of compliance educ...
Full job description at Monster
Posted Mon 30th January
Staff Consultant - HealthcareFreed Maxick & Battaglia(Buffalo, New York)
Freed Maxick CPAs, P.C. a Top 100 CPA Firm in the US and a Best Place to Work in WNY since 2007, has an immediate opportunity for a Staff Consultant in our Healthcare group. The Staff Consultant Position is a data analyst role. Responsibilities include: Manipulating large amounts of data, and assisting with reimbursement, revenue cycle and financial projection engagements. Some of the more typical...
Full job description at Monster
Posted Mon 13th February

Auditor Job Search Tip

The job outlook for qualified nurses is very positive as in many geographical areas, there are many more available positions than nurses to fill them. Employment is expected to grow at a fast pace because the nursing industry is a large industry and many new jobs will be created in addition to filling the needs of already understaffed facilities. Nurses can pick of many different specializations or be general study nurses. Education will include a minimum of completion of a nursing program or bachelor's degree and also a passing grade on the state licensing examination.

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