Oregon Licensed Clinical Nurse Auditor
VirtualVocationsSpringfield, Massachusetts, United States1 day ago
Job type
- Full-time
Job description
A company is looking for a Clinical Nurse Auditor, HEDIS who will conduct clinical quality audits and improve quality within the healthcare network.
Key Responsibilities
Conduct clinical quality audits and identify areas for quality improvement
Collect and organize data through chart extraction for the HEDIS program
Perform chart audits electronically or onsite during the audit season
Required Qualifications
Degree in Nursing
Oregon Registered Nurse License
5+ years of clinical experience in Nursing
Create a job alert for this search
Nurse Auditor • Springfield, Massachusetts, United States
Related jobs A company is looking for an IBR Clinical Appeals Reviewer - Remote.Key Responsibilities Analyze and respond to IBR Appeals inquiries Perform medical record reviews and prepare written appeals C...Show moreLast updated: 30+ days ago A company is looking for a Coding Quality Auditor, HEDIS.Key Responsibilities Conduct clinical quality audits and identify issues for quality improvement within the HEDIS project Collect and org...Show moreLast updated: 1 day ago A company is looking for a Clinical Documentation Specialist - Home and Community Based Services (HCBS) - FT Days.Key Responsibilities Communicate with healthcare team members to ensure comprehen...Show moreLast updated: 12 hours ago A company is looking for a HB HIM Coding Specialist 3.Key Responsibilities Code and abstract inpatient records using ICD-10-CM and ICD-10 PCS codes, ensuring compliance with coding guidelines Ma...Show moreLast updated: 6 hours ago Key Responsibilities Conduct MS-DRG and APR-DRG coding reviews to ensure accurate DRG assignment and identify overpayments Perform clinical coding reviews using ICD-10-CM / PCS guidelines and main...Show moreLast updated: 8 hours ago A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.Key Responsibilities Conduct medical claim reviews for complex services and det...Show moreLast updated: 1 day ago A company is looking for a Remote Medical Insurance Verification Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Make inbound / outbound calls ...Show moreLast updated: 2 days ago A company is looking for a Clinical Nurse Auditor, HEDIS who will conduct clinical quality audits and improve quality within the healthcare network.
Key Responsibilities Conduct clinical quality a...Show moreLast updated: 1 day ago A company is looking for a Coding and Compliance Auditor-Behavioral Health.Key Responsibilities : Perform operational and financial audits of provider claims to identify overpayments and resolve r...Show moreLast updated: 1 day ago A company is looking for a Senior Clinical Data Coordinator who will execute and support data management tasks across various program types.
Key Responsibilities Support study design, eCRF design,...Show moreLast updated: 2 hours ago A company is looking for a Clinical Document Specialist for a full-time remote position.Key Responsibilities Utilize clinical, coding, and Clinical Documentation Integrity (CDI) knowledge to enha...Show moreLast updated: 2 days ago A company is looking for a Patient Connection Authorization Associate to manage pre-certifications and authorizations for outpatient services.
Key Responsibilities Secure pre-certifications and au...Show moreLast updated: 10 hours ago A company is looking for a Clinical Appeals Reviewer.Key Responsibilities Process appeals while ensuring compliance with regulatory milestones Review medical records for documentation and billin...Show moreLast updated: 1 day ago A company is looking for a Health Information Management Analyst I - Document Imaging and QA.Key Responsibilities Perform quality assurance checks on imaged documents and ensure accurate indexing...Show moreLast updated: 10 hours ago A company is looking for a Health Information Discharge Analyst I.Key Responsibilities Reviews inpatient records to ensure completion of discharge summaries and identifies deficiencies Updates d...Show moreLast updated: 30+ days ago A company is looking for a Health Information Specialist I - OnBase Indexer.Key Responsibilities : Perform chart processing functions including preparation, scanning, indexing, and quality review ...Show moreLast updated: 2 days ago A company is looking for a Patient Connection Authorization Associate to manage pre-certifications and authorizations for outpatient services.
Key Responsibilities Secure pre-certifications and au...Show moreLast updated: 30+ days ago A company is looking for a Patient Intake Coordinator - Specialty Pharmacy.Key Responsibilities Support patients and providers in navigating insurance benefits for prescribed injectable therapies...Show moreLast updated: 30+ days ago A company is looking for a HIM Certified Coder.Key Responsibilities Accurately code hospital inpatient, outpatient, and professional fee encounters using appropriate coding systems Provide inter...Show moreLast updated: 2 days ago A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Perform concurrent reviews to determine overall health and appropriate level of care for members Review ...Show moreLast updated: 14 hours ago
- Promoted
RN Clinical Appeals Reviewer
VirtualVocationsHartford, Connecticut, United StatesFull-time
- Promoted
HEDIS Coding Quality Auditor
VirtualVocationsSpringfield, Massachusetts, United StatesFull-time
- Promoted
- New!
South Dakota Licensed Clinical Documentation Specialist
VirtualVocationsHartford, Connecticut, United StatesFull-time
- Promoted
- New!
Registered Health Information Technician
VirtualVocationsHartford, Connecticut, United StatesFull-time
- Promoted
- New!
State Licensed Clinical Coding Auditor
VirtualVocationsSpringfield, Massachusetts, United StatesFull-time
- Promoted
South Carolina Licensed RN Reviewer
VirtualVocationsSpringfield, Massachusetts, United StatesFull-time
- Promoted
Remote Medical Insurance Verifier
VirtualVocationsSpringfield, Massachusetts, United StatesRemote
Full-time
- Promoted
Oregon Licensed Clinical Nurse Auditor
VirtualVocationsHartford, Connecticut, United StatesFull-time
- Promoted
Behavioral Health Coding Auditor
VirtualVocationsHartford, Connecticut, United StatesFull-time
- Promoted
- New!
Senior Clinical Data Coordinator
VirtualVocationsHartford, Connecticut, United StatesFull-time
- Promoted
Michigan Licensed Clinical Document Specialist
VirtualVocationsSpringfield, Massachusetts, United StatesFull-time
- Promoted
- New!
Patient Authorization Specialist
VirtualVocationsSpringfield, Massachusetts, United StatesFull-time
- Promoted
Pennsylvania Licensed Clinical Appeals Reviewer
VirtualVocationsHartford, Connecticut, United StatesFull-time
- Promoted
- New!
Michigan Licensed Health Information Analyst
VirtualVocationsSpringfield, Massachusetts, United StatesFull-time
- Promoted
Health Information Analyst
VirtualVocationsHartford, Connecticut, United StatesFull-time
- Promoted
Health Information Specialist I
VirtualVocationsSpringfield, Massachusetts, United StatesFull-time
- Promoted
Patient Authorization Associate
VirtualVocationsHartford, Connecticut, United StatesFull-time
- Promoted
Patient Intake Coordinator
VirtualVocationsHartford, Connecticut, United StatesFull-time
- Promoted
Certified Medical Coder - IL
VirtualVocationsSpringfield, Massachusetts, United StatesFull-time
- Promoted
- New!
LA Licensed Clinical Review Nurse
VirtualVocationsSpringfield, Massachusetts, United StatesFull-time