Talent.com
Oregon Licensed Clinical Nurse Auditor

Oregon Licensed Clinical Nurse Auditor

VirtualVocationsSpokane, Washington, United States
1 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 • Spokane, Washington, United States

Related jobs
  • Promoted
  • New!
State Licensed Clinical Coding Auditor

State Licensed Clinical Coding Auditor

VirtualVocationsSpokane, Washington, United States
Full-time
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: 5 hours ago
  • Promoted
  • New!
Registered Health Information Technician

Registered Health Information Technician

VirtualVocationsSpokane, Washington, United States
Full-time
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: 3 hours ago
  • Promoted
Patient Authorization Associate

Patient Authorization Associate

VirtualVocationsSpokane, Washington, United States
Full-time
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
  • Promoted
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsSpokane, Washington, United States
Full-time
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
  • Promoted
  • New!
South Dakota Licensed Clinical Documentation Specialist

South Dakota Licensed Clinical Documentation Specialist

VirtualVocationsSpokane, Washington, United States
Full-time
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: 9 hours ago
  • Promoted
Behavioral Health Coding Auditor

Behavioral Health Coding Auditor

VirtualVocationsSpokane, Washington, United States
Full-time
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
  • Promoted
Michigan Licensed Clinical Document Specialist

Michigan Licensed Clinical Document Specialist

VirtualVocationsSpokane, Washington, United States
Full-time
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: 1 day ago
  • Promoted
  • New!
Certified Medical Coder III

Certified Medical Coder III

VirtualVocationsSpokane, Washington, United States
Full-time
A company is looking for a Medical Coder III with Cardiology experience.Key Responsibilities Review and submit 64 encounters per day related to various cardiology services Maintain coding knowle...Show moreLast updated: 17 hours ago
  • Promoted
  • New!
Michigan Licensed Health Information Analyst

Michigan Licensed Health Information Analyst

VirtualVocationsSpokane, Washington, United States
Full-time
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: 7 hours ago
  • Promoted
Health Information Specialist I

Health Information Specialist I

VirtualVocationsSpokane, Washington, United States
Full-time
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
  • Promoted
Radiation Oncology Coder

Radiation Oncology Coder

VirtualVocationsSpokane, Washington, United States
Full-time
A company is looking for a Radiation Oncology Coder Remote.Key Responsibilities Review accounts for accuracy using the charge capture audit system in compliance with guidelines Compare medical r...Show moreLast updated: 1 day ago
  • Promoted
  • New!
LA Licensed Clinical Review Nurse

LA Licensed Clinical Review Nurse

VirtualVocationsSpokane, Washington, United States
Full-time
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: 11 hours ago
  • Promoted
Certified Medical Coder - IL

Certified Medical Coder - IL

VirtualVocationsSpokane, Washington, United States
Full-time
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
  • Promoted
Health Information Analyst

Health Information Analyst

VirtualVocationsSpokane, Washington, United States
Full-time
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
  • Promoted
  • New!
Inpatient Coding Coordinator

Inpatient Coding Coordinator

VirtualVocationsSpokane, Washington, United States
Full-time
A company is looking for an Inpatient Corporate Coding Coordinator.Key Responsibilities Performs second level coder reviews on accounts and provides education on correct coding Assists the codin...Show moreLast updated: 5 hours ago
  • Promoted
Licensed RN Clinical Appeals Reviewer

Licensed RN Clinical Appeals Reviewer

VirtualVocationsSpokane, Washington, United States
Full-time
A company is looking for an IBR Clinical Appeals Reviewer who will analyze and respond to client and hospital claim review appeal inquiries. Key Responsibilities : Analyze scope and resolution of I...Show moreLast updated: 1 day ago
  • Promoted
  • New!
California Licensed Review Nurse

California Licensed Review Nurse

VirtualVocationsSpokane, Washington, United States
Full-time
A company is looking for a Pre-Service Review Nurse RN to work remotely in the Pacific or Mountain Time Zones.Key Responsibilities Conduct utilization management, including Prior Authorization Re...Show moreLast updated: 19 hours ago
  • Promoted
Pennsylvania Licensed Clinical Appeals Reviewer

Pennsylvania Licensed Clinical Appeals Reviewer

VirtualVocationsSpokane, Washington, United States
Full-time
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