Talent.com
Oregon Licensed Clinical Nurse Auditor

Oregon Licensed Clinical Nurse Auditor

VirtualVocationsLouisville, Kentucky, United States
8 hours 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 • Louisville, Kentucky, United States

Related jobs
  • Promoted
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsLouisville, Kentucky, 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
Medical Record Imaging Technician

Medical Record Imaging Technician

VirtualVocationsLouisville, Kentucky, United States
Full-time
A company is looking for a Risk Adjustment Scheduling and Imaging Technician.Key Responsibilities Load medical records into the coding system and link them to appropriate chart IDs Schedule appo...Show moreLast updated: 1 day ago
  • Promoted
  • New!
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsLouisville, Kentucky, United States
Full-time
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: 12 hours ago
  • Promoted
  • New!
California Licensed Review Nurse

California Licensed Review Nurse

VirtualVocationsLouisville, Kentucky, 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: 2 hours ago
  • Promoted
Certified Outpatient Medical Coder

Certified Outpatient Medical Coder

VirtualVocationsLouisville, Kentucky, United States
Full-time
A company is looking for a Certified Outpatient Medical Coder, Professional Billing.Key Responsibilities Reviews medical records to assign appropriate diagnostic and procedural codes Assigns cha...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Health Claims Examiner

Health Claims Examiner

VirtualVocationsLouisville, Kentucky, United States
Full-time
A company is looking for a Health Claims Examiner I.Key Responsibilities Review medical documents to ensure completeness and validity for claim adjudication Determine covered services and calcul...Show moreLast updated: less than 1 hour ago
  • Promoted
Medical Record Technician

Medical Record Technician

VirtualVocationsLouisville, Kentucky, United States
Full-time
A company is looking for a Risk Adjustment Medical Record Scheduling & Imaging Technician.Key Responsibilities Load medical records into the coding system and link to appropriate chart IDs Sched...Show moreLast updated: 1 day ago
  • Promoted
Health Information Specialist I

Health Information Specialist I

VirtualVocationsLouisville, Kentucky, 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: 1 day ago
  • Promoted
  • New!
Radiation Oncology Coder

Radiation Oncology Coder

VirtualVocationsLouisville, Kentucky, 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: 12 hours ago
  • Promoted
Illinois Certified Health Information Coder

Illinois Certified Health Information Coder

VirtualVocationsLouisville, Kentucky, 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: 1 day ago
  • Promoted
Healthcare Credentialing Coordinator

Healthcare Credentialing Coordinator

VirtualVocationsLouisville, Kentucky, United States
Full-time
A company is looking for a Healthcare Credentialing Coordinator, part-time and remote.Key Responsibilities Manage the credentialing and re-credentialing process for healthcare providers, ensuring...Show moreLast updated: 1 day ago
  • Promoted
Health Information Analyst

Health Information Analyst

VirtualVocationsLouisville, Kentucky, 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!
Licensed RN Clinical Appeals Reviewer

Licensed RN Clinical Appeals Reviewer

VirtualVocationsLouisville, Kentucky, 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: 21 hours ago
  • Promoted
  • New!
Pennsylvania Licensed Clinical Appeals Reviewer

Pennsylvania Licensed Clinical Appeals Reviewer

VirtualVocationsLouisville, Kentucky, 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: 15 hours ago
  • Promoted
Certified Medical Coder - IL

Certified Medical Coder - IL

VirtualVocationsLouisville, Kentucky, 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: 1 day ago
  • Promoted
Michigan Licensed Clinical Document Specialist

Michigan Licensed Clinical Document Specialist

VirtualVocationsLouisville, Kentucky, 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
Remote Medical Insurance Verifier

Remote Medical Insurance Verifier

VirtualVocationsLouisville, Kentucky, United States
Remote
Full-time
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: 1 day ago
  • Promoted
  • New!
HEDIS Coding Quality Auditor

HEDIS Coding Quality Auditor

VirtualVocationsLouisville, Kentucky, United States
Full-time
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: 8 hours ago