Talent.com
serp_jobs.error_messages.no_longer_accepting
Wisconsin Licensed Nurse Auditor

Wisconsin Licensed Nurse Auditor

VirtualVocationsSacramento, California, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Nurse Auditor - Revenue Integrity (Remote in Wisconsin).

Key Responsibilities

Review medical records to ensure proper coding for assigned specialties

Provide guidance to physicians and staff regarding coding and Medicare / Medicaid policies

Develop appeals correspondence materials for payors or Recovery Audit Contractors

Required Qualifications, Training, and Education

Nursing diploma or Associate's degree in nursing required; Bachelor's degree preferred

Minimum of three years' experience in a medical setting or medical business office

Registered Nurse license from the State of Wisconsin required

Coding certification from AAPC, AHIMA, or an approved entity must be obtained within three years of hire

Knowledge of CPT, ICD-9 / ICD-10, and HCPCS coding preferred

serp_jobs.job_alerts.create_a_job

Auditor • Sacramento, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Minnesota Licensed Registered Nurse

Minnesota Licensed Registered Nurse

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Registered Nurse for the Weight Management Program.Key Responsibilities Collaborate with an interprofessional team to provide care to patients on GLP-1 medications Edu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Arizona Licensed Nursing Faculty

Arizona Licensed Nursing Faculty

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Nursing Faculty member for a 32-hour work week schedule for Licensed Nurse Practitioners.Key Responsibilities Develop, implement, teach, and evaluate nursing education ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Maryland Licensed Clinical Appeals Nurse

Maryland Licensed Clinical Appeals Nurse

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals Nurse (Remote).Key Responsibilities Investigates and analyzes written appeals and reconsideration requests, responding with detailed letters while adhe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Illinois Licensed Psychiatric Nurse Practitioner

Illinois Licensed Psychiatric Nurse Practitioner

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Psychiatric Nurse Practitioner (PMHNP) to provide remote mental health care.Key Responsibilities Collaborate with an interdisciplinary team to develop and implement tre...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Review Nurse

California Licensed Review Nurse

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
North Carolina Licensed Clinical Nurse

North Carolina Licensed Clinical Nurse

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a RN Clinical Nurse II - Nurse Connect.Key Responsibilities Participates in patient education and assesses readiness to learn Evaluates patient care outcomes and communi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Missouri Licensed Nurse Practitioner

Missouri Licensed Nurse Practitioner

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Nurse Practitioner / APRN Telehealth.Key Responsibilities Complete detailed evaluations of medical and social assessments for beneficiaries Identify and refer members fo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
State Licensed Clinical Coding Auditor

State Licensed Clinical Coding Auditor

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
LA Licensed Clinical Review Nurse

LA Licensed Clinical Review Nurse

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.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 ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Oregon Licensed Clinical Nurse Auditor

Oregon Licensed Clinical Nurse Auditor

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Wisconsin Licensed Clinical Review Nurse

Wisconsin Licensed Clinical Review Nurse

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Nurse - Prior Authorization.Key Responsibilities Analyze prior authorization requests to determine medical necessity and appropriate level of care Coor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Ohio Licensed Utilization Nurse Consultant

Ohio Licensed Utilization Nurse Consultant

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services / benefits for members Gather...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Oregon Licensed Utilization Review Nurse

Oregon Licensed Utilization Review Nurse

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Nurse.Key Responsibilities Monitor utilization practices from preadmission to discharge to ensure cost-effective resource use and quality patient car...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
California Licensed Legal Nurse Consultant

California Licensed Legal Nurse Consultant

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Legal Nurse Consultant to assist attorneys with healthcare-related legal cases.Key Responsibilities Review and analyze medical records to support legal cases Educate a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Pennsylvania Licensed Nurse Supervisor

Pennsylvania Licensed Nurse Supervisor

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a QOC Nurse Supervisor - Remote.Key Responsibilities Manage non-clinical and clinical staff related to quality and patient safety efforts Monitor performance through var...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Arizona Licensed Registered Nurse

Arizona Licensed Registered Nurse

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Registered Nurse (RN), OB Clinic.Key Responsibilities Triage medical calls that come into the OB clinic and communicate with providers and staff as necessary Utilize s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Bilingual Registered Nurse - NY, IL, MA Licensed

Bilingual Registered Nurse - NY, IL, MA Licensed

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time +1
A company is looking for a Registered Nurse (RN) - Bilingual Spanish & English for part-time day shifts in a remote medical call center. Key Responsibilities Manage inbound and outbound calls for ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Pennsylvania Licensed Coding Auditor

Pennsylvania Licensed Coding Auditor

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Staff Coding Compliance Auditor (medical billing and coding).Key Responsibilities Perform compliance audits to assess the adequacy of medical record documentation, bill...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Texas Licensed Clinical Nurse Director

Texas Licensed Clinical Nurse Director

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Director of Utilization Management.Key Responsibilities Develop and implement strategic plans for Utilization Management aligned with organizational goals Direct all U...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Texas Licensed Medical Claims Auditor

Texas Licensed Medical Claims Auditor

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Claims Auditor (Remote - Texas).Key Responsibilities Review medical claims and supporting documentation for accuracy and compliance Validate coding accuracy us...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours