Revenue Cycle Nurse Manager- Clinical Audit - Washington

Clinical Audit & Integrity Specialists provide essential medical expertise to support audit and investigation activities, review medical records. · ...

We are seeking a Clinical Audit & Integrity Specialist to provide medical expertise in support of audit and investigation activities. The ideal candidate will have an Indiana nursing license (RN or higher) and the ability to apply clinical knowledge to fraud detection and recover ...

The Revenue Cycle Manager of Clinical Audit and Administrative Appeals is responsible for the development and management of programs related to regulatory reimbursement. · The Manager also has direct responsibility for the Outsource Nurse, Administrative Coordinator and Staff Ass ...

The Clinical Quality Auditor will lead in defining and executing strategies and solutions to create business value in auditing. They will establish the business strategy and roadmap: (1) improve outcomes for CINQ Care Inc. members, and (2) enhance the efficacy of other CINQ Care ...

Responsible for providing senior support in planning, organizing and/or evaluating the day-to-day delivery of global quality assurance (QA) services. Responsible for supporting the business in quality assurance, policy planning and development, ongoing quality improvement through ...

We are seeking an experienced Registered Nurse Clinical Coder to support DRG audit activities for one of our major healthcare partners. · Perform DRG audits on inpatient medical records to validate ICD-10 coding accuracy and DRG assignment. · Review clinical documentation to ensu ...

We are seeking a hands-on Clinical Director who brings both vision and execution to community mental health care · Own and define clinical standards across PTWMSI programs · Lead the development, implementation, and enforcement of clinical workflows · ...

The Non-Clinical Level Auditor reports to the VP, Head of Compliance and Risk Management with accountability for providing strategy, judgment, organization, · and evidenced-based analysis to influence decisions.The Non-Clinical Auditor should embody CINQCARE's core values, · incl ...

The Senior Quality Assurance Specialist is a senior technical expert in Quality Assurance, responsible for planning and execution of Quality Assurance deliverables, while overseeing and evaluating the technical aspects of the work performed by the department and providing technic ...

We are seeking an experienced Registered Nurse Clinical Coder to support DRG audit activities for one of our major healthcare partners. This role focuses on reviewing inpatient medical records, validating DRG assignments, and ensuring coding accuracy from an insurance and payer-s ...

This role assures clinical quality and regulatory compliance across Utilization Management department activities for all government lines of business.The individual in this role will confirm Utilization Management's compliance with federal, · state,and regulatory guidelines (e.g. ...

· Job Description · About CINQCARE · CINQCARE is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nur ...

**Licensed Clinical Psychologist Opportunity** · We are seeking a fully-licensed Clinical Psychologist at a Master's level or above to join our network. · About You: · Fully-licensed Clinical Psychologist with PSY, PSYP, or PsyD licensure (accepted on a state-by-state basis) · Va ...

The Healthcare Compliance Auditor position is a staff consulting position within the Healthcare Transactions and Strategy (HTS) group. · ...

We are seeking an experienced and mission-driven Clinical Director to provide clinical leadership and oversight across our mental health services. · ...

The Lead Clinical Research Coordinator independently leads and oversees day-to-day operations of clinical research studies conducted by a principal investigator with minimal supervision. This individual will develop a progressive functional knowledge of Good Clinical Practices (G ...

The Lead Clinical Research Coordinator independently leads and oversees day-to-day operations of clinical research studies conducted by a principal investigator with minimal supervision. · B.A./B.S.degree in a science technical health-related field or other applicable discipline ...

The Vice President of Compliance & Quality provides enterprise-wide leadership for regulatory compliance, risk management, and quality oversight.This role ensures that Mary's Center maintains the highest standards of ethical conduct, regulatory adherence, · and quality of care wh ...

Human Resources Director must have a Master's degree in human resources or related field and experience in Hospital Human Resources. · ...

The Talent Acquisition department hires qualified candidates to fill positions which contribute to the overall strategic success of Howard University. · At Howard University, we prioritize well-being and professional growth. · We offer competitive salary, $53,000 to $57,000, and ...