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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio
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Geisinger
Danville, Pennsylvania
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Fred Hutchinson Cancer Center
Seattle, Washington
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Medical Auditor RN (Remote- UR and Auditing experience preferred)
JOB SUMMARYThe Medical Auditor RN assesses and develops policies and procedures for medical audit programs, insuring that audit procedures are maintained and adhered to and are compliant with state and national regulations.ESSENTIAL FUNCTIONS OF THE ROLEDevelops a multi-faceted audit plans, including for Diagnosis-Related Group (DRG) and Ambulatory Payment Classifications (APC) validations, inpatient and outpatient hospital billing, skilled nursing facility audits, contract terms validations, high cost drug audits, itemized bill reviews and durable medical equipment audits. Monitors audit plans over time for continual processes improvement.Analyzes current provider cont
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Job Seekers, Welcome to ONA Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
NEW! NEW!
NEW! NEW!
NEW! NEW!
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Geisinger
Danville, Pennsylvania
NEW! NEW!
NEW! NEW!
Fred Hutchinson Cancer Center
Seattle, Washington
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Loading... Please wait.
Medical Auditor RN (Remote- UR and Auditing experience preferred)
JOB SUMMARYThe Medical Auditor RN assesses and develops policies and procedures for medical audit programs, insuring that audit procedures are maintained and adhered to and are compliant with state and national regulations.ESSENTIAL FUNCTIONS OF THE ROLEDevelops a multi-faceted audit plans, including for Diagnosis-Related Group (DRG) and Ambulatory Payment Classifications (APC) validations, inpatient and outpatient hospital billing, skilled nursing facility audits, contract terms validations, high cost drug audits, itemized bill reviews and durable medical equipment audits. Monitors audit plans over time for continual processes improvement.Analyzes current provider cont
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