Nurse Auditor Job at Pivotal Placement Services, Newark, NJ

NWJ3Q0R3eUVjTFlyU1RXMzU4SUVGWWJ0UkE9PQ==
  • Pivotal Placement Services
  • Newark, NJ

Job Description

Clinical Auditor

This is an exciting opportunity to work for a leader of resources for payors solutions & bill review with a preferred client. Many candidates we place enjoy the thinkability and solution oriented creativity they can bring to their work in this role. This is not like working in a hospital and having items pushed back, you get a chance to let your creative juices flow!!

This position is remote! Live anywhere in the United States!

Type of Work:

· Performing DRG validation (clinical/coding) reviews of medical records

· Determine correct DRG/coding that is clinically supported as defined by review methodologies specific to the contract for which review services are being provided.

· completing medical records review, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination

Requirements:

  • CCS or RHIT required
  • National Coding Certification required through either AHIMA (preferred) or AAPC.
  • Appeals and Charge Capture experience required
  • RN License Required
  • Nurse audit, provider revenue integrity, or payor audit experience preferred

Benefits

· Health / Dental / Vision

· Retirement options with employer match contribution

· PTO and Paid Holidays

· Clinical Ladder Advancement

What do people say about working with us?

·“I am finished with my orientation and my production levels are high, so I think they are pleased with my work. Really enjoying it here and the entire team is great! So thankful for my recruiter finding me this position and helping me through the interview process.”- Clinical Auditor

Who We Are

Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals from staff to leadership with both clinical and non-clinical employers.

Pivotal Placement Services is an Equal Opportunity Employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Job Tags

Contract work, Local area,

Similar Jobs

Aramark

Night Security Officer Yosemite Park Job at Aramark

 ...A leading service company is seeking a Night Housing Worker at Yosemite National Park. Responsibilities include maintaining security, conducting patrols, preparing reports, and ensuring a safe environment. Candidates should have experience as a security officer, demonstrate... 

Mr. Rooter Plumbing

Licensed Plumber Job at Mr. Rooter Plumbing

 ...: Full-time Pay: $38.00 - $50.00 per hour Benefits: * 401(k)* Company truck * Dental insurance * Flexible schedule * Fuel card * Health insurance * Life insurance * Paid time off * Vision insurance Experience: * Plumbing: 2 years (Required)... 

Veterans Affairs, Veterans Health Administration

Purchasing Agent Job at Veterans Affairs, Veterans Health Administration

 ...identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) As a condition of employment for accepting this position, you will be required to serve a 1-year... 

Royal Caribbean Group

Ship Manager Job at Royal Caribbean Group

 ...vacations for our guests. Royal Caribbean Groups Global Marine Operations Team has an exciting career opportunity for a full time Ship Manager reporting to the Director, Fleet Technical. This is a land-based position that will work onsite in Miami, Florida.... 

Building Team Solutions Inc

Underground Utility Estimator Job at Building Team Solutions Inc

 ...Job Description If youre a powerhouse Underground Utilities Estimator with heavy experience in concrete and youre looking for a team with real culture, real leadership opportunity, and a chance to grow into senior leadership this is your role. Key Responsibilities...