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

Quality Control Clerk - Amtrak Job at Aramark

 ...Train Provisioning Solution (TPS) services where applicable, while delivering excellent customer service to internal and external Amtrak customers and client partners. COMPENSATION: The hourly rate for this position ranges from $22.00 to $22.00, that is the amount... 

CML Security

Construction Project Manager Job at CML Security

 ...project team members on an ongoing basis Manage and conduct Constructability Reviews with members of the project team, including both...  ...referral bonus, employee assistance program, Elevations Credit Union membership, CML apparel reimbursement and access to CMLs Top... 

Strategic Employment

Junior UX/UI Designer Job at Strategic Employment

 ...We're working with a forward-thinking software company based in Costa Mesa, CA, that is seeking a creative and detail-oriented UI/UX Designer to join their dynamic team. This company develops innovative solutions for a diverse client base and is looking for someone enthusiastic... 

CHRISTUS Health

Licensed Vocational Nurse Clinic - CHRISTUS Baylor Clinics Stone Oak Health Pavilion Job at CHRISTUS Health

 ...This position is responsible for providing care to assigned patients that meets their physical, psychological, social, cultural, spiritual, and developmental needs. Functions as a contributing member of the health care team. Responsibilities: Assists the team leader... 

Northwestern Memorial Healthcare

Clinical Shift Coordinator RN-Emergency Department - Northwestern Memorial Healthcare - Huntley, Illinois, United States Job at Northwestern Memorial Healthcare

 ...patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the...  ...practice. This nurse functions in a leadership, overseeing daily unit operations, staff, and care delivery, utilizing a staff focused...