Travel Nurse RN - Clinical Document Improvement Specialist - $2,200 per week Job at PRIDE Health, New York, NY

dS80bmtrMW5wOXJHWHZ1T3owS2hXOGxWZGc9PQ==
  • PRIDE Health
  • New York, NY

Job Description

PRIDE Health is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in New YOrk, New York.

Job Description & Requirements

  • Specialty: Clinical Document Improvement Specialist
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Position: Chart Review (Special Investigations Unit Clinical )

 

** Hybrid Position **

 

Shift: 9am - 5pm 

 

Requirements: 

5 years of healthcare fraud detection, investigation, or auditing, & In-depth experience and knowledge of coding regulations including ICD-10, CPT, HCPCS, AMA, etc.

 

Job Description 

  • Review medical records to validate clinical and coding assessments, as well as medical coding, and review healthcare claims to determine the accuracy and compliance of billed codes with relevant regulations, standards, policies, and procedures.
  • Conduct audits of high-risk claims and billing patterns to ensure adherence to healthcare regulations and MetroPlusHealth policy, and detect potential FW.A
  • Assist in preparing documentation for audits, recoupments, compliance/legal reviews, and regulatory inquiries.
  • Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such as over-utilization of services, upcoding, and billing for non-medically necessary services. 

 

About PRIDE Health

PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. With our robust and abundant travel nursing and allied health employment options across the U.S., PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry’s leading healthcare organizations.

Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Benefits

  • Weekly pay
  • Holiday Pay
  • Guaranteed Hours
  • 401k retirement plan
  • Cancelation protection
  • Referral bonus
  • Medical benefits
  • Dental benefits
  • Vision benefits

Job Tags

Weekly pay, Immediate start, Shift work,

Similar Jobs

PAWS & PARKS LLC

Kennel tech Job at PAWS & PARKS LLC

Join Our Team as a Kennel Tech at PAWS & PARKS LLC! Are you an animal lover looking to turn your passion into a rewarding career? PAWS & PARKS LLC, located in Lawrenceville, GA, is searching for a dedicated and compassionate Kennel Tech to join our team. If you enjoy working...

Everlight-solar

Domo Data Analyst Job at Everlight-solar

 ...Everlight Solar is seeking a skilled Data Analyst who will design and maintain functional programs and applications, producing fully...  ...serving our clients and team members. This will be a full-time, work-from-home "remote" position. Must own a Mac computer and be fluent... 

Hanna Interpreting Services LLC

Japanese Interpreter Job at Hanna Interpreting Services LLC

Hanna Interpreting Services LLC is a language service provider that connects bilingual and multilingual individuals with potential opportunities to serve as a freelance interpreter or translator. Our mission is to bridge the communication gap for those in need through excellent...

FRONTIER Companies

Junior Estimator Job at FRONTIER Companies

 ...Building Corporation is seeking a motivated and detail-oriented Junior Estimator to support our Preconstruction team. This role is...  .... Learning and Development: Gain exposure to value engineering strategies and cost-saving alternatives. Collaborate with senior... 

INSPYR Solutions

Analytics - Business Analyst Job at INSPYR Solutions

 ...Title: Analytics - Business Analyst Location: Pensacola, Florida Duration: Initial 6 months contract with extensions Rate: $32.00- $37.00/hr Work Requirements: US Citizen, GC Holders or or Authorized to work in US Responsible for optimizing the performance...