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

bmUrekp2U2drcVJITVFyYkhJdW85L2hneEE9PQ==
  • 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

Vantor

Finance Manager, Cash & CapEx Job at Vantor

 ...below. We are seeking an experienced and strategic Capital Finance Manager to be a key player in our financial management team....  ...and challenge project proposals, ensuring alignment with corporate strategy and financial hurdles. Financial Planning & Analysis... 

Grant Leighton Associates Of Texas

Irrigation Manager Job at Grant Leighton Associates Of Texas

Job Description Job Description Irrigation Manager for Commercial Properties. Irrigation License Required. Must pass drug test and background check.

Caelum Research Corporation

SharePoint and Power Apps Developer with Security Clearance Job at Caelum Research Corporation

SCOPE: Serves as a SharePoint Developer with primary focus in Power Apps development for a major IT services contract for the U.S. Navy RESPONSIBILITIES and EXPERIENCE: SharePoint development and administration, with expertise in developing and deploying SharePoint... 

Tonic3

Multimedia Copywriter Job at Tonic3

 ...Job Description Multimedia Copywriter / Social Media Copywriter / Digital Copywriter / Multichannel Copywriter / Content Marketing Writer...  ...: Irving, TX (2 days per week in the office, 3 days remote). New York, New York ( 3 days per week in the office, 2 days... 

Selby Jennings

Real Estate Residential AM/Acq Analyst Job at Selby Jennings

 ...management/acquisitions analyst or associate for a $3bn AUM Commercial Real Estate Firm here in Dallas. This individual will be focused on...  ...work with professionals around the organizationSeniority level Entry levelEmployment type Full-timeJob function FinanceIndustries...