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

ZktaUC92THNDS1pmRVBRa254aDAwNzlIOGc9PQ==
  • 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

Springboard Healthcare

Travel CT Tech - Radiology Job at Springboard Healthcare

 ...Job Description Springboard Healthcare is seeking a travel CT Technologist for a travel job in Wichita, Kansas. Job Description &...  ...shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: CT Tech... 

Novant Health

Registered Nurse Job at Novant Health

What We Offer: Position: Registered Nurse, RN Schedule: 7:00pm-7:00am, full time, rotating...  ...RN nursing license has been inactive, retired or lapsed for five years or more and you...  ...respond promptly to changes in condition. Work closely with physicians, advanced... 

Cox Automotive

Body Shop Buffer/Finisher Tech $1500 New Hire Tools Bonus Job at Cox Automotive

Cox Automotive is seeking a skilled Body Shop Buffer/Finisher Technician to join our team. This role is critical in delivering high-quality services to our clients by ensuring vehicles are finished to industry standards. Technicians in this role will have the opportunity... 

ATMI Precast

Entry-Level Structural Engineer Precast & BIM Design Job at ATMI Precast

 ...A construction company is seeking an entry-level Structural Engineer to work on real-world structural design challenges. The role offers hands-on experience with precast concrete systems, collaboration with experienced engineers, and the opportunity to develop technical... 

AWH Logistics

Non CDL Delivery Driver Job at AWH Logistics

 ...Logistics, LLC is looking for experienced Class C Box Truck drivers for lift gate route delivery in Leetsdale, PA. You are the key to keeping our...  ...must receive a negative result). 9) FMCSA Clearinghouse -(CDL Holders) Must consent to annual/limited queries and hold...