2933 Rn Chart Auditor jobs in Cincinnati,OH

Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)

Molina Healthcare

Covington, KY 41011

At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Compact license is acceptable where states allow.
Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and
Healthcare Common Procedure Coding (HCPC).
Experience working within applicable state, federal, and third-party regulations.
Analytic, problem-solving, and decision-making skills.
Organizational and time-management skills.
Attention to detail.
Critical-thinking and active listening skills.
Common look proficiency.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software program(s) proficiency.

Wal Mart

Cincinnati, OH 45239

ShiftKey, LLC

Cincinnati, OH 45202

CommonSpirit Health at Home

Cincinnati, OH 45208

TriHealth

Montgomery, OH 45140

Bachelor's Degree in Biology, Physiology, Business, Public Health, or related scientific/healthcare field
Equivalent experience accepted in lieu of degree
Knowledge of GCP, ICH guidelines/regulatory requirements for clinical trial management
2-3 years' experience in Professional Management
3-4 years' experience Professional Clinical Research

FRESENIUS

Cincinnati, OH 45236

Graduate of an accredited School of Nursing.
Current appropriate state licensure.
Current or successful completion of CPR BLS Certification.
Must meet the practice requirements in the state in which he or she is employed.
Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
Must have a minimum of 9 months experience as a RN.
Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.