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Weekday Rn Cpc Jobs in Washington (NOW HIRING)

NP On Call

Registered Nurse

Waldorf, MD · On-site

Registered Nurse Date: ASAP Location: Waldorf Job Type: Full-time, including weekends availability ... Weekday shifts are 9:00 am - 6:00 pm unless otherwise specified, and weekends are 10:00 am - 6:00 ...

NP On Call MD

Registered Nurse

Waldorf, MD · On-site

Registered Nurse Date: ASAP Location: Waldorf Job Type: Full-time, including weekends availability ... Weekday shifts are 9:00 am - 6:00 pm unless otherwise specified, and weekends are 10:00 am - 6:00 ...

NP On Call MD

Registered Nurse

Waldorf, MD

Registered Nurse Date:ASAP Location:Waldorf Job Type:Full-time, including weekends availability ... Weekday shifts are 9:00 am - 6:00 pm unless otherwise specified, and weekends are 10:00 am - 6:00 ...

Hatch Global Search

CRNA OOJ - OOJ - OOJ

Alexandria, VA · On-site

$230K/yr

Certified Registered Nurse Anesthetist (CRNA) A Certified Registered Nurse Anesthetist (CRNA) is an ... This position features regular weekday hours with no call, strong benefits, and an attractive ...

Inova

Registered Nurse (RN) Endoscopy

Fairfax, VA

Schedule: 3x10 hour shifts (30 hours per week) ; shifts vary-Weekdays 7a-5.30p; 7.15a-5.45p; and 8a ... Endoscopy RN Qualifications: * Requires minimum 1 year OR, Endo, PACU or critical care (ICU/ED ...

Inova

Registered Nurse (RN) Endoscopy

Fairfax, VA

Schedule: 4x10 hour shifts; shifts vary-Weekdays 7a-5.30p; 7.15a-5.45p; and 8a-6.30p with weeknight ... Endoscopy RN Qualifications: * Requires minimum 1 year OR, Endo, PACU or critical care (ICU/ED ...

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All JobsWeekday Rn Cpc JobsWeekday Rn Cpc Jobs in Washington

Weekday Rn Cpc information

What is the difference between Weekday Rn Cpc vs Weekend Rn Cpc?

AspectWeekday Rn CpcWeekend Rn Cpc
CertificationsRegistered Nurse (RN), CPC certificationRegistered Nurse (RN), CPC certification
Work EnvironmentHospitals, clinics, healthcare facilities during weekdaysHospitals, clinics, healthcare facilities during weekends
Employer & Industry UsageHealthcare providers operating primarily on weekdaysHealthcare providers with weekend shifts or 24/7 operations

The main difference between Weekday Rn Cpc and Weekend Rn Cpc lies in their work schedules. Weekday Rn Cpc typically works during regular weekday hours, while Weekend Rn Cpc covers weekend shifts. Both roles require similar certifications and work in comparable healthcare environments, but their schedules differ to meet patient care needs during different times of the week.

What are the most commonly searched types of Rn Cpc jobs in Washington? The most popular types of Rn Cpc jobs in Washington are:
What cities in Washington are hiring for Weekday Rn Cpc jobs? Cities in Washington with the most Weekday Rn Cpc job openings:
Weekday Rn Cpc jobs near you
SIU Nurse Auditor, RN, CPC (Full-time, Remote)

SIU Nurse Auditor, RN, CPC (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA • Remote

Other

This job post has expired today. Applications are no longer accepted.

Job description

Job Title: Clinical Nurse Auditor - Payment Integrity

Job Summary
We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential.

How You Will Make an Impact

  • Investigations and Audits: Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
  • Tool and Policy Development: Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
  • Cross-Departmental Collaboration: Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
  • Data Analysis and Trending: Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
  • Fraud Detection Support: Support fraud investigators with medical review expertise to detect and address fraudulent activities.
  • Mentorship: Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.

Requirements

Qualifications

  • Education:
    • Minimum Associate's Degree in Nursing required;
  • Licensure & Certification:
    • Current, unrestricted Registered Nurse (RN) license in applicable state(s).
    • Certification in medical coding from AAPC or AHIMA (e.g., CPC, CIC, CDI, or equivalent) is highly preferred.
  • Experience:
    • Minimum 5 years of clinical nursing experience, preferably with exposure to hospital bill auditing or defense auditing.
    • Strong knowledge of provider manuals, reimbursement policies, and medical policy guidelines.
    • Prior experience with healthcare fraud investigation and auditing is highly preferred.
  • Skills:
    • Proficiency in CPT/HCPCS and ICD-10 coding, with a strong foundation in auditing, accounting, and control principles.
    • Analytical and problem-solving skills with a keen attention to detail.
    • Exceptional written and verbal communication skills for clear and effective reporting and provider engagement.
    • Strong proficiency in Microsoft Office and familiarity with audit tracking systems.

Preferred Traits

  • Meticulous, organized, and objective in analyzing claims and documentation.
  • Ethical and responsible, with a commitment to supporting the integrity of healthcare billing and reimbursement.
  • Able to work independently, stay current with rapidly changing healthcare regulations, and thrive in a fast-paced environment.

Apply