Remote Clinical Review RN - Forensic Billing Expert
Palo Verde Community College District
- Remote job
Optum is seeking a Clinical Review Clinician to act as a subject matter expert for itemized bill reviews and hospital facility bills. This role involves documenting, researching, and identifying adjustments for payment as part of a team preparing Forensic Reviews for specific clients. Join a collaborative environment with limited supervision, a focus on HIPAA privacy, and opportunities to advance in a nationwide telecommuter role. #J-18808-Ljbffr Palo Verde Community College District
- UnitedHealth Group is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis. You will document... ...for payments as part of a team preparing Forensic Reviews for clients. Role involves understanding...Remote job
- UnitedHealth Group seeks a Clinical Review Clinician to serve as the subject matter expert for itemized bill reviews and analysis of hospital facility bills. You will document... ...adjustments as part of a team preparing Forensic Reviews for clients. You will enjoy limited...Remote job
- UnitedHealth Group seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and analysis of hospital... ...as part of a team preparing Forensic Reviews for clients. Telecommuting... ...U.S. The position requires RN or LPN licensure, 2+ years...Remote job
- UnitedHealth Group's Optum is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility... ...as part of a team delivering Forensic Reviews for clients. This... ...an associate degree, active RN or LPN license, and 2+ years...Remote job
- ...part of UnitedHealth Group, is seeking a Clinical Review Clinician to analyze hospital facility bills and document adjustments as part of forensic reviews for clients. The role offers... ...flexibility within the U.S. and requires RN or LPN licensure and clinical experience...Remote job
- Optum, a UnitedHealth Group company, seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bills. The clinical... ...for payment as part of a team preparing Forensic Reviews for clients. You will work with limited...Remote job
- UnitedHealth Group seeks a Clinical Review Clinician to analyze itemized hospital bills and document adjustments for forensic reviews. Telecommute from anywhere in the U.S. The role requires clinical experience, RN or LPN license, and bill review knowledge. You will support...Remote job
- UnitedHealth Group's Optum is seeking a Clinical Review Clinician to act as a subject matter expert in itemized bill reviews and hospital facility bills. You will document and research adjustments for Forensic Reviews for specific clients. This role offers telecommuting...Remote job
- UnitedHealth Group is seeking a Clinical Review Clinician to perform forensic reviews of hospital facility bills and document adjustments with clinical accuracy. You will analyze charge details, compare to guidelines, and participate in negotiations and appeals within...Remote job
- Optum is hiring a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis. The role involves documenting... ..., and supporting negotiations and appeals. Remote work is available nationwide with full benefits...Remote job
$65 - $95 per hour
...About the job Remote | Nursing Clinical Review Expert - $65-$95/hour We are sharing a specialised part-time consulting opportunity for nursing... ...environment Educational Background Nursing education, RN/LPN/LVN qualification, BSN, MSN, or equivalent clinical...Remote workHourly payWeekly payContract workPart timeFor contractorsFlexible hours$29 - $52 per hour
...Clinical Review Clinician Optum is a global organization that delivers... ...serves as a subject matter expert for itemized bill reviews and analyzing... ...contributes to the preparation of Forensic Reviews for specific... ...~ Active and unrestricted RN license OR LPN in the state...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal area$29 - $52 per hour
...Program Integrity Clinical Compliance Auditor Optum... ...performing compliance reviews of medical and administrative... .... This position is Remote in Massachusetts. You... ...~ Nurse licensure (RN or LPN) with a current,... ...information, and healthcare billing practices Experience...Remote workHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work- Optum is hiring a Clinical Review Clinician to act as a subject matter expert for itemized bill reviews and hospital facility bills. The role includes documenting, researching... ...for payment as part of a team preparing Forensic Reviews for clients. Responsibilities include...Remote job
- UnitedHealth Group is seeking a Clinical Review Clinician to analyze hospital facility bills and document adjustments as part of Forensic Reviews for specific clients. This role involves HIPAA compliance, bill review, and clinical claim assessment. You will work with a...Remote job
- ...comprehensive training curricula for clinical audit nurses and audit... ...IPF and IRF claim review, documentation requirements,... ...distinctions, and facility-specific billing rules. Maintain and update... ...for effective delivery in a remote environment. Training Delivery...Remote workFull timeWork at office
- ...role, you'll use your clinical knowledge outside ofthe... ...traditional bedside setting to review and audit claims,... ..., documentation, and billing data Collaborate with... ...unrestricted Registered Nurse (RN) license Strong... ...populations Remote work - enjoy the convenience...Remote workFull timeTemporary workWork at officeWork from home
- Providence Home Services Oregon is seeking a Clinical Documentation Specialist RN to perform OASIS and Plan of Care reviews for CMS compliance, working remotely with day shifts and weekdays. The... ...Health leadership and acts as Oasis expert and consultant across the region....Remote jobDay shiftWeekday work
- ...CorVel Corporation, is seeking an Itemization Review Nurse for a remote role in the United States. The nurse... ...analyzes charges on UBIB submissions to ensure billing accuracy and documents conclusions in the company system. Requires RN licensure and 5+ years in OR/ICU/ER;...Remote job
- Healthfirst is seeking an A&G Clinical Specialist to lead the development and resolution of... ...laws and internal policies. The role can be remote or on-site at the NYC or Lake Mary... ...guidelines, and prepare cases for internal and external reviews. #J-18808-Ljbffr HealthfirstRemote work
- ...Providence Home Services Oregon is seeking a Clinical Documentation Specialist RN to ensure CMS program compliance through meticulous review of OASIS admission documents and Plans of Care. This full-time, day shift role is remote for eligible states and collaborates with...Remote jobFull timeDay shift
- YO AI Labs seeks an Oncology and Hematology expert to remotely contribute to a healthcare AI project. You will review clinical content, assess trial data, and provide expert medical judgment to refine AI models. Qualifications include board-level oncology/hematology experience...Remote jobFor contractors
- Providence Health and Services is seeking a Clinical Documentation Specialist, RN for the Oregon Home Services team. This role focuses on quality review of OASIS admission documents and Plans... ...Health leadership, acting as an Oasis expert and consultant to staff across the...Remote job
$150 per hour
...About the job Remote | Physician Clinical Review Expert - $150-$220/hour We are sharing a specialised part-time consulting opportunity for physicians experienced in clinical diagnosis, treatment planning, patient care management, medical documentation, clinical...Remote workHourly payWeekly payContract workPart timeFor contractorsFlexible hours- YO AI Labs is seeking a Hematology Expert for a remote contractor role to contribute medical expertise to a healthcare AI project. You will evaluate clinical content, review trial materials, and provide expert medical judgment to improve AI-driven insights. The ideal candidate...Remote jobFor contractors
- 24-MAG LLC is seeking experienced pharmacists for a specialized, part-time remote consulting role focused on clinical medication review, drug interactions, dosing, contraindications, and Lexidrug guidance. You will evaluate medication lists, patient charts, and dosing...Remote jobPart time
$69.3k - $78k
Overview Medical Review Nurse II - Clinical Validation At Performant, we’re focused... ...losses due to errant billing practices. We are the premier... ...Commercial Payers. You will work remotely in a fast paced and dynamic... ...Active unrestricted RN license in good standing, is...Remote workFor contractorsWork at officeWork from homeHome officeShift work$60 per hour
...discretion and completely remote. We require at least... ...be responsible for reviewing pertinent patient data,... ...received for accuracy of clinical and demographic... ...Reviewers, LPN Reviewers and RN Reviewers in building their... ...care plan sign off and billing. Identify...Remote workHourly payFor contractors- CorVel Corporation is seeking an Itemization Review Nurse to assess charges on UBIB submissions for accuracy. This remote role requires meticulous data review and documentation... ...designated system. The ideal candidate holds RN licensure in the employment state, with 5+...Remote job
$59.5k - $116.6k
UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring... ...requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate will work primarily during...Remote jobWeekend work
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