Remote DRG Audit RN — Clinical Validation Expert
Registered Nurse
New York, NY
- Remote job
Optum is seeking a Clinical DRG RN auditor to join their team remotely from anywhere in the United States. This role requires expertise in MS-DRG and APR-DRG coding and reimbursement methodologies, along with a commitment to ensuring accurate coding for inpatient claims. The ideal candidate will have an Associate's degree and 2+ years of experience with ICD-10 coding. The position offers a comprehensive benefits package, including competitive pay and opportunities for career development. #J-18808-Ljbffr Registered Nurse
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote DRG Audit RN — Clinical Validation Expert in New York, NY vacancy
$70k - $80k
...analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with... ..., attention to detail, and experience in DRG audits. Competitive salary range is $70k - $80k....Remote job- Optum is hiring a Clinical DRG RN auditor to verify DRG coding accuracy and reimbursements while telecommuting from anywhere in the U.S. In this role, you'll use your ICD-10 coding expertise to audit inpatient claims, identify overpayments, and support your findings with...Remote job
- UnitedHealth Group is seeking a Senior Clinical Appeals RN to utilize expertise in MS-DRG and APR-DRG auditing to manage appeals. This position allows remote work throughout the U.S., except for... ...compliance with regulations. A valid RN license and coding experience are...Remote jobWork at office
- Stryker Corporation is seeking a Clinical DRG RN Auditor who will work remotely to validate DRG assignments and reimbursements. This role requires deep expertise in ICD-10 coding and offers flexibility to telecommute from anywhere in the U.S. The ideal candidate will have...Remote jobRelocation package
$35 - $63 per hour
Optum is seeking a Senior Clinical Appeals RN to utilize expertise in MS-DRG and APR-DRG auditing for appeals management. This role involves analyzing appeals, collaborating... ...authoring rebuttals. The job can be performed remotely across the U.S., with certain locations...Remote jobHourly payWork at office$35 - $63 per hour
...Territorial Epidemiologists is hiring a Senior Clinical Appeals RN. This position utilizes expertise in MS-DRG and APR-DRG auditing to review appeals and is responsible for... ...experience in ICD-10 coding. The role allows for remote work, and candidates should be solution-...Remote jobHourly pay- ...looking for a Diagnosis Related Group Clinical Validation Auditor - RN to work virtually, ensuring clinical... ...inpatient records. This role emphasizes auditing claims and improving clinical... ...in claims auditing, particularly with DRG-based claims. Elevance Health values...Remote jobFlexible hours
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL... ..., you will apply your expert knowledge of the MS-DRG... ...Guidelines in the auditing of inpatient claims. Employing... ...tools, you will validate ICD-10 diagnosis and procedure... ...independently in a remote environment and...Remote jobHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package$35 - $63 per hour
Crains Cleveland is looking for a Senior Clinical Appeals RN who utilizes expertise in MS-DRG and APR-DRG auditing to respond to appeals and coach remote DRG Validation Specialists. This role allows for remote work across the U.S., with specific location requirements for...Remote jobHourly pay$82.23k - $155.81k
Elevance Health is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN, responsible for auditing claims while working virtually. The position entails analyzing claims to ensure compliance with medical coding standards and identifying documentation errors...Remote job$82.23k - $155.81k
Elevance Health is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN to conduct thorough audits of medical claims. The role requires a Registered... ...improvement. This position primarily allows remote work while maintaining high standards for accuracy...Remote job- UnitedHealth Group is seeking a Clinical DRG RN auditor to leverage expert coding knowledge in auditing inpatient claims. This remote role allows for flexibility within the U.S., focusing on accurate DRG assignment to help improve health outcomes and manage overpayments...Remote job
$82.23k - $155.81k
Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to ensure clinical documentation accuracy for inpatient records... ...work. The ideal candidate will analyze claims, maintain auditing standards, and possess an RN license with substantial...Remote job- ...Minnesota School of Nursing is seeking a Clinical DRG RN auditor. In this role, you will use your... ...in MS-DRG and APR-DRG coding to audit inpatient claims, ensuring accuracy and... ...with coding guidelines. You will enjoy remote work flexibility and be part of a culture...Remote job
$35 - $63 per hour
Stryker Corporation is seeking a Senior Clinical Appeals RN to utilize clinical expertise in... ...medical records. The role includes analyzing DRG appeals, conducting complex analyses, and... ...of coding experience with ICD-10. Remote work opportunities are available in the...Remote jobHourly pay$35 - $63 per hour
...University of Minnesota School of Nursing is looking for a Senior Clinical Appeals RN. This role involves reviewing and responding to appeals in MS-DRG and APR-DRG auditing and provides coaching to remote specialists. Remote work is available within the U.S., but...Remote jobHourly payWork at office- Texas Health Institute is seeking a Clinical DRG RN auditor who will leverage expertise in MS-DRG and APR-DRG coding to audit inpatient claims. This role entails validating ICD-10 codes and DRG assignments while working remotely from anywhere in the U.S. The ideal candidate...Remote jobRelocation package
$86.56k - $129.84k
...Companies, Inc. is seeking a Patient Safety DRG Clinical Validation Auditor to work virtually full-time,... ...sessions as needed. The role includes auditing medical records and ensuring compliance... .... Candidates must possess a current RN license and have at least 10 years of experience...Remote jobFull time- Walker Healthforce, LLC is seeking an RN Inpatient Hospital Auditor for a remote 6-month contract in New Jersey. The ideal candidate should possess a valid RN license, CCS ORRHIT/RHIA... ...Responsibilities include leading on-site audits, designing protocols, and providing...Remote jobContract work
- ...intelligence company located in New York is looking for a Clinical Auditor to perform clinical reviews and audits on medical records, ensuring compliance with company... ...assurance guidelines. This role requires an active RN license and the ability to analyze claims data and...Remote job
$85k - $95k
..., accountability, and clinical excellence to healthcare... ...solutions including DRG Validation, Cost Outlier and Readmission... ...with inpatient claims auditing experience or case... ...Nurse with active RN licensure required CCS... ...applications at the same time Remote Work Requirements High...Remote workFull timeMonday to FridaySanta Barbara Cottage Hospital
New York, NY5 days ago$82.23k - $155.81k
Title Diagnosis Related Group Clinical Validation Auditor‑RN (CDI, MS‑DRG, AP‑DRG and APR‑DRG) Virtual This role enables associates to work virtually full... ...an office. How you will make an impact Analyzes and audits claims by integrating medical chart coding principles,...Full timeWork at officeLocal area$69.3k - $78k
...Medical Review Nurse II - Clinical Validation At Performant, we’re... ...medical claims audit reviews. As a MR Nurse... ...Payers. You will work remotely in a fast paced and dynamic... ...Qualifications Active unrestricted RN license in good... ..., HCPCS/CPT coding, DRG and medical billing...Remote workFor contractorsWork at officeWork from homeHome officeShift work- ...firm is expanding its team by hiring a Clinical Appeals Review Nurse. This role... ...denial reviews, performing various audit services, and educating client personnel... ...Required qualifications include an RN certification, experience with DRG denials, and preferred certifications...
$85k - $95k
A leading healthcare provider is seeking a Registered Nurse with a strong background in clinical validation to join their coding department. This full-time position offers telecommute flexibility within the United States. Candidates must have at least two years of clinical...Remote jobFull time$69.3k - $78k
...seeking a Medical Review Nurse II - Clinical Validation to perform medical claims audits for Government and Commercial... .... The position requires an active RN license and a minimum of five years... ...and documenting findings, all in a remote work environment. This role offers...Remote job- ...claims, ensuring accuracy for reimbursement. The ideal candidate will have a strong background in medical coding with a focus on MS-DRG, certifications like RHIA or CCS, and the ability to work independently. The position offers a competitive salary, a bonus incentive...Remote workWork from home
Humana
Carson City, NV4 days ago - Stryker Corporation is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews. This role involves analyzing hospital bills, conducting forensic reviews, and maintaining compliance with HIPAA standards while working independently...Remote jobHourly pay
- Santa Barbara Cottage Hospital is seeking a clinical professional for a fully remote role focused on medical management. The position requires an active New York State RN licensure and involves analyzing authorization requests to determine medical necessity. The successful...Remote jobFlexible hours
$50 per hour
...A leading healthcare staffing firm is seeking an experienced RN Clinical Reviewer to work remotely. You'll conduct detailed medical-legal reviews and appeals while maintaining high accuracy and integrity. Key qualifications include a New York State RN license and at least...Remote workSanta Barbara Cottage Hospital
New York, NY16 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote DRG Audit RN — Clinical Validation Expert. Be the first to apply!
Related searches
- rn network New York, NY
- registered nurse on call New York, NY
- telephonic rn New York, NY
- travel or rn New York, NY
- labor and delivery registered nurse rn New York, NY
- pcu rn New York, NY
- full-time registered nurse rn New York, NY
- private practice rn New York, NY
- postpartum rn New York, NY
- new graduate rn New York, NY