Nurse Auditor: Medical Bill Review & Cost Savings
Rising Medical Solutions, LLC
Rising Medical Solutions, LLC is seeking a Nurse Auditor to review medical bills and ensure billing and coding accuracy. This role focuses on maximizing client savings through audits and evaluations of medical records. The ideal candidate will have an active RN or LPN license, clinical experience in acute care, and a customer service orientation, along with certifications like CPC. The position offers a flexible hybrid schedule and competitive benefits including health insurance and 401(k) with company match. #J-18808-Ljbffr Rising Medical Solutions, LLC
- Have you ever looked a medical bill and immediately noticed something was... ...Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment. Join our team and maximize client savings by reviewing medical bills from a nurse perspective...SuggestedRemote jobCasual workWork at officeImmediate startFlexible hours
$86.56k - $155.81k
...Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG... ...responsible for auditing inpatient medical records to ensure... ...the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group... ...unrestricted Registered Nurse license in applicable state...SuggestedFull timeWork at officeLocal area$92.88k - $160.22k
...31 Position Title:DRG Coding Auditor - MS-DRG and APR-DRG Job Description... ...for auditing inpatient medical records and generating high... ...responsible for performing clinical reviews of medical records and other... ...knowledge of medical claims billing/payment systems provider...SuggestedFull timeTemporary workWork experience placementLocal area1 day per week$135k - $140k
..., and it comes with benefits, including medical, vision, dental, life, and disability insurance... ...policies and standardsDeliver reviews and projects on time, within agreed budget... ...mitigation, and provide opportunities for cost savings, and standardization and globalization...Suggested- ...Stop Loss Claims Auditor or Senior Stop Loss Claims Auditor... ...mitigate client medical stop loss claims and provide... .... ~ Recognize cost mitigation opportunities... ...claims for over-authority review and approval to the carrier... ...account ~ Health savings account ~ Life insurance...SuggestedContract workFlexible hours
- ...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly... .... Preferred qualifications: Experience reviewing and understanding medical records and knowledge of medical billing procedures, including experience using STARS and...Full timeWork experience placementInterim roleWork at officeLocal areaRemote workFlexible hours
$2,744 per week
...and/or reductions in costs. Participating in... ...assistance to external auditors during their interim and annual reviews of the company... ...off, paid holidays, medical insurance contributions... ...401k retirement savings plan Seniority... ...3 hours ago Travel Nurse RN - Clinic Med Surg...Contract workInterim role- Job Summary CGS is seeking a highly skilled Auditor to provide general auditing and accounting services... .... Preferred Qualifications Experience reviewing and understanding medical records and knowledge of medical billing procedures, including experience using STARS and...Work experience placementInterim roleWork at officeLocal areaFlexible hours
$98.35k - $115.7k
...Corporate Audit Services Senior Auditor (Corporate Treasury) is... ...conclusions, to facilitate an efficient review, and to meet internal audit... ...operationally effective and cost-effective actions to address those... ...the following:Healthcare (medical, dental, vision)Basic term and...Full timeWork at officeLocal area3 days per week$38.46 - $52.4 per hour
...Health systems, hospitals and medical clinics are under immense pressure... ...outcomes and reduce the cost of providing patient care. Investing... .... The Inpatient Coding Auditor will be responsible for the auditing... ...hospital reimbursement. Reviews inpatient health record...Hourly payPermanent employmentWork at officeLocal areaImmediate startRemote workFlexible hoursDay shift- ...Senior Auditor Immediate need for a talented Senior Auditor. This... ...limited to, health insurance (medical, dental, vision), 401(k) plan,... ...understanding of assigned areas under review, including processes, risks... ...and/or reductions in costs. Assisting in development of...Contract workInterim roleLocal areaImmediate start
$90.4k - $150.7k
...program (401k and Pension) ~ Medical, dental and vision insurance... ...process to help reduce cost and inefficiencies Provide... ...Supervise project team members and review working papers. Develop and... ...frameworks ~ Certified Internal Auditor (CIA), Certified Public...Casual workWork from home$30.46 - $45.69 per hour
...among other factors. Billing Compliance, Senior Auditor Reporting to the... ...payer reimbursement for medical services. The Senior... ..., and confidential review. Identify trends,... ...Certification: RHIA or RHIT or nurse with coding... ...Wellness Program Savings Plan Health Savings...Hourly payFull timeContract workPart timeFor contractorsRemote workMonday to Friday$53k - $58k
...maintain a full staff of compliance auditors dedicated exclusively to... ...Classify employees Record payroll Review bank records such as accounts... ..., sick leave, holidays, medical, dental, vision, 401(k), long/... ...Payment for professional membership costs Employee referral bonus Fun...Full timeTemporary workWork experience placementWork at officeLocal areaFlexible hours$19 - $21 per hour
Registration Auditor I (Onsite: Chicago IL) Chicago, IL, USA Job Description... ...National Registration team in reviewing title work within the timeline... ...you and your family covering Medical, Dental & Vision Tax Advantage accounts such as Health Savings Account (HSA) & Flexible...Hourly payWork at officeLocal areaFlexible hours$40 - $45 per hour
...among the first 25 applicants Title: Senior Auditor Location: Chicago, IL Duration -6 Months... ...understanding of assigned areas under review, including processes, risks and controls,... ...improvements in operations and/or reductions in costs Assisting in development of the formal...Contract workInterim role$92.88k - $160.22k
...DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables... ...for auditing inpatient medical records and generating high quality... ...for performing clinical reviews of medical records and other... ...knowledge of medical claims billing/payment systems provider billing...Full timeTemporary workWork experience placementWork at officeLocal area1 day per week$85k - $90k
...misconduct within or affecting CHA. The Auditor will be responsible for conducting... ...Personal, competitive PTO package Medical (HMO, PPO, and No employee cost High-Deductible PPO) Dental, Vision... ...Services Brightstar 529 College Savings Plan Identity Theft Protection...Full timeTemporary workWork at officeRemote work$55.9k - $123.5k
...your professional development. This position is responsible for auditing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted...Remote workWork from home$55.9k - $123.5k
...life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability... ..., HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information...Work at officeVisa sponsorship3 days per week- ...Title: Senior Internal Auditor Location: Chicago, IL About the Role... ...time that meaningfully reduce operational costs and inefficiencies Evaluate the strength... ...-live or implementation Mentor and review the work of junior team members...Work at officeShift work
- ...skilled and experienced Nurse Practitioner to... ...in support of our Medical Director . The... ...telehealth visits, chart reviews, inter-disciplinary... ...systems, medical billing documentation, and... ...& Mission Save Million lives with... ...outcomes and reducing costs. Dozee is adopted...16 hoursRemote workShift work
$24 - $29 per hour
...make better decisions. It saves time, it’s better for... ..., cost allocation, andmarginintegrity... ...investigatesand resolves billing discrepancies, collaborates... ...exceptionsidentifiedduring month-end review, partnering... ...weather conditions. Benefits Medical, Dental, and Vision...Hourly payTemporary workWork at officeRemote work$96k - $154k
About the Role:Ferrero is anything but ordinary! We have a current opening for a Packaging FSQ Auditor and are actively reviewing applications.Ferrero is a global company that is privately owned by the Ferrero family. The company has grown from the small Italian confectionary...Work at officeMonday to Friday- ...StatesCompany: Huron Consulting GroupPosted: 2026-08-10Huron Consulting Group Inc. in Chicago is seeking an Inpatient Coding Auditor to review inpatient coders and offshore auditors, ensuring DRG accuracy of at least 95% and coding quality.You will communicate findings...
$70k - $85k
...Supernova s looking for an Internal Auditor to strengthen our control... ...across the organization Review compliance with applicable... ...employees. Our offerings include: Medical, Dental, and Vision Insurance... ...5,000 per year Retirement Savings: 401(k) plan with employer...Flexible hours$78k - $156k
...businesses and products in diagnostics, medical devices, nutritionals and branded generic... ...next calendar year.An excellent retirement savings plan with a high employer contribution ·... ...are looking for a Senior Global Finance Auditor who can work independently, be able to assess...WorldwideShift work$74.2k - $126.2k
...team of over 200 professionals.The Senior Auditor is responsible for conducting and... ...standardsAdvanced testing and first level reviews of less complex testsLead presentations of... ...and pension), health and welfare benefits (medical, dental, vision, spending accounts and disability...Full timeWork experience placementH1bWork at officeWork from homeWorldwideFlexible hours- HCSC is seeking a claims auditing professional to review clinical, billing, coding, and cost-setting reviews pre- and post-payment. You will research findings, document them thoroughly, and consult with special investigations and affordability teams as needed. The role...Remote job
$180k - $195k
...to $195,000 plus bonus, and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this... ...performance appraisals, mentoring and coaching, oversight and review of work, coordination across teams, and understanding how to motivate...Work at office
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