Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote SNF Medical Review Nurse | Claims Auditing

Machinify

New York, NY
  • Remote job

Machinify is hiring a Medical Review Nurse II to perform audit reviews of medical claims for skilled nursing facilities. In this remote role, you'll work as part of a dynamic team to ensure compliance and appropriate service delivery. Responsibilities include reviewing claims, documenting findings, and supporting the audit process. Candidates must possess an active RN license and extensive nursing experience, particularly with MDS and medical records review. This position offers the opportunity to influence healthcare outcomes while working collaboratively across teams. Join us in contributing to improved efficiency and transparency in healthcare services. #J-18808-Ljbffr Machinify

Vacancy posted 14 hours ago
Similar jobs that could be interesting for youBased on the Remote SNF Medical Review Nurse | Claims Auditing in New York, NY vacancy
  • $84k - $100k

    A leading healthcare intelligence company is seeking a Medical Review Nurse II to perform audits on medical claims for government and commercial payers. This remote position requires a minimum of five years of nursing experience and an active RN license. Responsibilities... 
    Remote work
    Medical
    Claims

    Performant

    Indiana, PA
    1 day ago
  • $78.5k - $90k

     ...Performant Recovery, Inc. is hiring a Medical Review Nurse for remote work focusing on auditing medical claims for Home Health services. This role involves document audits, collaboration with audit teams, and staying updated on regulatory issues. The ideal candidate will... 
    Remote work
    Medical
    Claims

    Performant Recovery, Inc.

    Plantation, FL
    2 days ago
  • Machinify is looking for a Medical Review Nurse to perform medical claims audits for government clients. This remote position requires expertise in coding and a minimum of five years nursing experience. You will work alongside a dedicated team in a dynamic environment,... 
    Remote job
    Medical
    Claims

    Machinify

    New York, NY
    1 day ago
  •  ...designated clinical resource to review High Cost Claimants to...  ...information related to members' claims and clinical course, expected...  ...with other departments such as medical and pharmacy account team to address...  .... Support clinical quality audit activities under the direction... 
    Remote job
    Medical
    Claims
    Full time

    Blue Cross Blue Shield of Arizona

    Phoenix, AZ
    1 day ago
  •  ...Medical Review Nurse - CMS RAC In October 2025, Machinify acquired Performant and we...  ...Review Nurse - CMS RAC (Government audits) primarily performs medical claims audit reviews for government...  ...Commercial Payers. You will work remotely in a fast paced and dynamic environment... 
    Remote work
    Medical
    Claims
    For contractors
    Work at office
    Shift work

    Performant Healthcare, Inc.

    Fort Lauderdale, FL
    1 day ago
  • Machinify is seeking a Medical Review Nurse II to perform medical claims audit reviews for Government and Commercial Payers. This role requires an active RN license...  ...2 years of relevant experience. The position is remote, and you will be part of a dynamic, multi-location... 
    Remote job
    Medical
    Claims

    Machinify

    New York, NY
    1 day ago
  • $80k - $90k

     ...Responsibilities*** Performs clinical reviews on medical records to maintain subject...  ...reviews on medical review audit work completed by the...  ...conducts research, analyzes claims data, applies knowledge of client...  ...to work independently in remote setting with minimum... 
    Remote work
    Medical
    Claims
    Flexible hours

    Performant

    Florida, NY
    1 day ago
  •  ...-5pm Work Location: Remote Benefits for eligible...  ...and utilization review. Review admissions and...  ...concurrent and retrospective medical necessity and/or...  ...precertification, reimbursement and claim denials/appeals....  ...Need ~ Registered Nurse credentialed from the Alabama... 
    Remote work
    Medical
    Claims

    UAB Medicine

    Birmingham, AL
    1 day ago
  •  ...commercial insurance - we want to meet you. Medical Review Nurse Carbon Stop Loss Solutions is a...  ...best-in-class service, underwriting, claims support and effective cost containment...  ...Ability to work independently in a remote setting. Ability to work with multiple... 
    Remote work
    Medical
    Claims

    Novacore

    Conshohocken, PA
    3 days ago
  • $70.3k - $85.47k

     ...The Professional Review Nurse provides analysis of medical services to determine appropriateness...  ...care. This is a remote position in CA....  ...issues of concern to the claims examiner/client and/or direct...  ...preferred Medical bill auditing experience preferred Experience... 
    Remote work
    Medical
    Claims
    Minimum wage
    Full time
    Work at office
    Local area
    Flexible hours

    CorVel

    Folsom, CA
    14 hours ago
  • $85k - $90k

     ...match, paid parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and associated claim information to validate accuracy of DRG...  ...: CCS, CPC, CIC Coding validation/auditing experience Well-developed verbal and written... 
    Remote work
    Medical
    Claims
    Work at office

    Trend Health Partners

    New York, NY
    14 hours ago
  • $68k - $70k

    Description Our Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical...  ...Medical Review Nurse Analyst reviews claims and delivers provider education on...  ...skills, and experience. We are open to remote work in the following approved states:... 
    Remote work
    Medical
    Claims
    Contract work
    For contractors
    Local area
    Immediate start

    WPS Health Solutions

    Hampton, VA
    14 hours ago
  • $64k - $80k

    It takes great medical minds to create powerful solutions that solve...  ...As a Fraud and Abuse Review Nurse- Remote at Gainwell, you can contribute...  ...objective desk and medical record audits to verify service...  ...Services, Member Services, Claims) to collect relevant documentation... 
    Remote work
    Medical
    Claims
    Full time
    Local area
    Work from home
    Flexible hours

    Gainwell Technologies

    United States
    14 hours ago
  • $35 per hour

     ...more. Base pay range $35.00/hr - $35.00/hr Medical Review Nurse Location: Phoenix, AZ 85034 (Remote) 3+ Months Day Shift Position Description...  ...adjudication of Federal Emergency Services (FES) 1500 claim forms. Some coordination will be required with medical... 
    Remote work
    Medical
    Claims
    Hourly pay
    Contract work
    Temporary work
    Part time
    For contractors
    Work at office
    Shift work
    Day shift

    Axius Technologies

    Phoenix, AZ
    2 days ago
  • $86k - $105k

     ...It takes great medical minds to create powerful...  ...of the Lead Nurse Consultant and Deputy...  ...payment compliance reviews to detect, combat,...  ...financial records, claims, and claims data to...  ...documentation supporting audit or investigative...  ...Wisconsin Role is 100% remote Employees may be... 
    Remote work
    Medical
    Claims
    Full time
    Work at office
    Flexible hours

    Gainwell Technologies

    Madison, WI
    3 days ago
  • $85k - $90k

     ...Outlier and Readmission reviews. Under the direction...  ...reviews of inpatient claims for both coding accuracy...  ...College level courses in medical terminology, anatomy,...  ...care inpatient coding, auditing. Payment integrity DRG...  ...different tasks easily. Remote Work Requirements:... 
    Remote work
    Medical
    Claims

    Med Review Inc

    United States
    1 day ago
  •  ...Stryker Corporation is seeking a Clinical Claim Review Nurse to perform detailed reviews of claims against medical records. The position offers the flexibility to telecommute within the U.S. and demands strong clinical skills along with a comprehensive understanding of... 
    Remote work
    Medical
    Claims

    Stryker

    Minneapolis, MN
    2 days ago
  •  ...leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing and... 
    Remote work
    Medical
    Claims
    Full time

    Innovative Systems Group

    Richardson, TX
    2 days ago
  •  ...weeks for training, then will be fully remote.   Must be willing to come onsite occasionally...  ...- 23/hr Description -  ~Performs medical reviews using established criteria sets and/or...  ...Provides support and review of medical claims and utilization practices. ~ May provide... 
    Remote job
    Medical
    Claims
    For contractors
    Live in

    CEI

    Columbia, SC
    19 days ago
  •  ...Nurse Auditor Have you ever looked a medical bill and immediately noticed something was wrong? Were you itching...  ...team and maximize client savings by reviewing medical bills from a nurse perspective...  ...statements, and will: Audit medical and billing records to determine... 
    Remote work
    Medical
    Immediate start

    Rising Medical Solutions

    Chicago, IL
    1 day ago
  • $80k - $95k

     ...Medical Review Nurse III Fully Remote Windsor Mill, MD Overview Salary Range $80,000.00 - $95,000.00 Salary Position Type Full Time Education...  ...programs. Perform automated and complex medical record and claim reviews to make coverage determinations based on... 
    Remote work
    Medical
    Claims
    Full time
    Contract work
    For contractors
    Live in
    Work at office
    Local area

    RELI Group, Inc.

    Windsor Mill, MD
    14 hours ago
  • $62.7k - $100.4k

     ...PI Medical Coding Reviewer III (CPC, RHIT or RHIA required) Apply ( locations Remote time type Full time posted on Posted 7 Days...  ...most complex medical record audit programs, dispute management...  ...departmental teams such as Claims, Configuration, Health... 
    Remote work
    Medical
    Claims
    Hourly pay
    Full time
    Work experience placement
    Work at office

    CareSource

    Dayton, OH
    4 days ago
  •  ...Role The Casualty Bill Review Specialist is...  ...compliant, and efficient medical bill review within the...  ...requirements. *This is a remote role. Primary Responsibilities...  ...WCB compliance and audit readiness. Essential...  ..., and internet sites claiming to represent Brighton... 
    Remote work
    Medical
    Claims
    Local area
    Flexible hours

    Brighton Health Plan Solutions

    Chapel Hill, NC
    1 day ago
  •  ...A leading healthcare intelligence company is seeking a Nurse Itemized Bill Reviewer to analyze medical claims and ensure compliance with industry standards. This remote position allows candidates to work from anywhere in the United States. Qualified candidates should possess... 
    Remote work
    Medical
    Claims

    The Rawlings Group

    New York, NY
    14 hours ago
  •  ...established industry player is seeking a Medical Review Nurse to join their dynamic team in Phoenix....  ...reviewing and adjudicating medical claims, ensuring compliance with industry standards...  ...the flexibility of a primarily remote work environment. If you are passionate... 
    Remote work
    Medical
    Claims

    Axius Technologies

    Phoenix, AZ
    3 days ago
  •  ...applicants This is full-time remote, but candidates must reside...  ...care industry using medically accepted criteria to validate...  ...accurate and timely medical review of claims suspended for medical necessity...  ...skills. ~ Registered Nurse (RN) with unrestricted license... 
    Remote work
    Medical
    Claims
    Full time
    Contract work

    Innovative Systems Group

    Richardson, TX
    2 days ago
  •  ...Broadway Ventures LLC is looking for a dedicated Registered Nurse (RN) to join its Medical Review team. This remote position involves conducting pre- and post-payment medical reviews and requires an active RN license and relevant clinical experience. Ideal candidates will... 
    Remote work
    Medical
    Claims
    Work at office

    Broadway Ventures LLC

    New York, NY
    1 day ago
  •  ...resources About the Role: Join MedPOINT Management as a Medical Claims Clinical Review Nurse in Sherman Oaks, CA, where you'll play a crucial role in...  ...us and be part of a team that makes a difference in the lives of patients every day. This is a remote position.... 
    Remote work
    Medical
    Claims

    MedPOINT Management

    Los Angeles, CA
    23 days ago
  • Description: Nurses – are you looking for a change?...  ...and benefits, including medical, dental, vision, long-term...  ...Work-life balance. ~ Remote setting ROLE...  ...decision to a second level reviewer. This individual...  ...’s status, benefit and claim concerns, and validation... 
    Remote work
    Medical
    Claims
    Temporary work
    Work at office
    Monday to Friday
    Flexible hours

    Hines & Associates Inc

    Rockford, IL
    2 days ago
  • $50 - $53 per hour

     ...Job Title: Clinical Review RN (IDR/Appeals)...  ...*** Location: Remote (can sit anywhere in the...  ...benefits review, supporting Medical Review Analysts, and Physician...  ...expands. 4. Claims assessment and...  .... Licensed, Registered Nurse in NYS, required.... 
    Remote work
    Medical
    Claims
    Local area
    Immediate start
    Flexible hours

    Medix

    Jericho, NY
    14 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote SNF Medical Review Nurse | Claims Auditing. Be the first to apply!