Remote RN Clinical Auditor — Medicaid Billing Compliance
RADcube - A NLogix Company
- Remote job
RADcube - A NLogix Company is looking for a detail-oriented Registered Nurse Clinical Auditor to support medical record reviews and billing compliance audits for the Indiana Health Coverage Programs. This role involves evaluating quality of care and ensuring compliance with healthcare regulations. The ideal candidate should have an RN license, coding certification, and at least 1 year of Medicaid claims review experience. This remote position requires occasional travel within Indiana. #J-18808-Ljbffr RADcube - A NLogix Company
$80k - $90k
...Responsibilities*** Performs clinical reviews on medical... ...and other compliance and policy/... ...understanding CMS, Medicaid and/or Commercial... ...relates to medical billing.* Demonstrated ability... ...independently in remote setting with minimum... ...unrestricted RN license #J-18808-Ljbffr...Remote workFlexible hours- ...Clinical Auditor Registered Nurse We are seeking a detail... ...record reviews, billing compliance audits for the Indiana... ...writing skills. This is a remote position with... ...national healthcare and Medicaid guidelines. Stay current... .... Requirements RN license preferred;...Remote workLocal area
$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum... ..., and discharge statuses billed by hospitals to identify overpayments... ...knowledge of and compliance with changes and updates to... ...to work independently in a remote environment and deliver exceptional...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package$64k - $93k
...Job Summary The Clinical Auditor I performs detailed... ...You Full‑time remote work Competitive... ...plans, and medical billing documents to... ...completeness, and strict compliance with healthcare... ...years minimum RN experience in acute... ...and Family, and Medicaid plans. Founded in...Remote workFull timeContract workFlexible hours$90k - $100k
...Compliance Auditor Help Protect the Integrity of Healthcare... ...of Medicare, Medicaid, PACE, Part D, LHCSA,... ...28 requirements. Billing and coding experience... ...work schedule with 2 remote workdays per week after... ...administrative, compliance, and clinical support services. We...Remote workTemporary work- ...Job Title: NC - RN Clinical Research Coordinator - Asheville... ...informed consent discussions in compliance with SOPs. Maintain accurate... ...ensure compliance with research billing practices. Critical... ...Friday 8:00 AM - 5:00 PM. Remote work possible as required....Remote workFull timeMonday to Friday
$68.57k - $104.84k
...a DRG Quality Control/Clinical Auditor. The Diagnostic Related... ...rules. This is a remote position. ESSENTIAL... ...determine accuracy of billing through verification of... ...including Medicare and Medicaid Understand and... ...EXPERIENCE: LVN or RN license in the state of...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$68.57k - $104.84k
...Clinical Review QC Auditor CERIS in Fort Worth, TX is seeking a DRG... ...rules. This is a remote position. Essential... ...accuracy of billing through verification... ...including Medicare and Medicaid Understand and comply... ...Experience: LVN or RN license in the state...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- RN Inpatient Hospital Auditor - Remote (New Jersey) - 6‑month contract, 3+ years experience... ...of Centers of Medicare & Medicaid Prospective Payment... ...site audits of hospital billing and coding practices and... ...with new innovations in clinical data review and company cost...Remote jobWeekly payDaily paidContract workLocal areaImmediate start
$96.46k - $144.69k
Overview Clinical Revenue Auditor-CDM Patient Financial Services... ...-Option to work remote or hybrid. The... ...health and compliance of the organization... ...care and medical billing and reimbursement... ...for Medicare and Medicaid Services (CMS). Mitigate... ...Nurse (RN), Occupational Therapist...Remote workFull timeTraineeshipLocal area- ...medical records to ensure clinical documentation supports... ..., and accurate billing practices. Identify... ..., coding, billing, and compliance discrepancies and develop... ...risks related to Medicare, Medicaid, and other federal healthcare... ...and unrestricted Texas RN License or Compact RN...Work at office
- ...is looking for a Corporate Compliance Clinical Auditor to join our teams’ mission... ...to assess compliance with billing, coding, documentation, and... ...Active clinical license (RN, LPN, PT/OT/ST, etc.) Certifications... ...7 years of experience in Medicaid, Medicare, & Managed Care...Work experience placementWork at office
- ...support for healthcare services clinical auditing activities. Performs... ...- ensuring quality compliance and desired member outcomes.... ...Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal... .... • Registered Nurse (RN). License must be active and...Remote workContract workWork at office
$87k
...: The Nurse Auditor will have full... ...ensure that the clinical documentation contained... ...the patient's bill, and to ensure... ...for effective remote work.... ...for Medicare & Medicaid Recovery Audit... ...accuracy and billing compliance as support for... ...Certification: RN License (...Remote workFull timeFor contractorsRelocationMonday to FridayFlexible hours$56.17k - $70.22k
...is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located... ...knowledge of UNM Medical group billing systems procedures to provide a... ...codes, medical diagnoses and clinical procedures ensuring that...Remote workPermanent employmentFull timeFor contractorsLive inWork from homeRelocationRelocation packageDay shift- ...Fraud, Waste, and Abuse Auditor Under the general... ..., waste and abuse for Medicaid programs. A major function... ...types to ensure compliance with federal and state... ...leads and detect aberrant billing practices, including... ...aspects of the job are remote. Responsibilities...Remote workWork at office
- Acentra Health is seeking a Clinical Assessor in North Carolina, providing assessments for NC Medicaid beneficiaries who need assistance with activities of daily living. Work from home, travel within a 60-mile range to complete assessments. Qualified candidates must be...Remote jobWork from home
- Acentra Health is hiring a Clinical Assessor in North Carolina. This role involves conducting assessments for individuals needing assistance... .... Responsibilities include evaluating eligibility for Medicaid beneficiaries and ensuring that services provided are based on...Remote jobWork from home
- Acentra Health is looking for a Clinical Assessor to join our team in North Carolina. The position is home-based with travel within a 6... ...Personal Care Services program, you will determine eligibility for Medicaid beneficiaries requiring assistance with daily living activities...Remote jobWork from home
$122 per hour
...Licensed Clinical Social Worker (LCSW) Up to $122/hour Fully Remote or In-Person Flexible Schedule... ...checks, and automated billing, reducing admin time.... ...automated billing. Full Compliance: Stay protected with... ...Advantage and Medicaid. Provider Benefits...Remote workBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceFlexible hours$37.84 - $58.75 per hour
...Description Providence is calling for Compliance Auditor - Remote The Revenue Cycle Compliance... ...focus for this position may involve clinical and non-clinical services, including... ...~ Rev Cycle departments, Rev Cycle Billing Offices, External Vendor; HIM Coding,...Remote workMinimum wageFull timeWork at officeLocal areaShift work- Cura, Inc. is seeking a Clinical DRG RN auditor with extensive experience in MS-DRG and APR-DRG coding methodologies. In this role, you will audit... ...rationales for your findings. Enjoy the flexibility of remote work from anywhere in the U.S. while contributing to improving...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. This role offers flexibility through virtual work. The ideal candidate will analyze claims, maintain auditing standards,...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
- ...University of Minnesota School of Nursing is seeking a Clinical DRG RN auditor. In this role, you will use your expertise in... ...audit inpatient claims, ensuring accuracy and compliance with coding guidelines. You will enjoy remote work flexibility and be part of a culture that...Remote job
$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- ...Health & Services is calling for a Compliance Auditor who will conduct audits to... ...This position involves analyzing clinical and non-clinical service areas within... ...experience in hospital billing auditing or coding. The role is remote but open to candidates in several...Remote job
$96.46k - $144.69k
A major healthcare organization in New York is seeking a Clinical Revenue Auditor to ensure accurate documentation and coding of billable services. This full-time role offers a hybrid work option and involves auditing clinical revenue processes. Ideal candidates will have...Remote jobFull time- ...leading healthcare provider in New York seeks a Clinical Revenue Auditor to ensure the accuracy of medical billing and compliance with regulations. Ideal candidates will have... ...full-time role offers the option to work remotely or in a hybrid setting, contributing to the...Remote jobFull time
- Providence Health & Services is seeking a remote Compliance Auditor to conduct audits evaluating adherence to regulatory requirements... ...collaborates with various teams, analyzing data from Clinical EMR and Epic Billing systems while utilizing strong analytical skills to...Remote job
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