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
- ...Medical Review Clinical Appeals Auditor (RN) In October 2025, Machinify... ...and other compliance and policy/procedures... ...understanding CMS, Medicaid and/or Commercial insurance... ...relates to medical billing. Demonstrated... ...work independently in remote setting with minimum...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
$29 - $52 per hour
...This position is remote in... ...for performing compliance reviews of medical... ...applicable, the Auditor will support appeal... ...Nurse licensure (RN or LPN) with a... ...documentation in a clinical or... ...and healthcare billing practices Experience... ...Familiarity with Medicaid program and/or...Remote workHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work- ...is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing inpatient medical records, ensuring compliance with billing documentation, and utilizing... ...competitive salary and benefits with flexible remote work options. #J-18808-Ljbffr...Remote jobFlexible hours
$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$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$38.92 - $60.33 per hour
...facility. This job is REMOTE. FTE: 1.000000... ...Job Summary: The RN Diagnosis-Related Group (DRG) Auditor conducts targeted and random... ...assignments. The auditor ensures compliance with documentation... ...3 years of experience in Clinical Documentation Integrity and...Remote workHourly payTemporary workShift workWeekend work$68k - $120.5k
...Medical Billing Auditor Working at Yale means contributing... ...documentation for 18 clinical departments under the direction of the Compliance Officer. Provide training... ...is currently remote (work from home, in or... ...auditing, Medicare and Medicaid, or related clinical field...Remote workWork at officeWork from home- ...Job Title: Clinical Nurse Auditor – Payment Integrity Job Summary... ...reviews to ensure accurate billing, compliance with payer regulations, and... ...requires a Registered Nurse (RN) with coding... ...insurance plans, Medicare, and Medicaid programs is essential....Remote workFull timeWork at office
$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- ...charge code assignment, and financial billing statements. Support the Compliance Officer with projects assigned from... ...and external sources. Perform Medicaid, Medicare, and other third-party payer... .... Respond to physician and clinic questions regarding current ICD-10...Remote job
$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$30.46 - $45.69 per hour
..., among other factors. Billing Compliance, Senior Auditor Reporting to the Manager... ...with administrative and clinical leadership. Position... ...Hybrid (Evanston, IL and remote) Full Time/Part Time: Full... ...guidelines, and Medicare/Medicaid standards (e.g., NCDs, LCDs...Remote workHourly payFull timeContract workPart timeFor contractorsMonday to Friday- 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- ...Compliance Nurse Auditor (RN) Monday-Friday, start time between 7am-8am. The initial orientation... ...In this role, you will evaluate clinical documentation, billing records, and reimbursement... ...compliance audits involving Medicare, Medicaid, or other federal healthcare programs...For contractorsWork at officeMonday to FridayFlexible hours
- ...Registered Nurse Clinical Auditor 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... ...Qualifications · RN license preferred; Indiana...Remote workFull time
$56.17k - $70.22k
...Medical Coding Auditor UNM Medical Group, Inc. is hiring... ...Auditor to join our Compliance Team. This opportunity is a remote, full-time, day shift opening... ...of UNM Medical group billing systems procedures to... ..., medical diagnoses and clinical procedures ensuring that...Remote workPermanent employmentFull timeFor contractorsLive inWork from homeRelocationRelocation packageDay shift- ...ensuring the accuracy and completeness of clinical coding resulting in the appropriate... ...position typically reports to the Coding Compliance Manager. Minimum Qualifications Education... ...to documentation, coding, and billing. Knowledge of database applications and...Remote work
$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$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- ...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
$50k - $55k
...Medical Claims Auditor (Remote - Texas) Great companies need great teams... ...claims to ensure accuracy, compliance, and adherence to company... ...solid understanding of medical billing and coding, and experience... ...regulatory guidelines (CMS, Medicaid, Medicare, and payer contracts...Remote workFull timeMonday to FridayFlexible hours- UnitedHealth Group is looking for a Clinical DRG RN Auditor. This role involves auditing inpatient claims using MS-DRG and APR-DRG coding methodologies... ...and demonstrate analytical skills while working in a remote environment. You'll enjoy benefits including paid time off,...Remote jobRelocation package
$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- Israelvcforum is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN to audit inpatient medical records and ensure compliance with coding and documentation standards. This role allows for virtual full-time work, with required in-person training sessions...Remote jobFull time
- 1100 Endeavor Health Clinical Operations is seeking a Senior Auditor for Billing Compliance to conduct audits and ensure regulatory adherence. This hybrid role is based in Evanston, Illinois, and requires a Bachelor's degree along with specialized certifications. The ideal...Remote job
$71.59k - $133.15k
...Clinical Documentation Auditor Joining UChicago Medicine AdventHealth... ...standard business hours Remote role but candidate... ...of documentation compliance. Inputs data accurately... ...Certifications: ~ Certified Billing and Coding Specialist... ...~* Registered Nurse (RN) [Required] OR...Remote workPart timeWork experience placementLocal areaFlexible hours- 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
- 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... ...validating ICD-10 codes and DRG assignments while working remotely from anywhere in the U.S. The ideal candidate will have a strong...Remote jobRelocation package
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