RN-Coder: Clinical Validation & Payment Integrity (Remote)
Medix
New York, NY
- Remote job
Medix is seeking an RN-Coder Clinical Validation Reviewer to support payment integrity and clinical validation workflows in a hybrid setup. The role emphasizes reviewing medical records against claims to determine support for billed services, with documentation of clear clinical and coding rationales. Ideal candidates are active RNs with CPC or CCS certs, experienced in inpatient/outpatient review and familiar with CPT/ICD coding rules, ready to work 2-3 days in the Flatiron, NY office or #J-18808-Ljbffr Medix
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the RN-Coder: Clinical Validation & Payment Integrity (Remote) in New York, NY vacancy
- ...Payment Integrity Drg Coding & Clinical Validation Analyst The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background... ...paid holidays. Please note: The opportunity for remote work may be possible for all jobs posted by the...Remote workWork experience placement
$100k - $110k
...Payment Integrity Manager (RN) Fully remote, open to candidates located anywhere in the United States. Make... ...In this role, you'll partner with clinical, coding, and operational teams to... ...Preferred Experience DRG validation or review experience Health plan...Remote workFull timePivotal Placement Services, Inc
Nashville, TN2 days ago$68.64k - $74.88k
...care through neighborhood clinics, grounded in a simple... ...You’ll review charts, validate documentation, and partner... ...that values teamwork, integrity, and accountability,... ...here. Location: Remote within the U.S.; preference... ...~ Professional Coder (CPC) Certification...Remote workHourly payFull timeLocal area$69.3k - $78k
...Review Nurse II - Clinical Validation At Performant, we... ...improper payments and recoup or prevent... ...healthcare payment integrity company in the US... ...medical auditors and coders performing... ...Payers. You will work remotely in a fast paced... ...Active unrestricted RN license in good...Remote workFor contractorsWork at officeWork from homeHome officeShift work$76k - $99k
...The Payment Integrity team is a group of innovative thinkers sitting at... ...medical spend. As an Inpatient Clinical Coder at Clover Health, you will... ...our team in areas of DRG validation. By 6 months, you will... ...Additionally, we embrace a remote-first culture that supports...Remote jobFull timeWork experience placementWork at officeFlexible hours$33 - $38 per hour
...$38.00/hr Hiring: Senior Clinical Inpatient Coders – Remote (USA, Contract-to-Hire) Location... ...Administration, Program Integrity, Quality Management and... ...subcontractor as needed. Assign and validate appropriate DRGs based on... ...Billing Specialist (Payment Posting) Remote Outpatient...Remote workFull timeContract workPart timeFor subcontractorTEEMA
New York, NY5 days ago$26.14 - $56.64 per hour
...inpatient and outpatient clinical claim review... ...and documentation integrity. Identifies... ...documentation. Performs DRG validation reviews by... ...policies, and Molina payment integrity standards... ...Registered Nurse (RN). License must be... ...Certified Inpatient Coder (CIC), Clinical...Hourly payWork experience placementWork at office$100k
.... This is a remote role. Key Responsibilities... ...advices, to validate billing... ...claim payment accuracy. ~... ...findings packages (clinical, contractual, and... ...Nursing background (RN) and clinical... ..., or payment integrity, with direct... ...Certified Professional Coder (CPC),...Remote workFull timeContract work- Location: Remote - Texas Work Schedule: Dallas, TX (Onsite... ...Primary Purpose The Clinical Documentation Integrity Specialist (CDIS)... ...Only: •Must have current RN license or valid temporary permit with the... ...utilization reviewer and HIM coder to identify principal diagnosis...Remote workFull timeTemporary workWork from homeMonday to FridayFlexible hours
Parkland Health and Hospital System
Dallas, TX6 days ago $69.3k - $78k
A healthcare payment integrity company is seeking a Medical Review Nurse II - Clinical Validation to perform medical claims audits for Government... ...position requires an active RN license and a minimum of five... ...findings, all in a remote work environment. This role offers...Remote job- ...regulations, Trinity Health Integrity & Compliance Program &... ...) Obtain appropriate clinical documentation through... ...and accurate. Validate the accurate assignment... ...through understanding of payment structures, outpatient... ...Risk Adjustment Coder (CRC), Certified Clinical...Remote jobFull timeLocal areaShift work
$71.18k - $108.53k
...Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P,... ...FL 33122, and 3 days remote. Job Profile Summary Then Risk Adjustment Clinical Coder/Nurse performs compliance... ...Risk Adjustment Data Validation (RADV) audits. Reviews... ...Healthcare, an integrated, not-for-profit health...Remote workFull timeTemporary workWork at officeShift work- ...Placement Services, Inc is seeking a Payment Integrity Manager, an RN with coding expertise, to lead... ...performance. You will collaborate with clinical, coding, and operational teams to ensure... ...the organization. This is a fully remote role across the United States. #J-1...Remote job
- ...be considered for remote employment: Alabama... ...reviews of clinical documentation for... ...clinical documentation integrity system. Identifies... ...Reviews clinical validation denials and analyzes... ...Communicates with coders to ensure that the... ...Registered Nurse (RN) - State Licensure...Remote workWork experience placement
$78k - $119k
...RN CDI SpecialistThe RN CDI Specialist is a detail... ...of outpatient clinical documentation. This role... ...clinical documentation integrity team, this individual collaborates... ...with providers, coders, and healthcare professionals... ...Time RequirementsFully remote with the ability to...Remote workMinimum wageWork at officeCredenza Health
Denver, CO3 days ago- ...To support clinical integration efforts, the full-time Certified Clinical Quality Coder will conduct reviews of outpatient medical records... ...procedures while working remotely. Key responsibilities:... ...Support risk adjustment code validation for CMS and HHS Risk Adjustment...Remote workFull time
Virtual Vocations Inc
United States1 day ago $73k - $125k
...about this role: The Clinical Readmission... ...prepayment and post-payment clinical reviews of... ...regulatory, and Payment Integrity guidelines. This... ...and unrestricted RN license in at... ...meet deadlines in a remote work environment.... ...methodology, clinical validation, or hospital bill...Remote workFull timeContract workInternship- ...AlliedTech1 is seeking a RN Clinical Documentation Integrity Specialist to work remotely in the United States. The role focuses on ensuring that clinical documentation meets quality and regulatory standards and supports accurate coding and billing. You will collaborate...Remote work
TalentBurst
Saint Louis, MO3 days ago $85.6k - $132.6k
...RN Educator, Clinical Documentation IntegrityWe are recruiting... ...Clinical Documentation Integrity - Must Reside in Colorado... ...the CDI Manager to validate query compliance and... ....Educate providers, coder, and the CDI team regarding... ...purchasing, bundled payments, accountable care...Public Health Institute at Denver Health
Denver, CO3 days ago- ...TalentBurst is seeking a Kubernetes-certified? Just kidding. Sorry. actual: RN Clinical Documentation Integrity Specialist Remote at TalentBurst. This role focuses on ensuring medical documentation meets quality and regulatory standards and requires collaboration with...Remote work
TalentBurst
New York, NY7 hours ago - ...Regain Health is seeking a Clinical Integration Lead (0.5–1.0 FTE) to own data pipelines between Deutsch and Epic-based EHRs across two sites... ...in a 39-month program. The role focuses on building and validating FHIR/HL7 bridges for the first US validation of autonomous...Remote work
Regain
Chicago, IL4 days ago $93.35k - $132.43k
...Health Plans is hiring a Clinical Claims Reviewer/ RN - Remote! Status: Full-time, permanent... ...both pre and post payment as well as authorization... ...REQUIRED Certified Professional Coder (CPC) preferred... ...customized wellness programs, and integrated clinical and behavioral...Remote workPermanent employmentFull timeTemporary workWork at officeShift work$117.9k - $152.57k
...Documentation Integrity Specialist IV, Clinical Licensure-Risk Adjustment-RNPrimary Location Pasadena, California Employee Status: Regular Schedule... ...900 - $152570 / year Job Number 1444442 Worker Location: Remote Submit Interest Description: Job Summary: Reviews a moderate...Remote workFull timeLocal areaShift workKaiser Permanente
Pasadena, CA1 day ago- ...Mosaic Life Care, a health care system serving northwest Missouri, seeks a Payment Validation Analyst to ensure accurate payment from payors. The role reports to the Director of Revenue Integrity and focuses on resolving contractual underpayments, price discrepancies,...Remote work
Mosaic Life Care
New York, NY3 days ago - CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions... ...determinations as to the validity of health claims and levels of payment in meeting... ...Nurse (RN) license PREFERRED... ...experience * Certified Coder ARC Group is a... ...both with integrity and a shared desire...Remote workPermanent employmentPart timeWork at officeLocal area
ARC Group
Jacksonville, FLa month ago $86.56k - $155.81k
...Diagnosis Related Group Clinical Validation Auditor - RN Virtual: This role enables... ..., supports work-life integration, and ensures essential face... ...), Certified Professional Coder (CPC) or Inpatient Coding... ...medical claims billing and payment systems, provider billing...Full timeWork at officeLocal area$79.51k - $110.83k
...Clinical Integrity Documentation Specialist Location: Remote Facility: Ascension Wisconsin Hospitals... ...outcomes of CDI efforts are valid. What Minimum... ...Certified Professional Coder (CPC) credentialed from... ...Ascension will never ask for payment or to provide banking or...Remote workFull timeLocal area- ...Mosaic Life Care seeks a Payment Validation Analyst to ensure accurate payments from payors and validate line-item payments in Epic where needed, reporting to the Director of Revenue Integrity. You will analyze underpayments, price/contract discrepancies, and rebill projects...Remote workContract work
Mosaic Life Care
Arkansas City, KS1 day ago - ...specialized units and outpatient clinics providing primary, secondary,... ..., reviewing it for clinical validation, trends, opportunities for... ...staff on clinical documentation integrity issues. Provider education is... ...Academy of Professional Coders (AAPC), and/or Association of...
KurzSolutions
Memphis, TN5 days ago $89.52k - $161.14k
...Position Title: DRG Clinical Validation Lead Job Description:... ..., supports work-life integration, and ensures essential... ...care and accurate claims payment. May also manage... ...Current unrestricted RN license in applicable... ...Certified Professional Coder (CPC) or Inpatient Coding...Full timeContract workTemporary workWork experience placementLocal areaDay shift1 day per week
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN-Coder: Clinical Validation & Payment Integrity (Remote). Be the first to apply!
Related searches