Remote DRG & Clinical Validation Lead
Elevance Health
Indianapolis, IN
- Remote job
Elevance Health is hiring for a remote, full-time nursing leadership role focused on medical management and policy compliance. The role emphasizes pre-certification, clinician collaboration, and care transitions to ensure high quality, cost-effective care for members. Candidates must hold an AS in nursing, an active RN license, and at least 7 years of acute care experience with prior managed care exposure. RHIT/RHIA/CDS/CDIP/CPC or CCS/CIC credentials are preferred. #J-18808-Ljbffr Elevance Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote DRG & Clinical Validation Lead in Indianapolis, IN vacancy
- Elevance Health is hiring a DRG Clinical Validation Lead to ensure medically appropriate, high quality, cost effective care by assessing inpatient admissions, outpatient services, and related procedures. You will interpret benefits and guide members to appropriate providers...Remote job
- A healthcare technology firm in Boston is seeking a Quality Assurance Specialist to perform inpatient DRG validation audits. The role requires at least 5 years of experience in reviewing ICD-10 claims and an understanding of coding standards. Responsibilities include conducting...Remote jobFull time
$89.52k - $161.14k
...DRG Clinical Validation Lead Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration...SuggestedFull timeContract workTemporary workLocal areaDay shift1 day per week- A leading healthcare organization in New York seeks a Coding Reviewer for DRG validation. The role involves ensuring the accuracy of diagnostic codes and compliance with healthcare regulations. Candidates must have a strong background in anatomy and coding, with 3-5 years...Suggested
Mount Sinai Health System
New York, NY1 day ago - ...Validation Lead Raritan, NJ OR New Brunswick, NJ (Onsite – Hybrid Model ( 3 days a week) ) Long Term Contract Job Responsibility... ...accomplish tasks without supervision. ~ Ability to work with remote teams and support several changes/projects simultaneously....Remote workLong term contractWork at office3 days per week
Yochana
New Brunswick, NJ1 day ago - ...CSV Lead (Computer System Validation Lead) Location: Remote Contract The CSV Lead will be responsible for leading and managing Computer System Validation (CSV) activities to ensure compliance with regulatory requirements such as FDA 21 CFR Part 11, GxP, and industry...Remote workContract work
AceStack LLC
United States17 hours ago - Insight Global is seeking a QE - Validation & Recovery Test Lead to drive recovery testing for a secure CyberVault environment in Charlotte, NC. This... ...produce thorough documentation. The position offers a balance of onsite and remote work. #J-18808-Ljbffr Insight GlobalRemote work
$85k - $95k
...bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission... ...multiple applications at the same time Remote Work Requirements High speed...Remote workFull timeMonday to FridaySanta Barbara Cottage Hospital
New York, NY4 days ago- ...DRG Validation Specialist The DRG Validation Specialist requires extensive experience in... ...records to ensure the accuracy of coding, clinical documentation, and DRG assignment while... .... Position Details Full-time Remote Standard 8-hour workday Nesco Resource...Remote workFull timeWork at officeLocal area
$238k - $302k
...driving technology company is seeking an experienced professional to lead a team of ML engineers in sensor anomaly detection and calibration. This hybrid role involves owning the entire sensor validation stack and driving collaborations across various teams. Candidates...Remote job- Mount Sinai Morningside is seeking a professional to perform DRG validation and ensure compliance with regulatory requirements. You will conduct quality reviews of medical records, validate ICD-10 codes, and work closely with the coding team to improve accuracy. The ideal...
$115.98k - $159.48k
Siemens Healthineers is seeking a Validation Specialist in Palo Alto, California, dedicated to ensuring quality medical devices. This role... ...and engineering teams. The ideal candidate will have a clinical certification as a Radiation Therapist and at least five years...$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have... ...Maintain quality of reviews and make sure the true clinical picture is captured, along with ensuring chart review...Remote workImmediate startWork from homeCareNational
Plano, TX1 day ago$85k - $120k
...we bring the power of modern, cloud-based digital validation to the industry. As a Computer Systems Validation Lead/Program Manager, you'll lead the Validation... ...variable bonus and/or stock bonus. #LI-Remote #LI-MidSenior Veeva's headquarters is...Remote workPermanent employmentFull timeWork at officeLocal areaWork from homeFlexible hours3 days per weekVeeva Systems
Columbus, OH9 days ago- HCA Healthcare is seeking a DRG Validation Auditor to perform internal quality assessments on coding staff to ensure compliance with coding guidelines and policies. This work-from-home position allows for productivity and accuracy standards to be maintained while improving...Remote jobWork from home
$35 - $62.5 per hour
...Growing together. In this position as a Clinical DRG RN auditor , you will apply your expert... ...industry and Optum proprietary tools, you will validate ICD-10 diagnosis and procedure codes,... ...Ability to work independently in a remote environment and deliver exceptional results...Remote jobHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package$185k - $200k
Job Title Data Center Infrastructure Validation Innovation Lead Location Charlotte, NC; Palo Alto, CA; Remote/Home Based; Washington, D.C. Job Summary and Description The Data Center Infrastructure Validation Innovation Lead is a technical role responsible for designing...Remote workWork from homeFlexible hours$70k - $90k
...A national health organization is seeking a Program Implementation Manager for Clinical Studies in Dallas, TX. This role involves managing site recruitment and project activities for the Target: Aortic Stenosis program. Candidates should have a Bachelor’s degree and 3...Remote workAmerican Heart Association
Dallas, TX17 hours ago- ...Aufnahme → Leistungserfassung → Kodierung (ICD/OPS) → Gruppierung/DRG → Rechnung → Prüf-/Korrekturprozesse. Du unterstützt das Tender... ...mit deinem Team kannst du entscheiden, wann dein Tag startet. Remote Work: Mobiles Arbeiten, Home-Office oder bis zu 20 Tage pro Jahr...Remote workWork from homeHome officeFlexible hours
$90k - $99k
Gainwell Technologies LLC is seeking a DRG Nurse Reviewer Appeals and Hearings to coordinate... ...in hearings, and maintaining current clinical knowledge. The role requires an active RN... ...(k) match and health coverage. This is a remote role with up to 25% travel expected. #J-1...Remote jobFlexible hours$130k - $160k
Emerald Clinical in the United States is seeking an experienced Clinical Lead to manage global clinical trials. The role offers flexibility through home-based work and requires strong project leadership skills, clinical operations knowledge, and experience in managing clinical...Remote jobWork from home$90k - $99k
DRG Nurse Reviewer Appeals and Hearings- Remote Date: Jan 9, 2026 Location: Any city, FL, US, 99999 Work Mode: Virtual (Exception only) It takes great... ...provider appeals and redeterminations using approved clinical and coding guidelines and documents appeal determinations...Remote jobFull timeWork from homeFlexible hours- ...Rising Hope Therapy, LLC is seeking a Clinical Supervisor in Newark, Delaware. This full-time, salaried position requires a Master's degree... ...position offers a hybrid work schedule (3 days in-office, 2 remote), health benefits, and a supportive work environment focused on...Remote workFull timeWork at office
Rising Hope Therapy, LLC
Newark, DE17 hours ago - ...Health, the HCC Documentation Lead (RN), while incorporating the... ...who are a part of our Clinically Integrated Network (CIN), Yale... ...appropriate clinical indicators and validation of data-driven suspect... ...of communication. Primarily remote position, however occasional...Remote workFlexible hours
Yale New Haven Health
New Haven, CT3 days ago $103.3k - $191.9k
...The Position As a Clinical Research Engagement Lead (CREL) at Roche, you will act as the ultimate strategic partner and primary face of Roche Clinical... ...strategic landscaping and site engagement (in-person or remote) during the protocol concept and study set-up phases to...Remote workLocal areaRelocation packageGenentech
Kansas City, MO4 days ago- ...eastern North Carolina. Job Summary Provides clinical leadership and support, patient care, and... ...companies, other medical practices, remote patient monitoring program, laboratory processing... ...in the techniques/practices of tasks. Leads group discussions, problem solving and...Remote workWork at officeWeekend workAfternoon shift
Greene County Health Care
Greenville, NC17 hours ago - ...in King of Prussia, PA, specializing in Computer System Validation. The role involves leading SAP validation strategies and compliance efforts within... ...of experience in CSV, with strong leadership skills and remote work experience. Successful applicants will oversee validation...Remote jobWork experience placement
- ...Healthcare in Detroit, MI is seeking a Program Manager for Clinical Services to lead the provision of substance use disorder services. You will... ...treatment, ideally in a supervisory role. The position offers some remote flexibility after training and includes generous benefits....Remote job
- ZEISS Meditec Inc. is seeking a Senior Advisor, Regulatory and Clinical Affairs, US, to guide regulatory and clinical strategies for efficient US market approvals of CZM products. You will lead FDA submissions (510(k)s, PMAs, IDEs) and shape global clinical studies, collaborating...Remote job
- ...a Data Analyst for an 18M+ contract opportunity that is fully remote. The Data Analyst acts as a liaison between business stakeholders... ...acceptance of project deliverables. The role includes data validation, user acceptance testing, and facilitating reviews for business...Remote jobContract work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote DRG & Clinical Validation Lead. Be the first to apply!
Related searches
- clinical trial lead Indianapolis, IN
- clinical lead Indianapolis, IN
- clinical research lead Indianapolis, IN
- frontend internship remote Indianapolis, IN
- remote broker Indianapolis, IN
- excel remote Indianapolis, IN
- software testing remote Indianapolis, IN
- marketing intern remote Indianapolis, IN
- data entry specialist remote Indianapolis, IN
- remote support engineer Indianapolis, IN