RN Medical Appeals Auditor Remote Clinical Audit Expert
Performant
A healthcare intelligence company located in New York is looking for a Clinical Auditor to perform clinical reviews and audits on medical records, ensuring compliance with company policies and quality assurance guidelines. This role requires an active RN license and the ability to analyze claims data and regulations effectively. The candidate will be responsible for documentation and reporting within the appeals process, contributing to continuous improvement initiatives in a dynamic healthcare environment. #J-18808-Ljbffr
$80k - $90k
...Responsibilities*** Performs clinical reviews on medical records to... ....* Conducts Appeals reviews on medical review audit work completed by... ...Become subject matter expert for assigned business... ...independently in remote setting with... ...Active unrestricted RN license #J-18808-Ljbffr...Remote workMedicalFlexible hours$50 per hour
...A leading healthcare staffing firm is seeking an experienced RN Clinical Reviewer to work remotely. You'll conduct detailed medical-legal reviews and appeals while maintaining high accuracy and integrity. Key qualifications include a New York State RN license and at least...Remote workMedical- ...intelligence organization in Florida is looking for a Medical Review Clinical Appeals Auditor (RN) to conduct Appeals reviews and analyze claims data. The... ...and coding is essential for performing high-quality audits. This role offers a competitive salary and various benefits...Remote workMedical
- ...Colorado is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing inpatient medical records, ensuring compliance with billing documentation... ...competitive salary and benefits with flexible remote work options. #J-18808-Ljbffr Elevance HealthRemote jobMedicalFlexible hours
- ...detail-oriented Registered Nurse Clinical Auditor to support medical record reviews and billing compliance audits for Indiana Health Coverage Programs. This remote role requires evaluating provider... ...Applicants should preferably hold an RN license, coding certification, and...Remote jobMedical
- ...detail-oriented Registered Nurse Clinical Auditor for a remote position with occasional... ...The role involves conducting medical record reviews and billing compliance audits for the Indiana Health Coverage... ...qualifications include a preferred RN license, coding certification...Remote jobMedical
- 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 jobMedicalFull time
- ...Plan Solutions is seeking a Clinical Appeal and Grievance Nurse to conduct... ...The role requires an active RN or LPN license and at least 5... ...responsibilities include analyzing medical necessity appeals, preparing... .... This position is remote and emphasizes independence and...Remote workMedical
$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS... ...you will apply your expert knowledge of the MS-... ...Guidelines in the auditing of inpatient claims.... ...to ensure accuracy of medical coding and utilize clinical... ...independently in a remote environment and...Remote workMedicalHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package- ...Walker Healthforce, LLC is seeking an RN Inpatient Hospital Auditor for a remote 6-month contract in New Jersey. The... ...include leading on-site audits, designing protocols, and providing... ...competitive compensation package along with medical, dental, and vision benefits. #J-18...Remote workMedicalContract work
$38.92 - $60.33 per hour
...Wisconsin (Froedtert Hospital). Remote work is possible for... .... Job Summary The RN Diagnosis-Related Group (DRG) Auditor conducts targeted and random audits of finalized inpatient medical records to assess the accuracy... ...years of experience in Clinical Documentation Integrity...Remote workMedicalHourly payTemporary work- ...Description This is a remote position. Registered Nurse Clinical Auditor We are seeking a... ...Registered Nurse to support medical record reviews, billing compliance audits for the Indiana... ..., and supporting appeals activities. This is... ...Qualifications RN license preferred;...Remote workMedicalContract work
$50 per hour
...Drips.com is looking for an Appeals RN (Temporary) to handle grievances... ...with at least two years of clinical experience. The ideal candidate... ...management. The position is remote and offers a salary of $50/hr... ..., performing necessary medical reviews, and maintaining compliance...Remote workMedicalTemporary work$29 - $52 per hour
...This position is remote in Massachusetts.... ...compliance reviews of medical and... ...visits and desk audits of provider claims... ...applicable, the Auditor will support appeal and fraud investigation... ...Nurse licensure (RN or LPN) with a current... ...in a clinical or administrative...Remote workMedicalHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work$68.57k - $104.84k
...Clinical Review QC Auditor CERIS in Fort Worth, TX... ...coding) reviews of medical records and/or... ...This is a remote position. Essential... ...Conduct audits to ensure... ...director with appeals, rebuttals, etc... ...& Skills: Expert knowledge of application... ...: LVN or RN license in the...Remote workMedicalMinimum wageFull timeWork at officeLocal areaFlexible hours$96.46k - $144.69k
Overview Clinical Revenue Auditor-CDM Patient Financial Services... ...-Option to work remote or hybrid. The... ...care and medical billing and reimbursement... ...capture/clinical audits to assess the... ...determine if an appeal is warranted, and... ...Registered Nurse (RN), Occupational Therapist...Remote workMedicalFull timeTraineeshipLocal area- ...A leading healthcare services firm is seeking an experienced Inpatient Medical Coding Auditor to extract clinical information and assign medical codes for inpatient hospital claims. This remote role involves reviewing claims for reimbursement accuracy and handling provider...Remote workMedical
- ...leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper... ...comfort of your home. This crucial role involves extracting clinical information from medical records, assigning codes, and ensuring...Remote workMedical
$71.1k - $97.8k
...company is seeking an Inpatient Medical Coding Auditor to extract and analyze clinical information from patient records,... ...proper coding for reimbursement. This remote position requires a certification... ...CCS) and experience with coding/auditing. The successful candidate will...Remote workMedical- ...leading healthcare company seeks an experienced Inpatient Medical Coding Auditor to extract clinical information and ensure accurate reimbursement processes... ...and excellent communication skills. The position is remote, but may require occasional travel for training, offering...Remote workMedical
$71.1k - $97.8k
...A leading healthcare company is seeking an Inpatient Medical Coding Auditor to analyze clinical data and ensure accurate coding for reimbursement. This remote position involves reviewing inpatient hospital claims, requiring RHIA, RHIT, or CCS certification. Ideal candidates...Remote workMedical- ...Clinical Denials Reviewer Responsible for reviewing and appealing clinical denials, tracking clinical... ...at Tucson Medical Center (TMC).... .... Ensures the audit request follows TMC... ...directly with payer auditors to determine settlement... ...: Current RN licensure permitting...Medical
- ...RN Clinical Auditor Smithfield, RI - Smithfield, RI 02917 Overview... ...review of claim data and/or medical record documentation related... ...limited to: Plan and perform audits and investigations focused on... ...education as necessary. Respond to appeals, prepare settlement...MedicalFull timeContract workWork at officeShift work
$68.57k - $104.84k
...Quality Control/Clinical Auditor. The Diagnostic... ...) reviews of medical records and/or... .... This is a remote position. ESSENTIAL... ...Conduct audits to ensure accurate... ...director with appeals, rebuttals, etc... ...KNOWLEDGE & SKILLS: Expert knowledge of... ...: LVN or RN license in the...Remote workMedicalMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Territorial Epidemiologists is seeking a Clinical Appeals RN to provide expertise in clinical... ...and evaluate appeals and coordinate with medical directors. This position offers a work... ...8:00–4:30, with alternating Saturdays. Remote work is available from anywhere in the...Remote workMedicalMonday to Friday
$28.94 - $51.63 per hour
...Psychiatric Association Inc is seeking a Clinical Appeals RN to manage appeals and grievances... ...Microsoft Office. You will review medical records, assess clinical eligibility for... ...compliance with all regulations while working remotely from anywhere in the U.S. Attractive...Remote workMedicalHourly payWork at office- ...Minnesota School of Nursing is looking for a Clinical Appeals RN who will provide expertise in clinical... ...Responsibilities include reviewing medical records, verifying service criteria,... ...Microsoft Office. The position offers remote work opportunities throughout the U.S....Remote workMedicalWork at office
$28.27 - $50.48 per hour
...national health care organization is seeking an experienced RN for a Clinical Appeals position, responsible for reviewing medical appeals and provider inquiries. This role offers the flexibility to work remotely and requires strong interpersonal and problem-solving...Remote workMedicalHourly pay- ...Health is looking for an RN Diagnosis-Related Group (DRG) Auditor in Milwaukee, Wisconsin... ...includes conducting audits of inpatient medical records to ensure compliance... ...minimum of 5 years in Clinical Documentation Integrity... ...the possibility of remote work and a comprehensive...Remote workMedical
$55.1k - $99k
...Clinical Coding Auditor & Trainer This is a remote position. Compensation: $55,100.00 - $99,000.00 per year... ...travel to New York twice a year RN, PA, MD, APRN, DO, or MBBS license... ...experience ~4+ years of DRG and/or Medical Record Audit experience ~1 year of clinical...Remote workMedical
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