Remote Home Health Medical Review Nurse Auditor
Machinify
- Remote job
Machinify is a leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure compliance and high-quality documentation. The role emphasizes strong clinical judgment, coding accuracy, and regulatory awareness. You will review claims, reference guidelines, and participate in the appeals process while staying current with coding standards and home health practices. This position is remote within the US. #J-18808-Ljbffr Machinify
$80k - $90k
..., and efficiency to health plans. Deployed by over... ...: $80-90k The Medical Review Clinical Appeals Auditor (RN) is responsible... ...work independently in remote setting with minimum... ...standing and diversified nursing experience providing... ...Internet at your home office location is...Remote workWork from homeMedicalFor contractorsImmediate startHome officeFlexible hoursShift work- ...Have you ever looked a medical bill and immediately noticed something... ...Solutions is looking for a Nurse Auditor who wants to make their mark... ...maximize client savings by reviewing medical bills from a nurse... ...benefits package, including health insurance, 401(k) with...Remote workMedicalCasual workWork at officeImmediate startFlexible hours
- ...Medical Review Nurse - Home Health Auditor Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering... ...for Government and Commercial Payers. You will work remotely in a fast-paced and dynamic environment and be part of...Remote workMedicalWork at office
- ...seeking a Clinical Claim Review RN to perform compliance reviews of medical and administrative... ...collaboration with a team of auditors to document findings and... ...time (40 hours/week) with remote work options in... ...pm local time. #J-18808-Ljbffr Texas Health InstituteRemote jobMedicalFull timeLocal area
- ...Title Registered Nurse (RN) for Critical... ...Industry Health Care Job Description... ...individuals receiving home and community-... ...be responsible for reviewing and evaluating... ...each participant's medical and functional needs... ...technology to support remote and hybrid work...Remote workWork from homeMedicalFull time
- ...HEDIS Auditor RN/LPN Integrated Resources, Inc... ...Rehabilitation Therapy and Nursing. This request is... ...for performing medical record reviews and data extraction for... ...migrating to working from home 4 days a week. How... ...must attend and remote other days. Riya Khem...Remote workWork from homeMedicalContract work
$90k - $145k
...documentation in the Medical Record. Seeking... ...with a HCS-D - Home Care Coding Specialist... ...Specialist-Clinical. Remote position in New... .... 2.Full review of CDI suggested code... ...accredited School of Nursing. Bachelor's Degree... ...It is Northwell Health’s policy to provide...Remote workMedicalHourly payFull time- ...documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist... ...Specialist-Clinical. Remote position in New York.... ...and validate DRG code assignment. Full review of CDI suggested code changes De… #J-18808-Ljbffr Northwell HealthRemote workMedical
- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based on patient eligibility and contract requirements... ..., and the ability to work in a remote environment. Comprehensive...Remote workWork from homeMedicalContract work
- Rising Medical Solutions, LLC is seeking a Nurse Auditor to review medical bills and ensure billing and coding accuracy. This role focuses on maximizing client... ...hybrid schedule and competitive benefits including health insurance and 401(k) with company match. #J-18808...MedicalFlexible hours
$78k - $88k
...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some of healthcare... ...you should expect in this role Home-based role available to applicants... ...1(k) employer match, comprehensive health benefits, and educational...Remote workWork from homeMedicalFull timeContract workWork at officeFlexible hours- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting... ...(OBS). Minimum of 3 years acute medical Care Management/Utilization Review... ...in a hospital setting (experience in health plans or medical groups is not...Remote workMedical
- ...Description University Health Network is seeking a Full-Time Coding Auditor. This role requires... ...-Friday and is a remote position with occasional... ...requirements when working from home. Candidate must be... ...Performs audits and medical chart reviews contributing to the...Remote workWork from homeMedicalFull timeWork at officeMonday to Friday
- ...Friend Back Remote Work from Home Share This... ...Location: Johns Hopkins Health Plans, Hanover... ..., the Vendor Auditor is responsible... ...Auditor analyzes medical, pharmacy, and... ...discrepancies, and reviews vendor compliance... ...preferred degree in Nursing, Accounting,...Remote workWork from homeMedicalFull timeLocal areaDay shift
$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management... ...AFB, Colorado Military Health System Compensation: $1... ..., no telehealth/remote work Minimum Qualifications... ..., Utilization Review, or Case Management... ...Ambulatory, Case Management, or Medical-Surgical (ANCC or NCQA)...Remote workMedicalContract workImmediate startMonday to Friday- ...and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER,... ...' experience in hospital, home health, or hospice care. Clinical... ...Experience in Utilization Review or case management roles.... ...to work independently in remote settings. Must be able...Remote workMedicalFlexible hours
$71.1k - $97.8k
...community and help us put health first The Inpatient Medical Coding Auditor extracts clinical... ...medical coding auditor to review inpatient hospital claims... ...are looking to work from home, for a Fortune 100 company... ...make an impact WORK STYLE: Remote/work at home. While this...Remote workWork from homeMedicalBi-weekly payContract workTemporary workApprenticeshipWork at officeHome officeMonday to Friday$35 - $45.94 per hour
...re hiring a Utilization Review Nurse to join our Utilization... ...case reviews, check medical records and speak with... ...Work Location: This is a remote position, open to candidates... ...be completed from your home office, occasional... ...is an authentic Oscar Health job opportunity. Learn...Remote workWork from homeMedicalHourly payFull timeHome officeWeekend work$82.72k - $108.57k
...Auditor, Risk Adjustment Georgia, United States... ...Oscar is the first health insurance company built... ...Work Location: This is a remote position, open to candidates... ...completed from your home office, occasional... ...including but not limited to: medical record reviews to report ICD-10-CM...Remote workWork from homeMedicalFull timeWork experience placementHome office$90k - $104.84k
...RN, DRG Coder / Clinical Auditor Must be a Registered Nurse with experience Remote | Full-Time | Healthcare | Clinical... ...to perform DRG validation reviews of medical records and documentation.... ...experience in a hospital or health plan setting. Inpatient ICD...Remote workMedicalFull timeWork at office$2,210 per week
...exclusive features. Nurses - are you looking... ...able to work from home 50% of the time... ...personalized managed health care, focused on... ...benefits, including medical, dental, vision,... ...Work-life balance. Remote/hybrid setting (once... ...to a second level reviewer. This individual...Remote workWork from homeMedicalFull timeTemporary workPart timeCasual workWork at officeAll shiftsMonday to FridayFlexible hours- ...Nurse Auditor Lewiston, ID Exp 5-7 years This position can be... ...Experience: Proven knowledge of medical and surgical procedures and... ...search). Familiarity with health care documentation systems.... ...competency in claim review and experience in using billing...Remote workMedicalWork at office
- SafeGuard Services (SGS), a Peraton subsidiary, is seeking a Nurse Reviewer to join our team. You will conduct medical record reviews and apply clinical judgment to claim payment decisions, researching claims data to detect patterns of fraud and ensure medical necessity...Remote jobMedical
- Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant documentation and communications with...Remote jobMedicalWork at office
- ...Clinical Validation Reviewer Performs focused clinical reviews of... ...and billed charges. Assesses medical records for clinical accuracy,... ...Licensure / Education: Registered Nurse (RN). License must be active... ...Specialist (CCS), Registered Health Information Administrator (RHIA...Remote workMedicalWork at office
- WPS Health Solutions in Columbus, OH, is seeking an Appeals Nurse to review medical records and Medicare claims for first-level appeals to determine medical necessity and coverage alignment. The role collaborates with Appeals Examiners to prepare timely redeterminations...Remote jobMedical
$41 - $43 per hour
...AltaStaff is a staffing agency currently looking for a Medical Claims Review Nurse to work with our Managed Care Client! Location: Remote (Candidates must reside in NY (outside greater NYC), FL, GA, MI, OH, WI, IA, NM, TX or KY) Pay Rate: $41 - $43.00 hourly...Remote workMedicalHourly payWork at officeLocal area$61.05k - $98.33k
...Itemization Review Nurse The Itemization Review Nurse provides a summary... ...on a UBIB submitted by a medical facility to determine accuracy... ...of billed charges. This is a remote position. Essential... ...Vision, Long Term Disability, Health Savings Account, Flexible Spending...Remote workMedicalMinimum wageFull timeWork at officeLocal areaFlexible hours- ...coordinate critical care for patients at home. We think patients and the clinicians who... ...better than a system stuck in 1995. Verse Medical is building the modern software... ...build something that matters. As Medical Reviewer, you'll be shaping the future of at-home...Remote workMedical
- ...in-patient and out-patient claims from a medical standpoint to ensure proper administration... ...medical information. Obtains request for reviews from and notifies determinations to BAD,... ...performance standards is required Knowledge of health insurance contracts/benefits is preferred...Remote workMedicalWork experience placementLocal areaRelocation
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