Remote RN Compliance Auditor for Healthcare Audits
BHS
Baptist Health is seeking a Compliance Auditor (RN) to support compliance, clinical, and revenue-focused auditing across hospital service lines. The ideal candidate has a strong nursing background with experience in healthcare auditing, revenue integrity, compliance, or coding. In this role you will review documentation, coding, and DRG assignments, identify control gaps, develop corrective actions, and report findings to leadership while strengthening internal controls and ensuring regulatory #J-18808-Ljbffr
- ...Baptist Health is seeking a Compliance Auditor (RN) to support auditing across hospital service lines, focusing on documentation... ...combine clinical nursing with healthcare auditing, revenue integrity, or coding experience. Remote role with Florida focus; collaboration...Remote work
- ...Baptist Health System, Inc. is seeking a Compliance Auditor (RN) to support compliance, clinical, and revenue-focused auditing activities across hospital service lines. The role partners closely with operational and clinical leadership to evaluate documentation, coding...Remote work
$77.91k - $116.86k
...saving them. Together.The Remote Auditor, Delegate UM/CM plays a... ...in supporting Alignment Healthcare's delegated oversight audit program by conducting Utilization... ...UM and CM operations for compliance with CMS and contractual... ...) or Registered Nurse (RN).Other:• Required:...Remote workWork at office- Baptist Health in Florida seeks a Compliance Auditor (RN) to support audits across hospital service lines, focusing... ...with 5+ years of nursing and healthcare auditing experience, including DRG validation and CDI practices. Remote Florida position with reporting to leadership...Remote job
$82k - $87k
..., performance-driven healthcare company dedicated to... ...Guidehealth leverages remotely-embedded Healthguides... ...Description The Clinical Compliance Auditor II is responsible for... ...performs advanced auditing, monitoring, and... ...unrestricted Registered Nurse (RN) license required. *...Remote workBi-weekly payFull timeTemporary workFor contractorsWork at officeLocal areaWork from homeFlexible hours- Guidehealth, a data-powered healthcare company, seeks a Clinical Compliance Auditor II to ensure adherence... .... You will conduct audits, mentor staff, and help... ...refine audit tools within a remote-friendly, collaborative team. The role requires RN licensure, 3-5 years in...Remote job
- ...readmissions within 30 days, ensuring clinical relevance and compliance. The role requires RN licensure, 5+ years in clinical nursing or healthcare audit, strong documentation and collaboration across teams, with remote work and a competitive total rewards package. You will...Remote job
- ...Trillium Health Resources is seeking a Compliance Nurse to perform clinical compliance reviews and evaluate claims to ensure adherence to regulatory and coverage requirements. The role applies clinical judgment to assess documentation, determine compliance, and direct...Remote work
- ...SummaryBaptist Health is seeking a Compliance Auditor (RN) to support compliance, clinical, and revenue-focused auditing activities across hospital... ...with experience in healthcare auditing, revenue integrity... ...preferred.Primary Location:Remote - Florida 123 Remote St Tallahassee...Remote work
$38.61 - $55.86 per hour
...Department of Health Care Services (DHCS) auditing team responsible for conducting and... ...and aligned with regulatory and compliance requirements.**The ideal RN candidate will be located in the... ...38.61 to $55.86 per hourWork Mode: Remote/Field (This role requires driving...Remote workContract workLocal areaFlexible hours- ...blends clinical expertise with data analysis to assess medical necessity and detect unusual utilization patterns. The position supports audits and quality initiatives, communicates with stakeholders, and collaborates with leadership and external partners to ensure compliant...Remote work
- 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...Remote jobWork from home
- ...accurate charge capture and compliance, the full-time Maryland Licensed Nurse Auditor will conduct clinical and revenue integrity audits, collaborate with... ...organizational goals in a primarily remote work environment. Key... ...Clinical Auditing, or Healthcare Compliance preferred...Remote workFull time
- ...unusual utilization patterns, ensuring benefits are administered properly. The role collaborates with leadership and external partners, supports audit activities, and contributes to quality initiatives to strengthen program integrity. #J-18808-Ljbffr WPS Health SolutionsRemote job
- ...necessity, detect unusual utilization, and ensure compliant benefits administration. Remote work options are available with state approvals. The position requires U.S. citizenship, RN or LPN licensure, and 3+ years of clinical practice. #J-18808-Ljbffr WPS Health SolutionsRemote jobFor contractors
$1,830 - $1,970 per week
...Registered Nurse Auditor (RN Auditor) – Remote Insurance Payer Audits Join our healthcare team as a remote Registered Nurse Auditor supporting insurance payer audits, denial management, billing compliance, and charge capture validation. This Houston, Texas–connected...Remote workWeekly payFull timeLocal areaWork from homeShift work- Utilization Review Nurse Auditor (33034)# Utilization... ...Nurse Auditor (33034)Fully Remote • Mount Laurel, NJ 0805... ...all work is in full compliance with client contractual... ...provider of innovative healthcare services including independent... ...off, and 401k.******RN******LPN******LVN******...Remote workLocal areaMonday to Friday
- ...0-15Sound Physicians is seeking an Associate Compliance Coding Auditor to perform routine coding and documentation audits using established methodologies and tools. The... ....The candidate should have 2-3 years of healthcare coding experience and active credentials (CPC...Remote work
- ...powered, performance-driven healthcare company dedicated to... ...analytics, Guidehealth leverages remotely-embedded Healthguides™ and... ...all patients. The Clinical Compliance Auditor II is responsible for ensuring... ...and performs advanced auditing, monitoring, and compliance...Remote workFull timeFlexible hours
- ...The Marwood Group is a healthcare advisory services firm... ...compensation, and clinical compliance. Marwood operates at... ...outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties... ...billing and coding audits to ensure client coding...Remote workWork at officeLocal area
- ...Integra Partners is seeking a Compliance Analyst to join our Legal team. You will monitor for FWA issues, audit provider billing and UM auth practices, and research CMS alerts to manage compliance risks in the DMEPOS space. You will collaborate across teams and report...Remote work
$95k - $105k
The Office of Audit and Compliance (OAC) at the University of Virginia (UVA... ...applications for a Senior Auditor for its UVA Health team. The... ...audit experience is preferred.Healthcare audit experience,... ..., in accordance with UVA’s remote work guidelines.About UVA and...Remote workWork at office- ...To support a diverse range of healthcare clients, the full-time Certified Medical Coding Auditor will conduct audits, provide compliance education, and develop corrective action recommendations while working remotely. Key responsibilities Conduct detailed medical record...Remote workFull time
- ...partners in the business of healthcare. Backed by a team of over... ...valuation, strategic, and compliance needs.? Position... ...experienced Ophthalmic Compliance Auditor to join its Coding Audit and Compliance (CAC) team.... ...productivity in a remote work environment Certifications...Remote workWork at officeFlexible hours
- ...Ascend Hospice is seeking a Compliance Auditor to support our Corporate Compliance Program. You will conduct independent audits of hospice operations, review clinical and billing documentation, support responses to payer audits, and help leaders address compliance risks...Remote work
- ...Mosaic Health, LLC. is seeking an experienced Compliance Audit Specialist to perform internal audits and ensure adherence to laws, regulations... ...in compliance auditing, strong attention to detail, and proficiency with Microsoft Office; healthcare compliance #J-18808-Ljbffr...Remote workWork at office
$76.3k - $131.55k
...healthy. We recognize that healthcare requires a human touch, and... ...healthcare. The Senior Coding Compliance Auditor will assist with the... ...Compliance Workplan including the Auditing and Monitoring Workplans.... ...client experiences ~ This is a remote position; however,...Remote workTemporary workWork at officeLocal areaImmediate startLong distance- ...outcomes and advancing healthcare. At UBC we provide... ...YRC02F – Associate REMS Auditor Brief Description : The... ...Auditor provides core compliance functions and project... ...the REMS Stakeholder audit group. Audit support includes... ...perks UBC offers: Remote opportunities...Remote workTemporary workWork experience placementWork at officeLocal areaFlexible hours
- ...Thinkbrg is seeking a Senior Associate to join the Healthcare Transactions and Strategy group. You will perform medical record audits to assess coding accuracy and ensure compliant claims submission. The role includes developing audit methodologies, analyzing findings...Remote work
- A healthcare service organization is seeking a Medical Coding and Billing Compliance Auditor to perform coding audits and ensure compliance with regulations. The role requires extensive coding... ...coding experience. This is a full-time remote position. #J-18808-LjbffrRemote workFull timeWork at office
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