Remote Senior Nurse Reviewer: Audit & Appeals
Mass General Brigham Incorporated.
Somerville, MA
- Remote job
Mass General Brigham Incorporated is looking for a Senior Nurse Reviewer responsible for coordinating clinical charge audits and appeal processes. The role demands strong analytical skills and experience in clinical nursing and quality assurance. This is a remote position requiring effective communication with multidisciplinary teams. The ideal candidate should possess a Bachelor's Degree in Nursing, an MA State RN License, and have experience in appeal writing. #J-18808-Ljbffr Mass General Brigham Incorporated.
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Senior Nurse Reviewer: Audit & Appeals in Somerville, MA vacancy
$35 - $63 per hour
...Territorial Epidemiologists is hiring a Senior Clinical Appeals RN. This position utilizes expertise in MS-DRG and APR-DRG auditing to review appeals and is responsible for analyzing... ...in ICD-10 coding. The role allows for remote work, and candidates should be solution-...Remote workSeniorHourly payCouncil Of State and Territorial Epidemiologists
Minneapolis, MN1 day ago$35 - $63 per hour
...Optum is seeking a Senior Clinical Appeals RN to utilize expertise in MS-DRG and APR-DRG auditing for appeals management. This role involves analyzing appeals, collaborating... ...rebuttals. The job can be performed remotely across the U.S., with certain locations requiring...Remote workSeniorHourly payWork at officeOptum
New York, NY1 day ago- ...UnitedHealth Group is seeking a Senior Clinical Appeals RN to utilize expertise in MS-DRG and APR-DRG auditing to manage appeals. This position allows remote work throughout the U.S., except for Minneapolis or Washington, D.C. hires, who need to work in-office at least...Remote workSeniorWork at office
Registered Nurse
Minneapolis, MN1 day ago $64.5k - $92.2k
Gainwell Technologies LLC is seeking a Clinical Quality Nurse Reviewer, Sr. Specialist to perform ongoing quality assurance audits on clinical staff. This full-time remote position requires an active RN license and clinical experience in healthcare. Responsibilities include...Remote jobSeniorFull time$90k - $99k
A leading healthcare solutions provider seeks a DRG Nurse Reviewer Appeals and Hearings to coordinate appeal duties and engage in hearings, both... ...have an active RN license and coding certification. This remote role offers flexibility and opportunities for career development...Remote workFlexible hoursGainwell Technologies
Florida, NY4 days ago- ...The Senior Nurse Reviewer is responsible for the coordination, facilitation, and appeal of the clinical components of charge audits and forensic review findings. This includes audits conducted... ...Working schedule: ~ Remote, M-F eastern standard business hours...Remote workSenior
Mass General Brigham (Enterprise Services)
Somerville, MA1 day ago - ...Santa Barbara Cottage Hospital is seeking a Senior Nurse Reviewer responsible for coordinating and facilitating clinical charge audits. This role involves preparing audit... ...extensive clinical experience. The job is remote during Eastern Standard Business Hours and...Remote workSenior
Santa Barbara Cottage Hospital
New York, NY2 days ago $79.56k - $115.72k
...professionals, including doctors, nurses, business people, tech... ...Job Summary The Senior Nurse Reviewer is responsible for the... ..., facilitation, and appeal of the clinical components of charge audits and forensic review... ...schedule: ~ Remote, M-F eastern standard...Remote workSeniorShift workMass General Brigham
United States3 days ago$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 medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and...Remote workFull timeWork from homeFlexible hoursGainwell Technologies
Florida, NY4 days ago$35 - $63 per hour
...The University of Minnesota School of Nursing is looking for a Senior Clinical Appeals RN. This role involves reviewing and responding to appeals in MS-DRG and APR-DRG auditing and provides coaching to remote specialists. Remote work is available within the U.S., but...Remote workSeniorHourly payWork at officeUniversity of Minnesota School of Nursing
Minneapolis, MN1 day ago$35 - $63 per hour
...Stryker Corporation is seeking a Senior Clinical Appeals RN to utilize clinical expertise in appealing and coding medical records. The role includes... ...have at least 2 years of coding experience with ICD-10. Remote work opportunities are available in the U.S., and the...Remote workSeniorHourly payStryker
Minneapolis, MN1 day ago$84k - $126k
...Elevance Health seeks a Senior Behavioral Health Appeals Coordinator to work virtually, ensuring member and provider grievances are managed effectively. This role requires at least a master's degree related to behavioral health, a minimum of four years in a healthcare...Remote workSeniorElevance Health
Los Angeles, CA2 days ago$35 - $63 per hour
...Texas Health Institute is looking for a Senior Clinical Appeals RN to utilize expertise in MS‑DRG and APR‑DRG auditing. This role involves reviewing medical records and responding to appeals while providing coaching to remote DRG Validation Specialists. The position...Remote workSeniorHourly payWork at officeTexas Health Institute
Minneapolis, MN1 day ago- ...L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider complaints, ensuring compliance with various health regulations, and preparing reports. Requirements include at least 2 years...Remote workSeniorFull time
L.A. Care Health Plan
Los Angeles, CA3 days ago $35 - $63 per hour
...Minnesota is seeking an experienced healthcare coder to analyze DRG Appeals, prepare written appeals, and collaborate with the leadership... ...as well as clinical judgment. Enjoy the flexibility to work remotely from anywhere in the U.S., with specific office requirements for...Remote jobSeniorHourly payWork at officeLocal area- Maximus is seeking a Senior Appeals Administrator for their California Independent Medical Review team. This role is vital in ensuring timely resolutions for medical review cases while enhancing the appeals process. The ideal candidate will have an associate degree with...Remote jobSeniorWork from homeFlexible hours
- ...Senior Quality and Production Manager Job... ...26 Full-Time Remote, Anywhere USA... ...assurance program and auditing process to ensure... ...timely processing of appeals. Oversees, plans, prepares, and reviews statistical and... ...necessity decisions Nursing, Physical Therapy,...Remote workSeniorFor contractorsFor subcontractor
$24.03 - $28.83 per hour
...mental health services Review and reconcile patient... ...billing issues: denials, appeals, discrepancies using... ...Experience working remotely Experience with commercial... ...Friday 9am - 5pm EST Seniority level Mid‑Senior level... ...function Accounting/Auditing and Administrative Hospitals...Remote workSeniorContract workMonday to FridayShift workMedix
New York, NY2 days ago- A healthcare solutions company seeks a Manager of Clinical Appeals in New York. The role involves overseeing clinical appeals operations... ...clinical appeals and team leadership, particularly in managing remote teams. The position requires strong writing skills and a...Remote workSenior
$85k - $105k
...partnership. Our client is seeking a Senior Accounting Analyst to support... ...in accounting, finance, audit, trade support accounting, or... ...This is the kind of role that appeals to accountants who want more influence... ...the ability to work hybrid remote two times a week, following...Remote workSeniorImmediate startGOOD WORKS TALENT
Wichita, KS1 day ago$120k - $160k
...Senior Manager, Property Tax | Lead Multi-State Compliance for Fortune 500 Clients | Remote-Friendly | Growth-Focused Team This Jobot Job is hosted by Eric Kee. Are... ...property tax outsourcing engagements, audits, and appeals Oversee timely filing of personal property...Remote workSeniorFull timeLocal areaJobot
Hoboken, NJ4 days ago- ...Property Tax Analyst to manage national property tax compliance, audits, and appeal processes. The role involves accurate data management and... ...time and requires presence at the Hawthorne, CA office, making remote options unavailable. Comprehensive benefits including health...Remote workSeniorFull timeWork at office
- ...Senior Appeals Specialist Job Category: Medical Billing Full-Time Remote Location: Middleburg Heights, OH 44130, USA +1 more locations Description Key Responsibilities... ...insurance plan. Gather updated appeal or review forms to add to form library. Create...Remote workSeniorFull time
Quadax
United States1 day ago - ...for your interest in joining Datahut as a Senior Accountant! We are hiring an Senior... ...coordinating with CA/banks/clients, supporting audits & month/year-end closing, and ensuring... .... About the role: Datahut is a remote-first company, and you’ll begin by working...Remote workSeniorWork from homeRelocation
- ...State & Local Tax Senior Associate Income / Franchise Focus Remote Eligible Denver, CO / Des... ...restructuring, due diligence, audit defense, audit... ...following: Research and review state and local income/franchise... ...at administrative appeals, appeal meetings and preparing...Remote jobSeniorWork at officeLocal area
$78k - $88k
...Nurse Reviewer (Registered Nurse) - Remote in US It takes great medical minds to create powerful solutions that solve some of healthcare's most complex... .... This involves accessing proprietary systems to audit medical records, accurately documenting findings and providing...Remote workPermanent employmentFull timeContract workTemporary workMonday to FridayFlexible hoursGainwell Technologies
United States3 days ago$105k - $130k
...You'll Make An Impact The Senior Accountant will report to the... ...that impact the preparation and review of the financials statements and... ...based anywhere in the U.S. (remote). Working hours are standard business... .... Assist with the external audit by preparing supporting...Remote workSeniorWork at officeBoomi
Fresno, CA21 days ago- ...Senior Environmental Audit Manager Location(s) Atlanta, Georgia | Houston, Texas | Lisle, Illinois | Minneapolis, Minnesota | Plano, Texas | Wichita, Kansas Eligible for remote Yes Company Koch Career Field Environmental Health & Safety At Koch, employees are empowered...Remote workSenior
- ...execution of engagement plans, the full-time Senior GRC Auditor I will focus on IT controls,... ...SOC 1 and SOC 2 engagements in a fully remote environment. Key Responsibilities... ...and compliance requirements Communicate audit findings and recommendations effectively...Remote workSenior
- ...Audit Manager Growing CPA firm in North Scottsdale in Arizona... ...Manager with a very flexible remote/hybrid schedule. The Audit... ...developing and managing staff; and reviewing financial statements and... ...group of clients. The Audit Senior is responsible for all phases...Remote workSeniorFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Senior Nurse Reviewer: Audit & Appeals. Be the first to apply!
Related searches
- program coordinator remote Somerville, MA
- remote customer service advisor Somerville, MA
- it manager remote Somerville, MA
- remote banking Somerville, MA
- tableau developer remote Somerville, MA
- remote noc Somerville, MA
- remote tasks Somerville, MA
- excel remote Somerville, MA
- remote medical billing part time Somerville, MA
- part time recruiter remote Somerville, MA