Clinical Review RN - Forensic Billing Specialist
$28.94 per hourTexas Health Institute
Texas Health Institute is seeking a Clinical Review Clinician to conduct forensic reviews and analyze hospital facility bills as part of a specialized team. This role requires a thorough understanding of claim review processes, clinical records, and billing guidelines. The position offers competitive pay, starting at $28.94 per hour, and includes comprehensive benefits, including medical and dental insurance, a 401(k) savings plan, and more. The ideal candidate will possess strong analytical skills and a background in clinical knowledge. If you are capable of independent reviews and aim to contribute to our core operations, we encourage you to apply. #J-18808-Ljbffr
$28.94 - $51.83 per hour
...The University of Minnesota School of Nursing is looking for a Clinical Review Clinician. This role requires expertise in clinical review processes and involves conducting forensic reviews, analyzing billing details, and interacting with team members. Benefits include...SuggestedHourly pay$28.94 - $51.83 per hour
...millions of people live healthier lives. The Clinical Review Clinician serves as a subject matter expert for itemized bill reviews and analyzes hospital facility bills.... ...for payment as part of a team that prepares Forensic Reviews for specific clients. Employees in this...SuggestedHourly payMinimum wageFull timeTemporary workWork experience placementLocal area- Stryker Corporation is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews. This role involves analyzing hospital bills, conducting forensic reviews, and maintaining compliance with HIPAA standards while working independently...SuggestedRemote jobHourly pay
- UnitedHealth Group is seeking a Clinical Review Clinician in Plymouth, Minnesota. This role involves conducting forensic reviews of hospital bills and claims while ensuring compliance with billing... ...have an Associate's degree, an active RN or LPN license, and at least 2 years...SuggestedRemote job
$78.7k - $134.9k
...A nonprofit health plan is looking for a Supervisor of Quality Reviewers to oversee clinical reviews and regulatory audit operations. The ideal candidate will have a Bachelor's degree, significant clinical healthcare experience, and leadership skills. This role includes...Suggested- ...Job Overview Fairview has an immediate opening for an RN at the Blood and Marrow Transplant clinic and infusion center located on the University of MN East... ...information, monitoring and taking vital signs, chart reviews, documentation, phone triage, coordination of care...Temporary workImmediate startRelocation packageWeekend workDay shift
- ...Overview Fairview has an immediate opening for a Structural Heart Clinic RN at the Fairview Heart Care Clinic located on St. John's... ...providers, and services. Performs patient and family needs analysis. Reviews medications for accuracy, facilitates medication refills, and...Temporary workImmediate startRelocation packageMonday to FridayDay shift
$38.51 - $64.22 per hour
...1 USD to $64.22 USD Description We are hiring for an RN for our St Paul Clinic is a 0.9 FTE, scheduled Monday - Friday, hours ranging between... ...federal employment laws. For further information, please review the Know Your Rights ( notice from the Department of Labor....Hourly payTemporary workWork experience placementLocal areaMonday to FridayShift work$40.08 - $54.93 per hour
.... Document patient medical history and medication reviews, updating charts. Provide patient education and triage... ..., graduate of an accredited nursing school with clinical rotations in an acute‑care setting. 0 to 2 years RN experience. Licensed Registered Nurse in Minnesota...Hourly payTemporary workShift work$73k - $75k
...Fortune Best Workplaces in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To provide timely, evidence-based utilization... ...and works with claim examiners as needed to provide clinical information to resolve issues. Maintains a score of 90% or...Work at officeFlexible hours$85k - $90k
...Health Care has an immediate opening for a Clinical Educator in our Plymouth, MN Pediatric... ...Qualifications include: Current RN license in good standing BSN/MSN preferred... ...field staff orientation, clinical chart review, and utilization review reporting Strong...Weekly payWork at officeLocal areaImmediate startWeekend work- ...RN Utilization Review By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for... ...Communicates and works with claim examiners as needed to provide clinical information to resolve issues. Maintains a score of 90%...Work at office
- ...Billing Specialist The Billing Specialist is responsible for ensuring all accounts are processed... ...payer inquiries in a timely manner. Review provider billing entries and... ...home office, administrative office, or clinical office. This role requires regular walking...Work at officeHome office
$56k - $94k
...Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services through efficient review and timely resolution of assigned Medicare... ...level edits as assigned As needed, review clinical documentation and diagnostic results as appropriate...Temporary workRemote workFlexible hours$36.7 - $69.38 per hour
...Center and acute care hospital, as well as a clinic system with primary care clinics located... ...by the State of Minnesota One year RN experience Preferred Qualifications:... ...development during the annual performance review. If you are not currently in an Ambulatory...Temporary workPart timeShift work$10k
...Hospital and Top 20 Rural Critical Access Hospital, is seeking a Clinic LPN or RN to join our team in St. Paul, Nebraska. Since 1955, HCMC has... ...the Medical Staff and Clinic Manager. Key Responsibilities Review patient charts to ensure completeness before examinations...Temporary workRelocation packageShift work- ...time Staff Nurse to join our Orthopedic Clinic at the Clinic and Specialty Center in downtown... ...by the State of Minnesota One year RN experience / Preferred Qualifications: /... ...development during the annual performance review. /If you are not currently in an Ambulatory...Part time
- ...Overview RN Clinical Manager - Hospice - FT - Mon-Fri - 8a-5p Minimum of 3 years of direct patient care experience, including 2 years in... ...Interdisciplinary Group (IDG) meetings, including presenting patient updates, reviewing charts, coordinating care plans, and documenting minutes Serve...Daily paidFull timePart timeWork at officeLocal area
$68.97k - $113.31k
...RN Clinical Consultant The RN Clinical Consultant serves as a clinical resource for the... ...disability by providing comprehensive medical reviews and analysis of long-term and or short-... ...with internal vocational rehab specialists in identifying opportunities for return...Full timeTemporary workWork at officeVisa sponsorshipWork visaFlexible hours$48.29 - $66.81 per hour
...evening shifts ~ Occasional weekends We are seeking a Clinical Program Specialist to join our team at United Hospital, supporting our... ...consistent with care delivery model and professional standards. Reviews patient records on a concurrent basis to identify...Hourly payContract workTemporary workShift workDay shiftAfternoon shift$85.74k - $121.04k
...Job Overview Fairview is seeking a Casual RN Care Coordinator to join the Pediatric Discovery Clinic , supporting our Diabetes Department. This role offers weekday... ..., complete clinic readiness including records review and provides administrative support as needed. What...Daily paidCasual workRelocation packageShift workWeekend workWeekday work- ...Vision insurance We are seeking a Per Diem Registered Nurse (RN) to support client intake, clinical compliance, caregiver competency oversight, and ongoing... ...needs, risks, and service appropriateness Develop, review, and update individualized care plans Compliance & Clinical...Hourly payDaily paidExtra incomeWork at officeLocal areaFlexible hours
$72.8k - $130k
...Senior Clinical Quality Auditor At UnitedHealthcare, we're simplifying the health care... ...UMR. You will provide general support in reviewing and researching program processes for overall... ...: ~ Current, unrestricted RN license in state of residence ~3+ years...Remote jobMinimum wageFull timeWork experience placementLocal area$90k - $97k
...are a valued member of our team. POSITION SUMMARY The Clinical Support Nurse serves as the health and wellness director (HWD)... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.Full timeTemporary workPart timeWork experience placementReliefFlexible hoursNight shiftWeekend workAfternoon shift$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global... ...DRG assignments, and discharge statuses billed by hospitals to identify overpayments.... ...: Conduct MS-DRG and APR-DRG coding reviews to verify the accuracy of DRG assignment...Hourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRemote workRelocation package- ...Vision insurance We are seeking a Per Diem Registered Nurse (RN) to support client intake, clinical compliance, caregiver competency oversight, and ongoing... ...needs, risks, and service appropriateness Develop, review, and update individualized care plans Compliance & Clinical...Hourly payDaily paidExtra incomeLocal areaFlexible hours
$90k - $130k
...Job Description Job Description Job Title: Hospice Clinical Resource RN – Admissions, Liaison & Field Support (RN) Pay: $90,000... ...oncology, or palliative backgrounds. What You’ll Do • Review referral lists, intake updates, and reports to identify...Local areaMonday to FridayWeekend work- ...Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The... ...organizations and the industry. Position Summary The CTED RN Program Coordinator will help with operations related to the...Full timePart timeLocal areaShift workNight shiftWeekend workAfternoon shift
$95k - $115k
...Manager of Clinical Services (RN) Position Type Full Time Overview At St. Croix Hospice, we believe in the power of compassionate care... ...guidance, mentoring, and clinical problem-solving ~ Conduct case reviews, home visits, and clinical audits to ensure high-quality...Full timeTemporary workMonday to Friday$26.96 - $32.35 per hour
...Medical Billing Specialist Shoreview, MN Life Link III is a premier, nationally recognized... ...medical transport company, known for our clinical excellence, superior aviation program... ...Billing & Insurance Operations Review and audit transport documentation to ensure...Hourly payLive outLocal areaVisa sponsorshipWork visa
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