Remote Clinical Quality Auditor & PA Reviewer
Virtix Health, LLC.
- Remote job
Virtix Health, LLC is seeking a Clinical Quality Reviewer (Coder/Auditor) to perform comprehensive clinical reviews for WISeR Prior Authorization, validating documentation for medical necessity under CMS guidelines. This remote US role operates in a 24/7 review environment and supports physician determinations. The ideal candidate has CPT and ICD-10 coding experience, strong analytical and communication skills, and a certification from AAPC or AHIMA is preferred. #J-18808-Ljbffr Virtix Health, LLC.
- ...has 6000 + registered nurses Quality of Life: Living in the Triangle... ...requisite 20 hours. Job Description Clinical Documentation Integrity... ...conditions present on admission. Reviews quality of medical record... ...Bachelor?s in Nursing (BSN) or PA (Physician’s Assistant) or NP...Remote workPart timeRelocation package
$60.1k - $98.7k
This is a remote office opportunity. The Quality Analyst oversees work performed by the Clinical CVA auditors to ensure that EXL’s standard of accuracy is met. The analyst undertakes a quality review of random and targeted clinical CVA audits. A brief coding/auditing assessment...Remote workFull timeWork at office- AuraOne, Inc. is seeking a remote clinical-review contractor to evaluate AI outputs in dentistry. You will assess differential reasoning, dosing logic, and guideline adherence, flag patient-safety issues, and document corrected clinical reasoning to help the modeling team...Remote jobFor contractors
- EXL Service Holdings, Inc. is offering a remote office opportunity for a Quality Analyst who oversees work performed by the Clinical CVA auditors to ensure EXL’s standard of accuracy is met. The analyst conducts quality reviews of random and targeted CVA audits, supporting...Remote jobWork at office
- ...PRN pharmacists to support CMS contract reviewing prior authorization and step therapy criteria... ...determine approvability. This role is remote, not patient-facing, with peak workload... ...US license, and at least five years in clinical #J-18808-Ljbffr Rainmakers Strategic...Remote jobContract workRelief
- Mindrift seeks MDs or DOs with active US medical licenses to participate in a flexible remote evaluation project. You will review written clinical EHR vignettes, assess accuracy and reasoning, and provide brief rationales. This is a task-based, independent contractor role...Remote jobFor contractorsFlexible hours
- Beth Israel Lahey Health is seeking a Clinical Trials Monitor to oversee investigator-initiated... .... The CTM supports audit prep, records review, and collaboration across teams, ensuring... ...to regulatory standards and SOPs. Remote work is main mode, with some on-site as needed...Remote job
- AuraOne, Inc. seeks Medical Doctor - Physician Expert for a remote clinical-review track evaluating AI outputs touching physician practice.... ...rubric, adjudicate cases against published evidence, and maintain reviewer-quality scores. #J-18808-Ljbffr AuraOne Human DataRemote jobFor contractors
- CorroHealth, Inc. is seeking a Clinical Reviewer to support the WISeR Prior Authorization program from a remote US-based role. You will perform comprehensive clinical reviews... ..., collaborating with physicians, nurses, quality teams, and technology partners to ensure timely...Remote job
- CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor to perform DRG validation reviews of medical records and documentation. This remote role requires ICD-10-CM/PCS expertise, strong communication, and knowledge of payer rules (Medicare/Medicaid)....Remote job
- ...Medical Document OCR Dataset QA Specialist is a remote clinical-review track for evaluating AI outputs that touch clinical review. Reviewers... ...published evidence or specialty guidelines. Maintain reviewer-quality scores in weekly inter-rater calibration cycles....Remote workHourly payFor contractors10 hours per week
- ...health plan serving a broad Midwest and nationwide network. The Clinical Quality Review Nurse III role supports quality performance through medical... ...providers and contribute to improvement initiatives. The remote position supports Medica’s mission to deliver high-quality,...Remote job
- The role emphasizes precise rubric application, clear written reasoning, and attention to detail. Applicants should have experience in earth systems evaluation and be available asynchronously for at least 10 hours per week. #J-18808-Ljbffr AuraOne, Inc.Remote job10 hours per week
- AuraOne, Inc. seeks Physician & Clinical Headhunter reviewers to evaluate AI-generated clinical outputs remotely across the United States. You will assess differential diagnosis, dosing logic, and guideline adherence, flag safety concerns, and document corrected reasoning...Remote jobContract work
$60.2k - $107.4k
...organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver... .... Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation Keep abreast of current coding...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal area- ...reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic... ....About this position: Clinical Quality ReviewerLocation: Remote (Within US Only)Required Schedule:... ...work West Coast HoursThe Clinical Reviewer supports the WISeR Prior Authorization...Remote workWork at officeImmediate startMonday to Friday
$89k - $109k
...recruiter to learn more. JOB TITLE: Senior Clinical Quality Associate LOCATION: Remote - candidates based in the following... ...considered: IN, MA, NC, NH, NM, NY, PA, SC, SD, TX, KY, NJ or WA. SALARY... ...clinical vendors and clinical sites Review/Approve clinical documentation,...Remote workFull timeDay shift- ...for people with serious diseases. We are seeking a Quality Reviewer / Batch Release Specialist supporting clinical and commercial lot release across our global... ...When & Where Location: US Work model/flexibility: Remote or on-site in Rensselaer, NY (5 days/week) Contract...Remote workContract workTemporary workWorldwide
$55 - $120 per hour
...Job Description Cardiologist – AI Medical Content Reviewer (Remote, Flexible, Non-Clinical) Are you a trained Cardiologist (or a physician with formal training in cardiology) looking for flexible, non-clinical work you can complete on your own schedule? Use your...Remote workHourly payLong term contractFull timePart timeFlexible hoursAfternoon shift- Collaborate with Elsevier Health teams to ensure clinical content accuracy. Review content supporting clinicians at the point of care. Responsibilities: Create, rate, and rank queries on emerging medical technologies. Assess impact of technologies on clinical practice and...Remote jobFixed term contract
- ...is seeking an Itinerant Physician Assistant (PA) or Nurse Practitioner (NP) to provide float coverage across rural village clinics in southwestern Alaska. The role delivers primary, preventive and emergency care in remote clinics, with emphasis on family practice and...Remote work
$45 - $55 per hour
Allied Health: Dental Hygienist Clinical Content Reviewer (Part-time, PRN Position) Remote (North America) Job Title: Clinical Content Reviewer - PT Fixed Term... .... Building on our publishing heritage, we combine quality information and vast data sets with analytics to...Remote workPart timeFor contractorsFixed term contractReliefImmediate startWork from homeFlexible hours$130k - $155k
...Assistant to lead the clinical rollout of employer health... ...safety and incident reviews, help centers meet regulatory... ...Valid Tennessee NP or PA license, DEA license,... ...clinical leadership, quality, or multi-site operations... ...: Hybrid/Remote position with up to 25%...Remote workFull timeWork at office$55 per hour
...learning platform supporting dental hygiene learners. Content reviewed may also support dental assisting learners where topics overlap... ...structured evaluation metrics to score accuracy, completeness, and clinical relevance. Provide expert feedback to improve clarity, safety,...Remote jobContract workPart timeImmediate start- ...AI-powered learning platform. This role reviews content for dental hygiene and overlapping... ...metrics to score accuracy, completeness, and clinical relevance. Provide expert feedback and... .... Compensation & Commitment: Part-time remote PRN position, 5-15 hours per week. Contract...Remote jobContract workPart timeRelief
- Elsevier Health is seeking a part-time, PRN Dental Hygienist Clinical Content Reviewer. This remote North America role supports clinicians by reviewing... ..., collaborating with data teams to ensure high-quality clinical information at the point of care. You will assess...Remote jobPart timeRelief
- ...Practitioner or Physician Assistant for a remote, full-time role in the United States. You... ...test the product by following predefined clinical tasks, evaluate usability, and provide... ...practice. Requirements include an active NP or PA license and at least 3 years in family or...Remote jobFull timeFor contractorsFlexible hours
$75 per hour
...recruiting Nurse Practitioners and Physician Assistants for a US-based project that involves reviewing, rating, and improving AI model answers in their field to train AI. This is a remote, independent contractor role with flexible hours and pay set at $75/hr for contributors...Remote jobFor contractorsFlexible hours- ...Job Title: Quality Specialist – II Duration: 24 Months Location... ...internal stakeholders or clinical sites. • Ability to manage... ...criteria for processing • Review complaint information for completeness... ...: Three days onsite and two remote. Wednesday is preferred, not...Remote workContract workWorldwideFlexible hours
- ...assessment, airway management, oxygen and aerosol therapy, and more. Review neonatal, pediatric, and adult critical care respiratory... ...program with a minimum associate degree. Minimum of 2 years of clinical experience. Time Commitment: 5-15 hours per week with minimum quarterly...Remote jobContract workImmediate startWorldwide
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical Quality Auditor & PA Reviewer. Be the first to apply!
- quality review specialist New York, NY
- quality assurance auditor New York, NY
- quality control associate New York, NY
- quality specialist New York, NY
- quality operations specialist New York, NY
- quality compliance specialist New York, NY
- warehouse quality control associate New York, NY
- quality management specialist New York, NY
- supplier quality specialist New York, NY
- quality system auditor New York, NY


