Remote Clinical Claim Audit RN
Stryker Corporation
- Remote job
UnitedHealth Group is seeking a Clinical Claim Review RN in Massachusetts for full-time remote work. The role involves performing compliance reviews of medical and administrative documentation to identify fraud, waste, or abuse, using claims data, audits, and investigations. Site visits and desk audits may be required. Training weeks are provided, with 8-hour shifts 8:00 am–5:00 pm local time. Responsibilities include reviewing records, presenting findings, collaborating with a 2-5 auditor team, #J-18808-Ljbffr Stryker Corporation
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$35 - $62.5 per hour
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Overview Medical Review Nurse II - Clinical Validation At Performant, we’... ...primarily performs medical claims audit reviews. As a MR Nurse, you... ...Payers. You will work remotely in a fast paced and dynamic environment... ...Active unrestricted RN license in good standing, is...Remote workClaimsFor contractorsWork at officeWork from homeHome officeShift work- UnitedHealth Group is seeking a Clinical DRG RN auditor to audit MS-DRG and APR-DRG coding for inpatient claims, ensuring correct DRG assignments and reimbursement while... ...and detailed rationales for audit findings. Remote work within the United States is supported. Qualified...Remote jobClaims
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$68.97k - $113.31k
...The RN Clinical Consultant serves as a clinical resource for the investigation and assessment... ...long‑term and or short‑term disability claims. The Clinical Consultant identifies restrictions... ..., Bethlehem, PA, Holmdel, NJ, or fully remote Travel Occasional 0-10% of the time....Remote workClaimsTemporary workWork at officeVisa sponsorshipWork visaFlexible hours- UnitedHealth Group in Massachusetts is seeking a Clinical Claim Review RN to perform compliance reviews of... ...visits, data analysis, and presenting audit findings to clients using our auditing tools. The position is full-time, remote within Massachusetts, with standard 8-...Remote jobClaimsFull timeShift work
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$31 - $35 per hour
...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting... ...applications This is a 100% remote role, and requires robust internet... ...authorization data with post-service claims validation, we're creating a transparent...Remote workClaimsFull timeFlexible hoursShift work
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