Remote Medical Director — Billing Integrity & Audit Lead
Stryker Orthopaedics
- Remote job
Stryker Corporation, located in Plymouth, Minnesota, is seeking a Short Stay Billing Validation (SSBV) Medical Director to join the Clinical and Coding Audit (CCAT) team. This role offers the flexibility to work remotely from anywhere within the U.S. and involves critical review of short-stay inpatient claims. The ideal candidate should possess an MD or DO with an active medical license and relevant clinical experience, and will work collaboratively to ensure accurate billing aligned with evidence-based guidelines. Stryker provides a supportive environment focused on personal and professional growth, along with a comprehensive benefits package. #J-18808-Ljbffr Stryker Corporation
- ...Nursing is seeking a Short Stay Billing Validation (SSBV) Medical Director to join Optum’s Clinical and Coding Audit team. In this role, you will... ...claims and support audit integrity while collaborating with... ...experience. The position allows remote work within the U.S. and...Remote job
- ...Cleveland is seeking a Short Stay Billing Validation (SSBV) Medical Director to support accurate billing for inpatient... ...with clinical teams and conducting audits based on evidence-based medicine.... ...offers the flexibility to work remotely anywhere in the U.S. #J-18808-Ljbffr...Remote job
$248.5k - $373k
Optum is seeking a Short Stay Billing Validation (SSBV) Medical Director to join their Clinical and Coding Audit team. This position involves conducting reviews of inpatient... ...in managed care is preferred. The role offers remote work flexibility, supporting a collaborative...Remote job- Wisconsin Psychiatric Association Inc is seeking a Short Stay Billing Validation Medical Director to provide physician-level review of inpatient claims and ensure accurate billing. This remote position allows you to work from anywhere in the U.S. The ideal candidate holds...Remote job
$248.5k - $373k
The Texas Health Institute is looking for a Short Stay Billing Validation Medical Director to lead billing audits for inpatient claims. You will work remotely from anywhere in the U.S. and collaborate with clinical teams to ensure billing accuracy based on evidence-based...Remote job$200k - $250k
...experienced Full-Time Regional Medical Directors to serve as clinical leaders... ...supporting our incident-to billing model and upholding the... ...Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and... ...challenges. • Support the integration of Tapestry's AI and...Remote workFull time- ...Medical Director The Medical Director will lead and oversee our healthcare organization's clinical... ...clinical operations are integrated and align with the... ...location. This role is remote and in one of Med First'... ...protocols within a medical billing environment. Directs...Remote workFull timePart timeRelocation2 days per week1 day per week
$70k
...focused wound care? Integrated Wound Care is... ...support to our Clinical Director. This position is... ..., and is fully remote. Candidates must reside... ...Assistant to the Medical Director - RN or... ...chart reviews and audits ~ Generating... ...medical records, billing, and operations for...Remote workFull timeFor contractorsWork at office$100k - $130k
...Director of Integrated Health Solutions - Insurance - California Remote A leading benefits administrator and recognized industry leader is actively seeking a Director of... ...company holidays ~ Full suite of benefits: medical, dental, and vision coverage ~401(k) plan...Remote workFull time- ...advocacy and program integrity through compliance... ...to review and audit claims, supportprogram... ...judgment to analyze medical records, documentation, and billing data Collaborate... ...with Pennsylvania's leading Quality Improvement... ...populations Remote work - enjoy the convenience...Remote workFull timeTemporary workWork at officeWork from home
- A leading healthcare provider in New York seeks a Clinical Revenue Auditor to ensure the accuracy of medical billing and compliance with regulations. Ideal candidates will have 3-5 years... ...time role offers the option to work remotely or in a hybrid setting, contributing...Remote jobFull time
- A leading benefits administration company is seeking a Director of Integrated Health Solutions to oversee compliance and analyze health data. The role requires strong relationship-building skills with wellness vendors and effective communication. Candidates should have...Remote jobFull time
- ...Clinical Documentation Integrity Supervisor At the direction of the Regional Manager,... ...to facilitate documentation within the medical record and supports the patient's severity... ...operations for the CDI team who work onsite and remotely. Communicates effectively with staff...Remote jobWork at officeLocal area
$55k - $65k
...model of 3 days in office and 2 day working remote each week. Key Responsibilities: Process... ...needed, for discussion on processes and billing issues. Analysis of process flows.... ...objectives to staff Demonstrated strong integrity, positive attitude, and goal-oriented initiative...Remote workWork at office2 days per week$110k - $145k
...to realize their healthy selves. Director of Clinical Integrity Monte Nido Remote Monte Nido & Affiliates has been... ...a model of treatment that blends medically sophisticated care with a... ...limited to developing tools and audits to check adherence to the Monte Nido...Remote workTemporary workLocal areaFlexible hours- ...nonprofit organization in the United States is seeking a Senior Integration Engineer to advance data interoperability in public health.... ...engines like Rhapsody and Mirth Connect. The position allows remote work but requires a dedicated workspace during Eastern Time hours...Remote job
- Supervisor, Medical Audit - Medical Bill Audit Job Description - (260002D8) Supervises... ...to meeting the Revenue Integrity Department’s and the... ...the attention of Manager or Director in an expedient manner. Functions... ...Tampa 33606 Eligible for Remote Work: Hybrid Remote...Remote workFull timeMonday to Friday
- Aledade, Inc. is seeking a Senior Project Manager in Integrations who will lead various healthcare integration projects. The role requires a subject... ...with APIs and interoperability standards. Benefits include remote work options, health insurance, a robust time-off plan, and...Remote work
- Commence seeks a Healthcare Program Integrity Solutions Consultant to enhance commercial payer market growth. The role demands expertise... ...experience are key. The position offers a competitive salary, and remote opportunities are available in many states. #J-18808-LjbffrRemote work
- ...healthcare organization is seeking a Remote Revenue Integrity Charge Specialist to support its revenue... ..., you will analyze and capture data, audit billing information, and ensure accurate... ...on analytical skills and knowledge of medical billing. This position allows for collaboration...Remote work
- ...you to shine? Join us as a Medical Director, Clinical Science, GI2 TAU... ...: The Medical Director leads and drives strategy for the... ...development decisions assessing and integrating the input from various... ...accordance with Takeda’s Hybrid and Remote Work policy. Empowering...Remote workFull timeWork at office
$237.2k - $372.79k
...you to shine? Join us as a Medical Director, Clinical Science, GI2 TAU in... ...Clinical Development Plan, leads the development of Clinical... ...conduct related to scientific integrity External Interactions... ...accordance with Takeda’s Hybrid and Remote Work policy. Discover...Remote workFull timeWork at officeNight shift- ...Provider Auditor II - Payment Integrity SIU Location: This role... ...for compliance with relevant billing and processing guidelines and... ...conducts analysis of claims and medical records prior to payment and... ...minimum of 3 years medical coding/auditing experience, including minimum...Work at officeLocal area2 days per week1 day per week
- ...Experienced The Claim Auditor in Payment Integrity will address problematic and complex audit assignments to identify claim... ...in accordance with established billing and coding parameters. Claim... ...limited to claim payment evaluation, medical chart review, claim payment data...Full timeWork experience placementWork at officeShift work
$26.91 - $39.03 per hour
...Auditor for our Revenue Integrity department who... ...Responsibilities Leads discussions and... ...Analyzes and resolves billing edits and bill... ...patient accounting, medical charting, and... ...Provides support to the Director, Manager, and... ...patient accounts audits and accuracy are required...Full timeTemporary workWork at officeFlexible hoursShift workWeekend workDay shift$2,000 per month
...your own caseload, lead the clinical team,... ...our values of Integrity, Respect, Diversity... ...Cal Fee for Service billing services Familiar... ...hours per day of medical billing per day Conduct... ...and State level audit processes and... ...monthly provider remote and onsite meetings...Remote workFull timeInternshipWork at officeRelocation package10 hours per weekFlexible hours- Ll Oefentherapie is seeking an Integrated Technologies Consultant II to join the CareAware Device Integration team in Annapolis... ...Maryland. This role involves performing both onsite and remote implementations of medical device integration products, providing technical...Remote work
- About Petal Petal is a leading Canadian healthcare orchestration and billing company that revolutionizes healthcare systems... ...Medcom division is the leading medical billing services provider in... ...to ensure smooth onboarding and integration of current clients. Job Requirements...Remote job
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have... .... ~ Experience with telecommuting and electronic medical record systems. ~ Familiarity with MS word, MS Excel, MS...Remote workImmediate startWork from home$125k - $160k
...Practice Manager – Integrated Nephrology & Hydration Service... ...Hybrid Schedule (50% Remote / 50% In-Office & Field... ...Love Working with Us Medical, Dental, Vision Insurance... ...Opportunity to lead and scale a growing healthcare... ...operations and medical billing processes Develop operational...Remote workFull timeWork at office
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