Remote Nurse Auditor: CDI & Claims Review Expert
Humana
- Remote job
Humana is seeking a Nurse Auditor 2 to perform readmission and short stay clinical audits, ensuring documentation and coding support accurate reimbursement. This remote role reports to the Manager, Nurse Audit / Review. Responsibilities include validating medical documentation, identifying root causes, and applying clinical experience to reviews of provider services and billing. Travel to Humana offices may be required for training. #J-18808-Ljbffr Humana
- Humana is seeking a Nurse Auditor 2 to perform Readmission or Short Stay clinical audits, ensuring... ...report to the Manager, Nurse Audit / Review. Remote work with occasional travel to Humana... ...care experience, and 1+ year of claim review or auditing. #J-18808-Ljbffr HumanaRemote jobClaims
- Humana is seeking a Nurse Auditor 2 for remote work to validate and interpret medical documentation... ...to the Manager, Nurse Audit / Review. The ideal candidate will hold... ..., and at least 1 year of claim review or auditing experience, with preferred CDI knowledge and related...Remote jobClaims
- ...Machinify is looking for a Medical Review Nurse to perform medical claims audits for government clients. This remote position requires expertise in coding and a minimum of five years nursing experience. You will work alongside a dedicated team in a dynamic environment,...Remote workClaims
- Humana seeks a Nurse Auditor 2 to perform Readmission and Short Stay audits, ensuring that... ...report to the Manager, Nurse Audit / Review. The role is remote, with occasional travel for training... ...3+ years acute care, and 1+ year of claim review experience. #J-18808-Ljbffr HumanaRemote jobClaims
- ...a designated clinical resource to review High Cost Claimants to identify opportunities... ...' experience as an RN analyst or auditor in Utilization Review, Medical Claim Review and/or Care Management... ...~ Associate's Degree in Nursing or related field of study Required...Remote jobClaimsFull timeWork experience placement
$70k - $80k
...company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with over 5 years of acute care experience. Responsibilities include reviewing medical records, documenting findings, and...Remote jobClaims- ...Medical Review Clinical Appeals Auditor (RN) In October 2025, Machinify... ...as a subject matter expert, providing... ...research, analyzes claims data, applies knowledge... ...work independently in remote setting with minimum... ...standing and diversified nursing experience providing...Remote workClaimsFlexible hours
$78.4k - $107.8k
...caring community The Nurse Auditor 2 will perform... ...Manager, Nurse Audit / Review. As the Nurse Auditor... ...~1 or more years of claim review or auditing experience... ...documentation improvement (CDI) knowledge Case Management... ...· Work Style: Remote/Work at Home. While this...Remote workClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$78.4k - $107.8k
...caring community The Nurse Auditor 2 will perform... ...Manager, Nurse Audit / Review. As the Nurse Auditor... ...~1 or more years of claim review or auditing experience... ...documentation improvement (CDI) knowledge Case... ...Information • Work Style: Remote/Work at Home. While...Remote workClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- A healthcare leader in the U.S. seeks a Medical Coding Auditor to review medical claims and ensure compliance with coding guidelines. This remote position requires a strong understanding of ICD-10 and CPT coding principles, as well as the ability to work independently...Remote workClaims
- ...leading U.S. healthcare company is seeking a Medical Coding Auditor who will review medical claims to ensure correct coding guidelines are followed. The... ...specialty surgeries and a relevant certification. This remote role includes varied work assignments, and candidates must...Remote workClaims
$59.3k - $80.9k
A leading healthcare company is looking for a Medical Coding Auditor to review claims and ensure compliance with coding guidelines. This remote position requires strong experience in outpatient specialty surgeries and relevant certifications. The role mandates independent...Remote workClaims- Humana Inc. is seeking a Nurse Auditor 2 to perform Readmission and Short Stay clinical audits... ...report to the Manager, Nurse Audit / Review, with a remote work setup and occasional travel to... ...critical care nursing, and 1+ year of claim review or auditing experience. #J-188...Remote jobClaims
$59.3k - $80.9k
...leading U.S. healthcare company is seeking a Medical Coding Auditor to review medical claims and ensure compliance with coding guidelines. This role... ...3 years of relevant experience. This position offers a remote work style with competitive benefits and a salary range of...Remote workClaims- ...leading U.S. healthcare company is seeking a Medical Coding Auditor to review medical claims and ensure compliance with coding guidelines. The ideal... ...relevant experience and necessary certifications. This remote position offers a competitive salary and benefits, with occasional...Remote workClaims
- A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement from the comfort of your home. This crucial role involves extracting clinical information from medical records, assigning...Remote workClaims
- A leading health insurance company is seeking an Inpatient Medical Coding Auditor to review hospital claims from home. The role requires expertise in medical coding and a deep understanding of claims processing. Responsibilities include ensuring accurate payments and handling...Remote workClaims
- A leading health insurance company is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims and ensuring accurate coding and reimbursement. Candidates should hold an RHIA, RHIT, or CCS certification with substantial...Remote workClaims
$71.1k - $97.8k
...leading health insurance provider is seeking an experienced Inpatient Medical Coding Auditor to join their team. This remote position involves reviewing and auditing inpatient hospital claims, ensuring proper reimbursement, and maintaining accurate coding standards. Strong...Remote workClaims- A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to work remotely, reviewing inpatient hospital claims for proper reimbursement and ensuring accurate coding. Responsibilities include analyzing medical records and contributing to overall...Remote workClaimsWork at office
- ...national healthcare organization is seeking an experienced Inpatient Medical Coding Auditor to review hospital claims and ensure accurate coding and reimbursement. This role offers a remote work environment with flexible hours and requires certification in RHIA, RHIT, or...Remote workClaimsContract workFlexible hours
- A leading health insurance provider is seeking an experienced Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims for reimbursement accuracy, conducting coding audits, and ensuring proper assignment of medical codes...Remote workClaims
$71.1k - $97.8k
...leading healthcare company is seeking an Inpatient Medical Coding Auditor to analyze clinical data and ensure accurate coding for reimbursement. This remote position involves reviewing inpatient hospital claims, requiring RHIA, RHIT, or CCS certification. Ideal candidates...Remote workClaims- Valenz Health is seeking a Certified Medical Claims Auditor to review bills, identify coding and billing errors, and uncover savings opportunities... ...bill reconsiderations with analytical rigor. This fully remote role requires HIPAA compliance and collaboration with internal...Remote jobClaims
- Cotiviti’s Senior Auditor, Appeals position sits on the Clinical Chart Validation (CCV... ...validation policies. The auditor reviews the initial claim and provider submissions on appeal to... ...independently or with QA support, while meeting SLAs in a remote #J-18808-Ljbffr CotivitiRemote jobClaims
- ...Description Are you a registered nurse ready to take your career in an exciting... ...ofthe traditional bedside setting to review and audit claims, supportprogram integrity initiatives,... ...for vulnerable populations Remote work - enjoy the convenience and balance...Remote workClaimsFull timeTemporary workWork at office
- ...Registered Nurse: Review and Evaluation Are you a registered nurse ready to take your career... ...bedside setting to review and audit claims, support program integrity initiatives,... ...outcomes for vulnerable populations Remote work enjoy the convenience and balance of...Remote jobClaimsWork from home
$75k - $85k
...looking for a strong clinical nurse auditor to become part of our fast growing... ...position is responsible for reviewing policies and procedures, internal controls, and claims / medical records to determine... ...auditor position is a hybrid-remote position. Initial and periodic...Remote workClaimsFull timeFor contractors$71.1k - $97.8k
...company is seeking an Inpatient Medical Coding Auditor to extract and analyze clinical... ...ensuring proper coding for reimbursement. This remote position requires a certification (RHIA,... .... The successful candidate will handle claims, contribute to cost reduction, and must have...Remote workClaims- ...mission of delivering high-quality at-home care, the full-time remote Medical Review Nurse will ensure compliance with CMS regulations for surgical... ...pilot a quality assurance process for surgical dressing claims, ensuring clinical completeness and billing correctness...Remote workClaimsFull time
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