Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote RN Compliance Auditor

Uloop

Uloop Inc. is seeking a Registered Nurse (RN) to evaluate medical necessity and compliance of services rendered. The role includes claims analysis, provider audits, and fraud detection to adhere to state and federal regulations. The ideal candidate should possess a valid RN license and experience in claims analysis and compliance. Excellent communication and independent working skills are essential, along with proficiency in Microsoft Office. This role involves travel for training and on-site reviews. #J-18808-Ljbffr

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Remote RN Compliance Auditor in Doral, FL vacancy
  •  ...Froedtert Health is looking for an RN Diagnosis-Related Group (DRG) Auditor in Milwaukee, Wisconsin. This role...  ...inpatient medical records to ensure compliance with standards and accurate outpatient...  ...position offers the possibility of remote work and a comprehensive benefits... 
    Remote work

    Froedtert Health

    Milwaukee, WI
    2 days ago
  • $80k - $90k

     ...information security, anti-harassment and other compliance and policy/procedures training applicable...  ...the ability to work independently in remote setting with minimum supervision and...  ...Required and Preferred Qualifications*** Active unrestricted RN license #J-18808-Ljbffr... 
    Remote work
    Flexible hours

    Performant

    Florida, NY
    1 day ago
  •  ...-oriented Registered Nurse Clinical Auditor to support medical record reviews and billing compliance audits for Indiana Health Coverage Programs. This remote role requires evaluating provider compliance...  ...should preferably hold an RN license, coding certification, and have... 
    Remote job

    RADcube

    Indianapolis, IN
    18 hours ago
  • $82.23k - $155.81k

    Elevance Health seeks a Diagnosis Related Group Clinical Validation Auditor-RN to conduct audits on inpatient medical records, ensuring documentation accuracy and compliance. This remote role requires a current Registered Nurse license and extensive experience in claims... 
    Remote job

    Elevance Health

    Mason, OH
    4 days ago
  • $38.92 - $60.33 per hour

     ...Milwaukee, Wisconsin (Froedtert Hospital). Remote work is possible for this position. Job Summary The RN Diagnosis-Related Group (DRG) Auditor conducts targeted and random audits of...  ...DRG assignments. The auditor ensures compliance with documentation standards, accurate... 
    Remote work
    Hourly pay
    Temporary work

    Froedtert Health

    Milwaukee, WI
    3 days ago
  • Find your calling at Mercy! Nurse Auditor will be a representative for Mercy in defense audit...  ...charge capture procedures to ensure compliance, accuracy, and revenue integrity. Position...  ...degree in a clinical area Licensure: RN Experience: 3-5 years of related healthcare... 
    Remote work

    Mercy

    Chesterfield, MO
    6 days ago
  •  ...areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy...  ...of relevant education and experience. • Registered Nurse (RN). License must be active and restricted in state of practice.... 
    Remote work
    Contract work
    Work at office

    Molina Healthcare

    United States
    4 days ago
  •  ...BSI is seeking an Auditor for Environment, Health and Safety (EHS) to join our team. This home-based position requires extensive travel...  ...North Carolina. You will manage client portfolios and ensure compliance with ISO standards while supporting clients to achieve their... 
    Remote work
    Work from home
    Flexible hours

    BSI

    Detroit, MI
    5 days ago
  •  ...Your role Certified Social Compliance Auditor (APSCA CSCA) to conduct Sedex/SMETA audits DQS Inc., a leading global independent business...  ...Degree and/or 5+ years of Auditing Experience. ~ Remote auditing and travel is required within US and Canada.... 
    Remote work
    Immediate start
    Work from home

    DQS Inc

    Schaumburg, IL
    6 days ago
  •  ...departments under the direction of the Compliance Officer. Provide training and feedback to...  ...activities. This opportunity is currently remote (work from home, in or outside CT) for a...  ...Compliance Officer, PFS and University Auditor as needed. Conduct training sessions... 
    Remote work
    Work from home

    Yale Cancer Center

    New Haven, CT
    1 day ago
  • $80k - $90k

     ...JobRx, Inc. is seeking a Pharmacy Part D Oversight Auditor in Huntington Beach, California. This role involves independent auditing and monitoring of Part D clinical compliance. Responsibilities include auditing coverage determinations, validating MTM targeting criteria... 
    Remote work

    JobRx, Inc.

    Huntington Beach, CA
    1 day ago
  •  ...Independence Blue Cross (Independence) is seeking a fully remote Certified Pharmacy Technician Auditor to conduct audits on pharmacy claims, ensuring accurate provider payments and identifying potential fraud, waste, or abuse. The role requires an extensive understanding... 
    Remote work

    Independence Blue Cross

    New York, NY
    5 days ago
  • $69.4k - $104.1k

     ...Ensemble Health Partners is hiring an Inpatient/DRG Validation Coding Auditor in Blue Ash, Ohio. This remote role conducts coding audits for acute inpatient services, ensuring compliance with coding standards and optimizing reimbursement. Requires 5+ years of coding experience... 
    Remote work

    Ensemble Health Partners

    Blue Ash, OH
    1 day ago
  •  ...Providence Health Plan Group is seeking a Revenue Cycle Auditor RN for a full-time, remote role. The successful candidate will provide patient-focused revenue cycle support, ensuring compliance and assisting in meeting financial objectives. Qualifications include an... 
    Remote work
    Full time
    Day shift

    Providence Health Plan Group

    Santa Fe, NM
    4 days ago
  • $58k - $114.9k

    A leading healthcare compliance firm is seeking a Remote MSDRG Auditor to validate medical records for coding and reimbursement accuracy. Candidates must possess current AHIMA credentials and a minimum of five years in inpatient coding. The successful applicant will leverage... 
    Remote work

    CGI Technologies and Solutions, Inc.

    Dallas, TX
    11 days ago
  • $61.6k - $88k

     ...BNSF in Fort Worth, TX is looking for an Audit Associate to assist in ensuring adherence to compliance standards. This full-time position allows for one remote day weekly, fostering a culture of work-life balance. Ideal candidates will have a Bachelor’s degree and experience... 
    Remote work
    Full time

    BNSF

    Fort Worth, TX
    1 day ago
  •  ...business service organization is seeking a Certified Social Compliance Auditor to conduct Sedex/SMETA audits. The role requires APSCA certification...  ...and organizational skills. Candidates must be able to work remotely and travel within the US. This position offers a flexible... 
    Remote work
    Flexible hours

    DQS South Africa (Pty) Ltd.

    Schaumburg, IL
    5 days ago
  •  ...Datavant is seeking a Professional Auditing Specialist to perform coding audits and ensure compliance in healthcare. This fully remote position requires over 5 years of coding experience, strong organizational skills, and CPC certification. The role involves educating... 
    Remote work

    Datavant

    New York, NY
    5 days ago
  •  ...solutions provider is seeking an Inpatient Auditing Specialist who will perform audits on medical records and ensure compliance with DRGs. This fully remote role requires 3+ years of coding and auditing experience and offers a flexible schedule. Responsibilities include... 
    Remote work
    Flexible hours

    Datavant

    Raleigh, NC
    2 days ago
  •  ...Inspyr Solutions is seeking an Auditor III for a fully remote position. The role involves assessing controls in audits, ensuring compliance with regulations, and working on various financial and operational audits. Applicants should have a degree from an accredited university... 
    Remote work
    Contract work

    INSPYR Solutions

    Los Angeles, CA
    5 days ago
  •  ...Providence is looking for a Revenue Cycle Auditor RN to join their team full-time, working remotely. The role involves providing patient-focused revenue cycle support to meet financial objectives for Providence St Joseph Health.Applicants should have a nursing degree and... 
    Remote work
    Full time

    Providence Service

    Medford, OR
    7 days ago
  • $80k - $108k

     ...Job Description NSF is seeking an Auditor II - Product Certification ((must live in...  ...evidence observed during the audit Verify compliance with applicable standards, regulations,...  ...Ability to work independently from a remote/home-based location Willingness and... 
    Remote work
    Live in
    Work from home
    Worldwide
    Shift work

    NSF

    Ann Arbor, MI
    5 days ago
  •  ...Integrity Management Services, Inc. is seeking a Senior Auditor to support federal healthcare operations and compliance. This role involves conducting audits, compliance...  ...information. The position offers opportunities to work remotely and potentially hybrid. #J-18808-Ljbffr... 
    Remote work

    Integrity Management Services

    Alexandria, VA
    5 days ago
  •  ...inspections. Ideal candidates should have over 6 years of project management or maritime consulting experience, a relevant bachelor's degree, and knowledge of U.S. compliance regulations. This remote position may require travel and work outside normal hours. #J-18808-Ljbffr... 
    Remote work

    508 Witt O'Brien's Payroll Management LLC

    Corpus Christi, TX
    1 day ago
  •  ...technology firm is seeking an Inpatient Auditing Specialist to conduct coding audits and provide education on coding standards. This fully remote role allows for flexible scheduling and requires 3-5 years of experience in a Trauma Level 1 facility. Ideal candidates will have... 
    Remote work
    Flexible hours

    Datavant

    Honolulu, HI
    7 days ago
  •  ...healthcare data solutions company is seeking an Inpatient Auditing Specialist to perform audits and provide coder education. This fully remote role requires 3-5 years of coding experience and offers a flexible schedule. Ideal candidates will possess a degree from an AHIMA-... 
    Remote work
    Flexible hours

    Datavant

    Columbia, SC
    2 days ago
  • $56.17k - $70.22k

     ...Medical Coding Auditor UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a remote, full-time, day shift opening located in Albuquerque, New Mexico. This is a work from home position that requires the selected... 
    Remote work
    Permanent employment
    Full time
    For contractors
    Live in
    Work from home
    Relocation
    Relocation package
    Day shift

    UNM Medical Group, Inc.

    United States
    9 days ago
  • $68k - $120.5k

     ...Medical Billing Auditor Working at Yale means contributing to a better tomorrow. Whether...  ...departments under the direction of the Compliance Officer. Provide training and feedback...  ...activities. This opportunity is currently remote (work from home, in or outside CT) for a... 
    Remote work
    Full time
    Work at office
    Work from home

    Yale University

    United States
    5 days ago
  • $35 - $45 per hour

     ...exchange company is seeking an Inpatient Auditing Specialist to conduct coding audits and provide education to coders. This fully remote role offers flexible scheduling and requires 3-5 years of auditing experience. The ideal candidate will have a solid understanding... 
    Remote work
    Hourly pay
    Flexible hours

    Datavant

    Saint Paul, MN
    17 days ago
  •  ...A prominent healthcare consulting firm is seeking a Remote MSDRG Auditor to review medical records for coding accuracy and reimbursement compliance. This position requires a minimum of five years of inpatient coding experience and current AHIMA credentials. Responsibilities... 
    Remote work
    Full time

    CGI Technologies and Solutions, Inc.

    Houston, TX
    7 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN Compliance Auditor. Be the first to apply!