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
- ...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
$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 workFlexible hours- ...-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
$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$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 workHourly payTemporary work- 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
- ...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 workContract workWork at office
- ...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 workWork from homeFlexible hours
- ...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 workImmediate startWork from home
- ...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 workWork from home
$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- ...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
$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- ...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 workFull timeDay shift
$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$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 workFull time- ...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 workFlexible hours
- ...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
- ...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 workFlexible hours
- ...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 workContract work
- ...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 workFull time
$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 workLive inWork from homeWorldwideShift work- ...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
- ...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
- ...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 workFlexible hours
- ...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 workFlexible hours
$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 workPermanent employmentFull timeFor contractorsLive inWork from homeRelocationRelocation packageDay shift$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 workFull timeWork at officeWork from home$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 workHourly payFlexible hours- ...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 workFull time
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