Remote DRG Nurse Appeals Reviewer for Hearings
$90k - $99kGainwell Technologies
A leading healthcare solutions provider seeks a DRG Nurse Reviewer Appeals and Hearings to coordinate appeal duties and engage in hearings, both virtual and on-site. Candidates must have an active RN license and coding certification. This remote role offers flexibility and opportunities for career development. The salary range is $90,000 - $99,000 per year. Join us in making healthcare work better for everyone while enjoying generous benefits, including a flexible vacation policy and educational assistance. #J-18808-Ljbffr
$90k - $99k
...DRG Nurse Reviewer Appeals and Hearings- Remote Date: Jan 9, 2026 Location: Any city, FL, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and...Remote workFull timeWork from homeFlexible hours$90k - $99k
Gainwell Technologies LLC is seeking a DRG Nurse Reviewer Appeals and Hearings to coordinate and perform appeal-related duties, including analyzing and... ...including a 401(k) match and health coverage. This is a remote role with up to 25% travel expected. #J-18808-LjbffrRemote workFlexible hours- ...Brigham Incorporated is looking for a Senior Nurse Reviewer responsible for coordinating clinical charge audits and appeal processes. The role demands strong analytical... ...clinical nursing and quality assurance. This is a remote position requiring effective communication...Remote job
$35 - $63 per hour
...Minnesota is seeking an experienced healthcare coder to analyze DRG Appeals, prepare written appeals, and collaborate with the leadership... ...as well as clinical judgment. Enjoy the flexibility to work remotely from anywhere in the U.S., with specific office requirements for...Remote jobHourly payWork at officeLocal area- UnitedHealth Group is seeking a Senior Clinical Appeals RN to utilize expertise in MS-DRG and APR-DRG auditing to manage appeals. This position allows remote work throughout the U.S., except for... ..., along with a commitment to quality care. #J-18808-Ljbffr Registered NurseRemote jobWork at office
$35 - $63 per hour
Crains Cleveland is looking for a Senior Clinical Appeals RN who utilizes expertise in MS-DRG and APR-DRG auditing to respond to appeals and coach remote DRG Validation Specialists. This role allows for remote work across the U.S., with specific location requirements for...Remote jobHourly pay$35 - $63 per hour
...Corporation is seeking a Senior Clinical Appeals RN to utilize clinical expertise in appealing... ...records. The role includes analyzing DRG appeals, conducting complex analyses, and... ...years of coding experience with ICD-10. Remote work opportunities are available in the U...Remote jobHourly pay$35 - $63 per hour
Optum is seeking a Senior Clinical Appeals RN to utilize expertise in MS-DRG and APR-DRG auditing for appeals management. This role involves analyzing... ...auditors, and authoring rebuttals. The job can be performed remotely across the U.S., with certain locations requiring in-...Remote jobHourly payWork at office$35 - $63 per hour
...Epidemiologists is hiring a Senior Clinical Appeals RN. This position utilizes expertise in MS-DRG and APR-DRG auditing to review appeals and is responsible for analyzing risk... ...in ICD-10 coding. The role allows for remote work, and candidates should be solution-oriented...Remote jobHourly pay$35 - $63 per hour
The University of Minnesota School of Nursing is looking for a Senior Clinical Appeals RN. This role involves reviewing and responding to appeals in MS-DRG and APR-DRG auditing and provides coaching to remote specialists. Remote work is available within the U.S., but Minneapolis...Remote jobHourly payWork at office- ...The Senior Nurse Reviewer is responsible for the coordination, facilitation, and appeal of the clinical components of charge audits and forensic review findings. This includes... ...training for nursing staff. Working schedule: Remote, M-F eastern standard business hours. Requires...Remote work
$79.56k - $115.72k
...professionals, including doctors, nurses, business people, tech experts... ...Summary The Senior Nurse Reviewer is responsible for the coordination, facilitation, and appeal of the clinical components of... .... Working schedule: ~ Remote, M-F eastern standard business...Remote workShift work$50 per hour
Overview Registered Nurse Clinical Reviewer / IDR - Remote to Office-Based, Jericho, NY (ID #25302) Location:... ...medical-legal reviews, research, and appeals while ensuring regulatory compliance... ...to Office-based position, we want to hear from you! Submit your Resume/CV to...Remote workHourly payFull timePrivate practiceWork at officeFlexible hours- ...Nurse Reviewer At Commence, we're the start of a new age of data-centric transformation, elevating... ...with business needs and assignments. Appeal and/or claim dispute-related experience.... ...functions. This is an office/remote position. While performing the duties of...Remote workFull timeWork at officeShift work
$67.32k - $133.71k
...Qualifications Purpose: The Clinical Appeals Nurse completes research, basic... ...clinician to work remotely from within the greater Baltimore... ...the appeal case for physician review by compiling clinical, contractual... ...must frequently talk and hear. Weights up to 25 pounds are...Remote workWork experience placementWork at officeImmediate start- ...DOMA Technologies is seeking a Nurse Reviewer to support independent dispute resolutions at Federal and State levels. This role involves analyzing... ...and five years of direct patient care experience. This is a remote position that offers the flexibility of working from home. #J-...Remote workWork from home
$50 per hour
...About the Job Registered Nurse Clinical Reviewer / AIMS - Remote (#25299A) Location: Remote. Employment Type: Full-time. Hourly Rate:... ...3 years of experience in acute care utilization review/appeals background. Technical Skills: Must be comfortable working...Remote workHourly payFull time$40 per hour
...Nurse Reviewer PT (20‑30 hours week) – Remote Work Environment Non‑Exempt: $40.00 hour Supports Medical Review Services. The Nurse Reviewer plays a critical role in supporting the Medical Review Services department by performing comprehensive medical necessity...Remote workContract workWork at officeLocal areaImmediate start$43 - $47 per hour
...Roles, MA, Phlebotomist, CNA|| Passionate ||… Home Health RN – Remote (CA License Required) Facility: Compassus Providence Home... ...Torrance, CA (5315 Torrance Blvd, Ste 169-B) Role Type: Remote Reviewer RN – Back Office Chart Review Start Date: 11/03/2025...Remote workContract work$45k - $70k
...A leading healthcare company in the United States is looking for a Utilization Management Nurse Reviewer to ensure the efficient use of medical services and provide clinical expertise. Applicants must have an active LVN/RN license, with a preference for candidates having...Remote work$5,833.33 - $6,666.67 per month
...the Benefits of Working at HHS webpage. Functional Title: Nurse Reviewer Job Title: Nurse III Agency: Health & Human Services Comm... ...using a personal computer and Microsoft software in a telework/remote environment. Minimum of 2 years of experience in a program...Remote workFull timeTemporary workPart timeWork at officeShift workNight shiftDay shift- ...Medical Cost Projections. This includes reviewing records, preparing the narrative and an... ...Degree, Associate Degree or Diploma in Nursing required • 3-5 years' experience in Nursing... ...of services utilization #LI-ZP1 #LI-Remote About Us For over 50 years, Verisk has been...Remote workFull time
- ...Grievances And Appeals Nurse Pride Health is hiring a Grievances and... ...Nurse for a well-known client! (Remote Contract) Schedule: 5x8s... ...grievance and appeal issues Reviews information provided by... ...terminology, ICD, CPT, HCPCS, and DRG codes Pride-Health...Remote workContract workWork experience placementLocal areaDay shift
$95 per hour
Long-Term Care Registered Nurse (VA Reviewer) - Remote (#25278) Location: Remote Employment Type: Contract (Case-based) Hourly Rate: Per Case Compensation... ...make a difference in the healthcare industry, we want to hear from you! Submit your Resume/CV to ****@*****.*** or...Remote jobHourly payPrice workContract workPrivate practiceWork at officeFlexible hours$50k - $55k
...Appeals Coordinator Level II At MedReview, our mission... ...solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the direction of... ...Reviews and/or State Fair Hearing Manage and monitor all... ...frequent interruptions Remote Work Requirements:...Remote work$27.5 per hour
...Nurse Reviewer Pay: $27.50/hr Start Date: 9/8/2026 Location: Remote LPN State License must be active and in good standing for the entirety of the assignment. Be prepared to share license at the time of offer acceptance Training Training is fully...Remote work$80k - $90k
...Range: $80-90k The Medical Review Clinical Appeals Auditor (RN) is responsible... ...with CPT/HCPCs/ICD-9/ICD-10/MS-DRG coding may be necessary.... ...ability to work independently in remote setting with minimum... ...good standing and diversified nursing experience providing direct...Remote workFor contractorsImmediate startWork from homeHome officeFlexible hoursShift work$80k - $90k
Remote - US Machinify is a leading healthcare intelligence company with expertise... ...Solutions team, you will be a Nurse Itemized Bill Reviewer (IBR Analyst), responsible for reviewing... ...development, automation, research, and appeal responses as needed. Provide input and...Remote jobWork at officeFlexible hours$60 per hour
...organization in Jericho, NY is seeking a Full-time Registered Nurse Clinical Reviewer. This role requires a Baccalaureate degree in Nursing and... ...will have 1-3 years of experience in utilization review or appeals and strong communication skills, contributing to patient...Hourly payFull time$45k - $70k
A healthcare management firm is seeking a Utilization Management Nurse Reviewer to ensure efficient use of medical services. The role involves reviewing medical records, assessing treatment necessity, and collaborating with healthcare providers. Candidates should possess...Remote job
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