Remote Clinical Quality Auditor & PA Reviewer
Virtix Health, LLC.
- Remote job
Virtix Health, LLC is seeking a Clinical Quality Reviewer (Coder/Auditor) to perform comprehensive clinical reviews for WISeR Prior Authorization, validating documentation for medical necessity under CMS guidelines. This remote US role operates in a 24/7 review environment and supports physician determinations. The ideal candidate has CPT and ICD-10 coding experience, strong analytical and communication skills, and a certification from AAPC or AHIMA is preferred. #J-18808-Ljbffr Virtix Health, LLC.
$85k - $110k
...This is a remote office opportunity. The Quality Analyst oversees work performed by the Clinical CVA auditors to ensure that EXL’s standard of accuracy is met. The analyst undertakes a quality review of random and targeted clinical CVA audits. A brief coding/auditing...Remote workWork at office- ...Remote Hialeah, FL Miami, FL Full time R100079356 Current Employees... ...faculty or staff position, please review this tip sheet ( . The Clinical Documentation Integrity (CDI)... ...Serves as key resource for CDI/Coding/Quality. The CDI Second Level Reviewer works...Remote workFull timeTemporary workWork at officeWorldwide
- ...Clinical Documentation Integrity (CDI) Second Level Reviewer The Clinical Documentation Integrity (CDI) Second Level Reviewer performs high-level, complex, secondary... ...care. Serves as key resource for CDI/Coding/Quality. The CDI Second Level Reviewer works in...Remote workWork at office
- A healthcare solutions company in McLean seeks experienced peer reviewers with at least 5 years in clinical settings. Responsibilities include reviewing medical records, assessing clinical guidelines, and providing improvement recommendations. Candidates must have an active...Remote jobWork from homeFlexible hours
- AuraOne, Inc. is seeking an Epidemiology AI Reviewer to remotely assess AI outputs touching... ...safety issues; and document corrected clinical reasoning so the modeling team can close... ...adjudicating disputes, and maintaining weekly quality scores. #J-18808-Ljbffr AuraOne, Inc.Remote job
$42 - $44 per hour
...| Canada + 3 more Location Remote - Poland Preferred: Wrocław region... ...linguist with strong expertise in clinical/healthcare and marketing content review. Experience with medical devices,... ...a local linguistic authority and quality gatekeeper, bridging Marketing, Clinical...Remote workContract workTemporary workPart timeLocal area$85k - $100k
EXL Service is seeking a CVA Quality Analyst to oversee clinical auditors and ensure accuracy in inpatient medical record audits. The analyst applies expert... ...DRG codes and uphold EXL's standards. This is a 100% remote, U.S.-based opportunity with travel up to 10% for team...Remote job- AI Trainer Jobs seeks clinicians for a remote clinical-review track evaluating AI outputs touching physician care. Reviewers assess differential reasoning, dosing logic, and guideline adherence, flag patient-safety issues, and document corrected clinical reasoning to close...Remote job10 hours per week
$84 per hour
AI Trainer Jobs is seeking a CDI Leader for a remote, independent contractor role. You will review AI outputs against clinical guidelines, grade reasoning and dosing, and flag patient-safety issues, providing corrected reasoning for training data. Requirements include...Remote jobHourly payFor contractorsFlexible hours- Walker Healthforce is seeking a Physician Reviewer with 5+ years of clinical experience to provide clinical review of service requests remotely. The role requires board certified MD/DO... ...contributing to policy development and quality initiatives while supporting managed...Remote jobFull timeContract workImmediate startWeekend work
$180k - $216k
...Physician Assistant (PA-C) Clinical Quality Lead | Remote, Full-Time Contract Location: Remote (U.S.) East Coast / Eastern Time zone strongly preferred... ...improvement across our telehealth platform. You'll review escalated clinical cases, ensure adherence to clinical protocols...Remote jobFull timeContract workFor contractorsWork from home- AuraOne is hiring for Hospitalist Reviewer—a remote clinical-review track evaluating AI outputs related to hospitalist care. You will grade differential reasoning, dosing logic, and guideline adherence, flag safety issues, and document corrected reasoning for model training...Remote jobFor contractors
$59.09 per hour
Are you a Certified Clinical Documentation Specialist looking for a high-impact, fully remote opportunity with flexible daytime hours... ...expert and second-level reviewer! In this role, you will perform... ...mismatches, compliance, CDI quality, and potential Patient Safety...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeHome officeFlexible hoursShift work- ...postpartum care through remote patient monitoring (RPM... ...— to join our remote clinical operations team on a fractional... ...clinical expertise to review vitals data, assess... ...key customer and quality requirements. The QHCP... ...Active, unrestricted NP, PA, or CNM license in the...Remote workHourly payFull timePart timeLocal area10 hours per weekFlexible hours
$89k - $109k
...recruiter to learn more. JOB TITLE: Senior Clinical Quality Associate LOCATION: Remote - candidates based in the following... ...considered: IN, MA, NC, NH, NM, NY, PA, SC, SD, TX, KY, NJ or WA. SALARY... ...clinical vendors and clinical sites Review/Approve clinical documentation,...Remote workFull timeDay shift$60.2k - $107.4k
...organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver... .... Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation Keep abreast of current coding...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal area- Improve Health Clinics PLCC seeks an Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) to serve as the primary clinical provider at the West Alexander, PA onsite clinic serving Alliance Coal employees and dependents. This role offers strong clinical...Remote job
$72.8k - $130k
...yearJob Area: Medical & Clinical OperationsCompany:... ...Growing together.For you, quality counts. For... ...Senior Clinical Quality Auditor, you'll be a force for... ...the opportunity to work remotely.Primary Responsibilities... ...Complete treatment record review audits and provide...Remote workMinimum wageFull timeWork experience placementLocal area$80.5k
...Description Job Title: Senior Clinical Quality Specialist Job Summary: CASES is... ...continuous quality improvement. This is a remote position with requirements and... ...facilitate incident committee meetings to review and monitor the program response to incidents...Remote workFull timeWork at officeLocal areaMonday to FridayShift work1 day per week$55 - $120 per hour
...Job Description Cardiologist – AI Medical Content Reviewer (Remote, Flexible, Non-Clinical) Are you a trained Cardiologist (or a physician with formal training in cardiology) looking for flexible, non-clinical work you can complete on your own schedule? Use your...Remote workHourly payLong term contractFull timePart timeFlexible hoursAfternoon shift$57.42 - $80.39 per hour
...Location: Essentia 52nd Ave Clinic Department: 3421530 WALK IN... ...decision making skills, the NP/PA works independently and in collaboration... ...in the form of bonuses, quality incentives or production-based... ...FTE: 0.75 Possible Remote/Hybrid Option: Shift Rotation...Remote workPart timeWork from homeMonday to FridayFlexible hoursShift workWeekend work$85k - $100k
...leading to better patient outcomes, improved quality of care, and reduced healthcare costs.... ...got caught before it happened? As a Clinical Quality Assurance Specialist, you'll play... ...in additional days if they prefer. Fully remote employees outside the Boston area come in...Remote workWork experience placementWork at officeFlexible hours- ...an advanced healthcare AI project. You’ll apply clinical expertise to evaluate medical information, improve... ...clinical knowledge and judgment are essential for quality content and safe implementations. This role is remote for US-based professionals on a part-time...Remote jobPart timeFor contractors
- Mercor Operations is seeking a Cardiology NP/PA/RN to remotely review charts and label cases for ATTR cardiomyopathy. The role focuses on clinical reasoning, evidence-based documentation, and collaboration with AI model improvement. The part-time position requires 10-20...Remote jobPart time10 hours per weekFlexible hours
- ...experienced Board-Certified Neuroradiologists to join our team of clinical reviewers. This fully remote 1099 independent contractor role is intended for physicians residing in Philadelphia, Pennsylvania, with PA licensure. You will review medical records, radiology reports,...Remote jobFor contractors
- NEHCR is seeking a remote Physician Assistant (PA-C) to serve as Clinical Quality Lead on a full-time contract basis. You’ll own quality assurance across telehealth services, review escalated clinical cases, and drive patient safety improvements from a remote work setup...Remote jobFull timeContract work
$55.28 - $57.69 per hour
...solutions A higher calling to provide quality patient care See how Dragonfly Health... ...care. What you will do Provide clinical review and consultation on medication requests,... ...and unrestricted pharmacist license in PA, TN ~ Ability to obtain additional state...Remote jobRelocation packageShift work- ...weekdays, across multiple locations in the United States. Active PA license in the state and CPR/BLS certification are... ...urgent care, or occupational health is preferred, and you should be comfortable mobile clinic work and travel to remote #J-18808-Ljbffr DOCS HealthRemote workFor contractorsWeekend workWeekday work
- ...evaluate and improve cutting-edge AI systems. You’ll apply your clinical expertise to assess AI-generated healthcare content, clinical... ...plans, and patient education materials for accuracy; reviewing clinical scenarios; and providing expert feedback to improve AI...Remote job
- ...Guidehealth is seeking a Remote Clinical Quality Improvement Coordinator to help drive data‑driven quality initiatives in a fully remote setting. You will act as SME for QI measures, collect quality data, and collaborate with patients, providers and payers to close gaps...Remote work
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