Senior DRG Appeals RN - Remote Expert
Palo Verde Community College District
- Remote job
UnitedHealth Group is seeking a Senior Clinical Appeals RN to leverage MS-DRG and APR-DRG auditing expertise, review records, and author rebuttals or agreements with facilities. The role includes coaching remote DRG Validation Specialists and delivering timely, well-documented appeals under tight deadlines. This is a remote opportunity across the U.S. with responsibilities to analyze DRG appeals, identify risks and payer policies, collaborate with auditors and leadership, and communicate #J-18808-Ljbffr Palo Verde Community College District
$95k - $110k
Select how often (in days) to receive an alert: DRG Nurse Reviewer Appeals and Hearings- Remote Date: Aug 30, 2026 Location: Any city, FL, US, 99999 Work... ...guidelines; successfully completes required CEUs to maintain RN license and/or coding certification. Responsible for...Remote jobFull timeWork from homeRelocation packageFlexible hours$95k - $110k
Gainwell Technologies is seeking a DRG Nurse Reviewer Appeals and Hearings professional for remote work. You will coordinate and perform appeal duties, analyze documentation... ...and on-site as needed. Required are an active US RN license, CPC/CCS/CPMA certification, and 5+ years...Remote job- ...Active, unrestricted Registered Nurse (RN) license Strong clinical background with... ...and outcomes for vulnerable populations Remote work - enjoy the convenience and balance... ...notices, denial letters, reason codes, and appeal rights in compliance with regulatory standards...Remote workFull timeTemporary workWork at officeWork from home
- UnitedHealth Group is seeking a skilled Inpatient DRG Coder for a remote, full-time role. You will identify ICD-10-CM/PCS assignments and DRG abstractions for facility services, following official guidelines and client-specific rules. The ideal candidate has 3+ years in...Remote jobFull time
- Valley Health System in Ridgewood is seeking a Lead HIM Coding Specialist to act as a subject-matter expert in inpatient coding and DRG validation. You will perform high-level second-level reviews of coded data, drive documentation improvements, and collaborate with CDI...Senior
- ...Resourcing Life Science is seeking a Senior Clinical Research Associate (CRA) to work from home in Florida. In this role, you will monitor clinical studies in phases II-III, ensuring adherence to Good Clinical Practices and supervising study conduct according to required...Remote workSeniorWork from home
- ...proper reimbursement, handle provider disputes, and ensure accurate DRG assignments. The role requires analyzing information, working... ...delivering precise coding analyses from home. The position is remote with occasional travel to Humana offices for training or meetings...Remote work
- A leading healthcare organization is seeking a fully remote Inpatient Facility Coder. This role involves reviewing medical records to ensure correct coding and DRG assignment while maintaining coding credentials. Candidates must have at least 3 years of experience, including...Remote workMonday to Friday
$120k - $180k
...Senior Safety Domain Expert – Falcon Veeva Systems is a mission-driven organization and pioneer in industry cloud, helping life sciences companies bring therapies to patients faster. As one of the fastest-growing SaaS companies in history, we surpassed $3B in revenue...Remote workSeniorWork at officeLocal areaWork from homeFlexible hours$60 - $70 per hour
...A leading tech solutions provider is looking for a Senior Functional Consultant with Icertis expertise to manage and optimize contract templates. This remote role involves collaborating with legal and commercial teams to ensure templates are efficient and aligned with...Remote workSeniorHourly payContract work- ...Senior Safety Domain Expert - Falcon Team: Product Management & Alliances Country: United Kingdom Remote Work Available: Yes Veeva Systems is a mission-driven organization and pioneer in industry cloud, helping life sciences companies bring therapies to patients...Remote workSeniorWork at officeWork from homeShift work3 days per week
$50 - $60 per hour
...Description Job Description Hospital Appeal UR Nurse Location: Morristown, NJ... ...Arrangement: Hybrid - 4 days onsite / 1 day remote; Potential future schedule of 3 days onsite... ...necessity criteria . Understanding of DRG/APR-DRG reimbursement . Familiarity...Remote workContract workLocal areaMonday to Friday- ...SCA Health is actively hiring a Registered Nurse (RN) for the PreOp PACU. The role involves assessing preoperative and postoperative status, interpreting monitoring data, and implementing a comprehensive perianesthesia plan of care. You will promote the mission and values...Senior
- YO AI Labs seeks an experienced Physics Expert - Professor/PI to provide high-level scientific expertise for advancing next-generation... ...approaches, articulate meta-level criteria, and provide defensible written evaluations for senior physicists. #J-18808-Ljbffr YO AI LabsRemote jobSenior
- A leading mortgage solutions provider is seeking a fully remote Mortgage Underwriter specializing in GSE, Non-QM, and condo credit analysis. The ideal candidate needs at least 5 years of multi-state mortgage underwriting experience along with a strong understanding of...Remote workSenior
$110k - $140k
...2 years of public accounting experience, preferably at a Big 4 firm, and a CPA license or be on the path to obtain one. This fully remote position offers a competitive salary between $110,000 and $140,000, alongside a robust benefits package including 401(k) matching and...Remote jobSenior- ...changes and contribute to process improvements. The role requires substantial SBA and loan operations experience, with strong organizational and communication skills. Remote work is possible with onsite requirements depending on location. #J-18808-Ljbffr Northwest BankRemote jobSenior
- ...industry player in financial services is seeking an Audit Senior to join their dynamic team. This remote position offers the chance to lead diverse audit engagements, ensuring compliance and delivering expert recommendations to clients. With a focus on work-life balance...Remote jobSenior
$72.25 - $95.3 per hour
...visibility Onsite or Remote Fully On-Site Work Schedule... .... As a Case Manager Senior with our Patient... ...collaborate with various medical experts, multi-disciplinary... ...and California State RN license. Ability to complete... ...; or have filed an appeal of a finding of...Remote workSeniorHourly payMonday to Friday$65 - $75 per hour
A premier IT services and consulting company is seeking a Senior SQL Server Database Administrator to support enterprise clients in hybrid and multi-cloud environments. In this remote role, you will leverage your expertise with SQL Server to drive performance tuning, cloud...Remote workSeniorHourly pay- Optum is recruiting an experienced inpatient DRG coder to support facility coding across a telecommuting model. You will assign ICD-10-CM/PCS, DRG, and abstraction per guidelines, while maintaining coding quality and productivity targets. Responsibilities include querying...Remote jobSenior
- Martenson, Hasbrouck & Simon LLP in Sacramento seeks a senior associate or of counsel to defend wage and hour class and PAGA actions. The... ...across the firm's Sacramento office and potential hybrid or remote arrangements. Candidates should bring 5+ years of wage/hour litigation...Remote workSeniorWork at office
- Gallagher Bassett is seeking an experienced Claims Adjuster to manage complex General Liability claims from a remote US location. You will evaluate exposure, determine appropriate action, and resolve claims with attention to policy and regulatory compliance. Ideal candidates...Remote jobSenior
- Questpro is seeking a Senior Commercial Property Claims Adjuster to join its US operations, handling sophisticated... ...track record of resolving complex coverage issues while coordinating with experts. Hybrid in Scottsdale or Chicago, remote in CA. #J-18808-Ljbffr QuestProRemote jobSenior
- UnitedHealth Group is seeking a full-time inpatient coder to work remotely from anywhere in the U.S. You will identify ICD-10 CM/PCS assignments and DRG abstraction for facility services, following official coding guidelines and client-specific rules. Required: AHIMA and...Remote jobSeniorFull time
- YA Group is seeking a Senior Biomechanist to lead forensic biomechanics, accident reconstruction, and litigation support. The role emphasizes... ...testimony, and collaboration with engineering staff. This fully remote position welcomes candidates nationwide, with needs for CAD...Remote jobSenior
$150 per hour
Gridnaut Recruiting is hiring a remote Expert Senior SWE contractor (pay $150-$210/hr). Contribute to frontier AI research and evaluation work. Ideal candidates: Apply through Gridnaut Recruiting for this remote Expert Senior SWE contractor opening.; Remote contractor...Remote workSeniorTemporary workFor contractorsFlexible hours- YO AI Labs seeks Senior Design Experts for remote, contract work across rapid prototyping, design systems, and human-AI collaboration. You will craft evaluation tasks for Vibecoding and design tracks using modern tools. Applicants should have shipped product designs or...Remote jobSeniorContract workFlexible hours
- ...Senior Safety Domain Expert - Falcon Team: Product Management & Alliances Country: Germany Remote Work Available: Yes Veeva Systems is a mission-driven organization and pioneer in industry cloud, helping life sciences companies bring therapies to patients...Remote workSeniorWork at officeLocal areaWork from homeShift work3 days per week
- ...Innovative Medicines is recruiting for a Senior Medical Science Liaison - Dermatology to... ...the field based scientific and clinical expert on current and future Johnson & Johnson Innovative... ...CoPilot and utilization of computers and remote technologies. Related clinical,...Remote workSeniorTemporary workWork experience placementLocal area
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