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  • $113.77k - $215.57k

    Registered Nurse - Diagnosis Related Group Coding Auditor Principal - Carelon Payment Integrity Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance... 
    Remote work
    Daily paid
    Work at office
    Local area
    1 day per week

    Elevance Health

    Indianapolis, IN
    4 days ago
  • Registered Nurse (RN) Clinical Documentation Denials Auditor Inova Health is looking for a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor to join the team. This role will be fully-time remote, Monday-Friday, regular business hours 8:00 AM - 4:30... 
    Remote work
    Monday to Friday
    Flexible hours

    Inova Health

    Virginia, MN
    4 days ago
  • Um prestador de serviços de saúde líder nos Estados Unidos está procurando um Enfermeiro Registrado (RN) Auditor de Documentação Clínica. O papel é totalmente remoto, com responsabilidades focadas na auditoria e melhoria da documentação. Os candidatos devem ter um diploma... 
    Remote job

    Inova Health System

    Falls Church, VA
    4 days ago
  •  ...Colorado is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing inpatient medical records,...  ...claims auditing. This position offers competitive salary and benefits with flexible remote work options. #J-18808-Ljbffr Elevance Health
    Remote job
    Flexible hours

    Elevance Health

    Denver, CO
    5 days ago
  • $81.85k - $155.09k

    A health company is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient medical records and ensure compliance with clinical documentation. The ideal candidate will have a current RN license and a minimum of 10 years in claims auditing. This... 
    Remote job

    Elevance Health

    Grand Prairie, TX
    4 days ago
  • $90k - $135.7k

    A leading healthcare company seeks a DRG Clinical (RN) Validation Auditor for a remote role focused on auditing inpatient medical records and ensuring clinical documentation accuracy. Ideal candidates should possess an active RN license, at least 10 years in claims auditing... 
    Remote job
    Flexible hours

    Elevance Health

    Overland Park, KS
    5 days ago
  • $81.85k - $155.09k

    A leading health solutions company is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient medical records ensuring accurate documentation supports billed conditions. This role requires a current RN license and extensive experience in claims... 
    Remote job

    Elevance Health

    Las Vegas, NV
    1 day ago
  • $34.23 - $61.15 per hour

    A healthcare organization is seeking a DRG/CVA Validation Auditor RN to conduct coding reviews and validate hospital claims. This remote role requires substantial knowledge of MS-DRG, APR-DRG coding, and ICD-10 guidelines. Candidates should have an associate's degree and... 
    Remote job
    Hourly pay
    Relocation package

    NACBA

    Minneapolis, MN
    3 days ago
  •  ...company is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. Responsible for auditing inpatient records to ensure...  ...DRG codes. The position offers a hybrid work model, balancing remote flexibility with in-person training. Candidates will analyze claims... 
    Remote job

    Elevance Health

    Tampa, FL
    1 day ago
  • $21.82 - $42.55 per hour

     ...Participates in scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. Assists with projects and process improvement initiatives Mentors entry level... 
    Remote job
    Hourly pay
    Work experience placement

    Molina Healthcare

    Albuquerque, NM
    3 days ago
  • $85k - $95k

     ...leading healthcare solutions provider is looking for a Clinical DRG Auditor who will be responsible for auditing medical records to ensure...  ..., and extensive experience in a hospital setting. Offering remote work, competitive salary between $85,000.00 and $95,000.00 per... 
    Remote job

    Gainwell Technologies

    Wisconsin
    4 days ago
  • A healthcare provider is seeking a Clinical Authorization Auditor to perform clinical reviews and evaluate appropriateness of services...  ...license and advanced technology skills are required. This is a remote position but candidates must reside in a state where the company... 
    Remote job

    Encompass Health Corporation

    Dallas, TX
    1 day ago
  • $71.64k - $99.66k

    A leading health services provider is seeking a Nursing Quality Assurance Auditor to support clinical standards through reviews. Responsibilities include managing quality assessments and partnering with remote auditors. Must be a Licensed Practical Nurse with 1-2 years... 
    Remote work

    Option Care Health

    Austin, TX
    1 day ago
  • $90k - $135.7k

     ...organization is seeking a DRG Clinical Validation Auditor to audit inpatient medical records and...  ...Candidates require an active Registered Nurse license and extensive experience in...  ...auditing and ICD coding. The role allows for remote work flexibility while maintaining... 
    Remote job

    Elevance Health

    Nashville, TN
    5 days ago
  • $81.85k - $155.09k

     ...company is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to remotely audit inpatient medical records, ensuring documentation...  ...billed conditions. Candidates must hold an active Registered Nurse license and have extensive experience in claims auditing.... 
    Remote job

    Elevance Health

    Mason, OH
    5 days ago
  • $90k - $135.7k

     ...healthcare company is looking for a DRG Clinical (RN) Validation Auditor to audit inpatient medical records and ensure accurate clinical documentation. This role is virtual, requires a Registered Nurse license, and at least 10 years of experience in claims auditing or... 
    Remote job

    Elevance Health

    Cincinnati, OH
    1 day ago
  •  ...company is seeking a Diagnosis Related Group Clinical Validation Auditor responsible for auditing inpatient medical records and ensuring...  ...clinical documentation. The role requires a current, active Registered Nurse license and significant experience in claims auditing. This... 
    Remote job
    Full time

    Elevance Health

    Walnut Creek, CA
    5 days ago
  • A healthcare organization is seeking a Licensed Practical Nurse (LPN) for a fully remote assignment-based role specifically for Arizona residents. The position involves reviewing patient medical charts, making clinical determinations, and monitoring Corrective Action Plans... 
    Remote job
    Flexible hours

    Banner Health

    Phoenix, AZ
    2 days ago
  •  ...leading nonprofit healthcare provider based in the United States is seeking a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor. This fully-remote position involves ensuring optimal coding through evaluation of physician documentation, conducting... 
    Remote job

    Inova Health

    Virginia, MN
    4 days ago
  •  ...Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing. Job Description This position is for the 2018 HEDIS audit....  ...candidate's learning pace. Weekly onsite meetings are mandatory, with remote work on other days. Additional Information Life Science... 
    Remote work
    Work at office
    Work from home

    Integrated Resources Inc.

    Newark, NJ
    1 day ago
  • Overview This is an assignment‑based Licensed Practical Nurse (LPN) position with Banner Health Plans. The role is fully remote for Arizona residents and requires a 40‑hour week (Monday - Friday, 8:00 a.m. - 4:30 p.m.). Key Responsibilities Independently review patient... 
    Remote work
    Weekly pay
    Contract work
    Work at office
    Monday to Friday
    Flexible hours

    Banner Health

    Phoenix, AZ
    2 days ago
  •  ...experience in using billing and claims forms (UB, CMS, and HCFA). Normally to be proficient in the competencies listed above: •Nurse Auditor would have a/an Associate or Bachelor’s Degree in Nursing or related field and 5 years of hospital quality management, coding or... 
    Remote work
    Work at office

    Direct Staffing Inc

    Seattle, WA
    1 day ago
  • $34.23 - $61.15 per hour

     ...In this position as a DRG/CVA Validation Auditor RN , you will apply your expert knowledge...  ...(or higher) Unrestricted RN (Registered Nurse) license CCS/CIC or willing to obtain certification...  ...Ability to work independently in a remote environment and deliver exceptional... 
    Remote work
    Hourly pay
    Daily paid
    Minimum wage
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office
    Local area
    Relocation package

    NACBA

    Minneapolis, MN
    3 days ago
  • $81.85k - $155.09k

    A healthcare leader is seeking a Clinical Validation Auditor-RN to conduct audits of inpatient records to ensure compliance with DRG billing. This remote role requires a current RN license and at least 10 years of relevant experience. Candidates should be proficient in... 
    Remote job

    Elevance Health

    Atlanta, GA
    4 days ago
  • $34.23 - $61.15 per hour

    Clinical DRG RN Auditor In this position as a Clinical DRG RN auditor , you will apply your...  ...(or higher) Unrestricted RN (Registered Nurse) license CCS/CIC or willing to obtain...  ...time Ability to work independently in a remote environment and deliver exceptional results... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Work at office
    Local area

    University of Minnesota School of Nursing

    Minneapolis, MN
    4 days ago
  • Clinical Authorization Auditor - LPN/LVN Encompass Health Corporation•Dallas, TX, United States...  ...for home health and hospice. This is a remote position, but applicant must live in a...  ...be a graduate of an approved school of nursing and a licensed LPN / LVN in the state where... 
    Remote work
    Full time
    Live in
    Local area
    Home office
    Flexible hours

    Encompass Health Corporation

    Dallas, TX
    1 day ago
  • $16 - $20 per hour

    Join to apply for the Skilled Nursing role at FEHE Enterprises, Inc. 11 months ago Be among...  ...Neurosurgery Registered Nurse (Remote Patient Monitoring and Chronic Care Management...  ...9,640.00-$100,000.00 4 days ago Provider Auditor (RN/LPN Medical Coder or Certified Medical... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Local area
    Monday to Friday
    Shift work
    Night shift

    FEHE Enterprises, Inc.

    Atlanta, GA
    4 days ago
  • $80k - $100k

     ...Inpatient Coding Auditor / Remote / Flexible Schedule Inpatient Coding Auditor Location: Remote Schedule: Full-Time, Flexible Why work for RCM? Since 1975, RCM Health Care Services has proven to be a leading consulting and staffing firm matching expert talent... 
    Remote work
    Hourly pay
    Full time
    Flexible hours

    RCM Healthcare Services

    United States
    3 days ago
  • Branch Auditor Headquarters Hybrid, Typically expected to work in an Edward Jones Home Office location three days a week View More Remote, Typically expected to work remotely five days a week. View More Saint Louis, MO Job# 106735BR
    Remote work
    Home office
    3 days per week

    Edward Jones

    Saint Louis, MO
    3 days ago
  • $59.3k - $80.9k

     ...Medical Coding Auditor Become a part of our caring community and help us put health first. Humana is looking for an experienced medical...  ...be moving forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training or... 
    Remote work
    Bi-weekly pay
    Work experience placement
    Work at office
    Work from home
    Home office
    Flexible hours

    Minnesota Staffing

    Saint Paul, MN
    1 day ago