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- ...been there, too. In fact, that's how our business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment. Join our team and maximize client savings by reviewing medical...Remote workCasual workWork at officeImmediate startFlexible hours
Rising Medical Solutions
Chicago, IL2 days ago - ...Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York. Job Responsibility 1.Leverages clinical... .... Job Qualification 1.Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, required, or equivalent...Remote workHourly payFull time
Northwell Health
Garden City, NY2 days ago $75k - $85k
...We are looking for a strong clinical nurse auditor to become part of our fast growing government-based healthcare practice … Integrity Self... .... Job Type: Full-time, The nurse auditor position is a hybrid-remote position. Initial and periodic training will be performed at...Remote workFull timeFor contractorsDAVID JAMES.
Baltimore, MD4 days ago$78.4k - $107.8k
Humana Inc. is seeking a Nurse Auditor 2 to perform Readmission or Short Stay clinical audits, ensuring documentation and coding support optimal... .... You will report to the Manager, Nurse Audit / Review. This remote work from home position may require occasional travel to...Remote jobWork from home$78.4k - $107.8k
...Become a part of our caring community The Nurse Auditor 2 will perform Readmission or Short Stay clinical audits to ensure that medical... ...acute care setting Additional Information · Work Style: Remote/Work at Home. While this is a remote position, Humana may...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayHumana
Columbia, SC4 days ago- Humana is seeking a Nurse Auditor 2 for remote work to validate and interpret medical documentation for admission types, ensuring compliant coding and accurate reimbursement. The role reports to the Manager, Nurse Audit / Review. The ideal candidate will hold an active...Remote job
- Humana is seeking a Nurse Auditor 2 to perform Readmission or Short Stay clinical audits, ensuring medical record documentation and diagnosis... .... You will report to the Manager, Nurse Audit / Review. Remote work with occasional travel to Humana offices for training or...Remote job
- Trend Health Partners, LLC is seeking a full-time Licensed Nurse Auditor to perform medical necessity reviews of clinical documentation. This remote position ensures compliance with contracts and regulations, while building relationships with medical providers and health...Remote jobFull time
- ...Nursing Support Position Purpose: Work Remote Position The Nursing Support (NS) colleague (uncertified, certified, unlicensed, or licensed) provides safe, quality health care services & / or assistance to patients under the supervision & direction of a registered...Remote jobLocal area
- Humana is seeking a Nurse Auditor 2 to perform readmission and short stay clinical audits, ensuring documentation and coding support accurate reimbursement. This remote role reports to the Manager, Nurse Audit / Review. Responsibilities include validating medical documentation...Remote job
- Humana seeks a Nurse Auditor 2 to perform Readmission and Short Stay audits, ensuring that medical record documentation and diagnosis coding... ...will report to the Manager, Nurse Audit / Review. The role is remote, with occasional travel for training or meetings. Typical...Remote job
- ...on Coding & Clinical Chart Validation, the full-time Clinical Auditor RN will conduct audits of outpatient and specialty claims, ensuring... ...Required Qualifications Associate or bachelor's degree in nursing with an active/unrestricted license Coding certification (e.g....Remote workFull time
Virtual Vocations Inc
United States1 day ago $80k - $90k
...applying skills to diverse operational activities to support business needs.* Self-starter with the ability to work independently in remote setting with minimum supervision and direction in the form of objectives.* Serves as a positive role model; and demonstrates...Remote workFlexible hoursPerformant
Florida, NY1 day ago$46.08 - $71.53 per hour
...Description Providence is calling for Revenue Cycle Auditor RN - Full time, Day, Remote The Revenue Cycle Auditor is responsible for providing... ...Required Qualifications: ~ Associate's Degree in Nursing, or ~ Bachelor's Degree in Nursing ~5 years...Remote workMinimum wageFull timeLocal areaShift workProvidence Health & Service
United States4 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 workWork at office
Direct Staffing Inc
Medford, OR2 days ago - UnitedHealth Group is seeking a Clinical DRG RN auditor to leverage expert coding knowledge in auditing inpatient claims. This remote role allows for flexibility within the U.S.,... ...benefits package and opportunities for career development. #J-18808-Ljbffr Registered NurseRemote job
- ...Group's Optum is seeking a Clinical DRG RN auditor to apply MS-DRG/APR-DRG coding and CMS guidelines to inpatient claims. Remote work is available nationwide; you will identify... ...and coding proficiency are essential. #J-18808-Ljbffr University of Minnesota School of NursingRemote job
- UnitedHealth Group seeks a Clinical DRG RN auditor to review MS-DRG/APR-DRG coding and validate ICD-10-CM/PCS for inpatient claims. You will identify overpayments using CMS guidelines and AHA Coding Clinic citations, writing clear rationales and moving claims through workflow...Remote job
- UnitedHealth Group is seeking a Clinical DRG RN auditor to review MS-DRG/APR-DRG coding, ICD-10 guidelines, and AHA Coding Clinic guidance for inpatient claims. Remote work from anywhere in the U.S. is supported. You will prepare rationales, use encoder tools, and ensure...Remote jobRelocation package
- Providence Health & Services is seeking a full-time Revenue Cycle Auditor RN for remote work. The role focuses on providing compliant revenue cycle... ...help meet financial objectives. Candidates must possess a nursing degree, with experience in acute care and familiarity with...Remote jobFull time
- Providence is seeking a Revenue Cycle Auditor RN to provide patient-focused revenue cycle support. This full-time role emphasizes compliance and accurate charge capture, working collaboratively with healthcare teams. The ideal candidate needs at least 5 years of clinical...Remote jobFull time
$27.59 - $56.63 per hour
Molina Healthcare is seeking a Clinical Auditor to join their Medicaid Team. This position offers remote work flexibility, but candidates must reside in Nebraska. The ideal candidate will have an active RN license and 2 years of healthcare experience, with responsibilities...Remote jobHourly payWork at office- Providence Health & Services is seeking a Revenue Cycle Auditor RN in Houston, Texas. This full-time role focuses on providing patient... ...compliance in revenue cycle operations. The ideal candidate will have a nursing degree and experience in an acute care setting, with...Remote jobFull time
- Providence is seeking a Revenue Cycle Auditor RN for a full-time, remote position to support our financial objectives. The candidate will be responsible... ...cycle. Essential qualifications include a degree in nursing, significant clinical experience, and expertise in EPIC...Remote jobFull time
$46.08 - $71.53 per hour
...Revenue Cycle Auditor RN The Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle... ...them. Required Qualifications: ~ Associate's Degree in Nursing, or ~ Bachelor's Degree in Nursing ~5 years clinical experience...Remote jobFull time- ...Power Apps for workflows. The role requires deep clinical criteria expertise, regulatory knowledge, and the ability to translate findings into actionable improvements. Remote work and travel for training may be required. #J-18808-Ljbffr Santa Barbara Cottage HospitalRemote job
- ...To ensure accurate reimbursement and compliance with healthcare standards, the full-time remote Registered Nurse Clinical Auditor will perform detailed medical record audits, analyze clinical data, and develop comprehensive audit reports while collaborating with clinical...Remote workFull time
Virtual Vocations Inc
United States3 days ago - UnitedHealth Group invites a Clinical DRG RN auditor to join our telecommuting team from anywhere in the United States. The role focuses on MS-DRG and APR-DRG coding audits, validating ICD-10-CM/PCS code assignments, and producing clear rationales. You will use CMS guidelines...Remote job
- ...Clinical Auditor Position This position will offer remote work flexibility, but the selected candidate must reside in Nebraska. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team as a Clinical Auditor. The person filling...Remote jobLive inWork at officeMonday to Friday
$70k - $80k
A data analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with over 5 years of acute care experience. Responsibilities include reviewing medical records...Remote job
