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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, IL3 days ago $85k - $90k
...competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and associated claim information to validate accuracy of DRG...Remote workWork at officeTrend Health Partners
New York, NY1 day ago- Staffing Solutions Organization LLC is seeking a Nurse Reviewer to conduct provider compliance reviews across Illinois. The ideal candidate... ...preferred) and clinical experience. The position involves remote work with 2-3 on-site visits per week. Competitive benefits package...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
- ...Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York. Job Responsibility 1. Leverages... ...Job Qualification 1. Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, required, or equivalent...Remote workHourly payFull time
Registered Nurse - Diagnosis Related Group (DRG) Coding Auditor Principal - Carelon Payment Int[...]
$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 workDaily paidWork at officeLocal area1 day per week$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 record... ...in an acute care setting Additional Information · Work Style: Remote/Work at Home. While this is a remote position, Humana may...Remote workBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Machinify Inc. is seeking a Medical Review Nurse for remote work in the US. You will be part of a dynamic team, performing audits on medical... ...adherence to guidelines, and collaborating with other auditors. An associate or bachelor's nursing degree and experience in...Remote work
Machinify, Inc.
New York, NY4 days ago - ...specialty claims, the full-time Clinical Auditor RN will utilize coding and clinical chart... ...of services delivered, while working in a remote environment. Key responsibilities... ...qualifications Associate or bachelor's degree in nursing with an active/unrestricted license...Remote workFull time
Virtual Vocations Inc
United States2 days ago - ...Providence Health Plan Group is seeking a Revenue Cycle Auditor RN for a full-time, remote role. The successful candidate will provide patient-focused... ...include an Associate's or Bachelor's Degree in Nursing, 5 years clinical experience, and proficiency with EPIC...Remote workFull timeDay shift
Providence Health Plan Group
Santa Fe, NM5 days 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, NY2 days ago- ...Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing. Job Description This position is for the 2018 HEDIS audit. The... ...'s learning pace. Weekly onsite meetings are mandatory, with remote work on other days. Additional Information Life Science Recruiter...Remote workWork at officeWork from home
Integrated Resources
Newark, NJ4 days ago - ...Hedis Auditor Rn/Lpn Integrated Resources, Inc is a premier staffing firm recognized as... ...Clinical Research, Rehabilitation Therapy and Nursing. Job Description This request is... ...up. There is weekly onsite meeting which candidate must attend and remote other days....Remote workContract workWork from home
Careers Integrated Resources Inc
Newark, NJ3 days ago - ...experience in using billing and claims forms (UB, CMS, and HCFA). Normally, to be proficient in the competencies listed above, a Nurse Auditor would have a/an Associate or Bachelor’s Degree in Nursing or a related field and 5 years of hospital quality management, coding,...Remote workWork at office
Direct Staffing Inc
Burlington, WA3 days ago - ...Clinical Auditor Registered Nurse We are seeking a detail-oriented Clinical Auditor Registered Nurse to support medical record reviews, billing... ..., and strong analytical and writing skills. This is a remote position with occasional travel required within Indiana....Remote workLocal area
Briljent
United States4 days 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 States5 days ago$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global... ...s degree ~ Unrestricted RN (Registered Nurse) license ~ CCS/CIC or willing to obtain... ...Ability to work independently in a remote environment and deliver exceptional results...Remote workHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation packageReliant Medical Group
United States2 days ago- Cura, Inc. is seeking a Clinical DRG RN auditor with extensive experience in MS-DRG and APR-DRG coding methodologies. In this role, you... ...clear rationales for your findings. Enjoy the flexibility of remote work from anywhere in the U.S. while contributing to improving...Remote job
- 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
$82.23k - $155.81k
Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to ensure clinical documentation accuracy for inpatient records. This role offers flexibility through virtual work. The ideal candidate will analyze claims, maintain auditing standards,...Remote job- The University of Minnesota School of Nursing is seeking a Clinical DRG RN auditor. In this role, you will use your expertise in MS-DRG and APR-DRG coding... ...and compliance with coding guidelines. You will enjoy remote work flexibility and be part of a culture that values...Remote 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 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 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
$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- RADcube is seeking a detail-oriented Registered Nurse Clinical Auditor to support medical record reviews and billing compliance audits for Indiana Health Coverage Programs. This remote role requires evaluating provider compliance, preparing audit documentation, and conducting...Remote 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 States4 days ago - ...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
- 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
$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
