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- A healthcare organization is seeking a Revenue Integrity Clinical Nurse Auditor to work remotely. The role focuses on ensuring appropriate charge capture and optimizing revenue through clinical knowledge and documentation review. Responsibilities include using Epic technology...Remote job
Registered Nurse - Diagnosis Related Group (DRG) Coding Auditor Principal - Carelon Payment Int[...]
$113.77k - $215.57k
Anticipated End Date: 2025-04-21 Position Title: Registered Nurse - Diagnosis Related Group (DRG) Coding Auditor Principal - Carelon Payment Integrity Location: Hybrid model remote/office, within 50 miles of Elevance Health PulsePoint locations. Job Description Registered...Remote workWork at officeLocal area- ...A leading healthcare organization is seeking a Clinical DRG RN auditor to validate ICD-10 codes and ensure accurate DRG assignment. This role requires an Associate's Degree, an unrestricted RN license, and substantial experience in hospital coding. The auditor will leverage...Remote work
Optum
United States21 hours ago - ...A leading healthcare institution seeks a DRG RN Auditor to work remotely. This role requires expertise in MS-DRG and APR-DRG coding, along with a strong understanding of ICD-10 guidelines to audit inpatient claims. Candidates should hold an RN license and possess at least...Remote workRelocation package
University of Minnesota School of Nursing
United States2 days ago - ...A leading healthcare organization is seeking a DRG RN Auditor to work remotely from anywhere in the U.S. The role requires expertise in MS-DRG and APR-DRG coding, along with ICD-10 guidelines. Candidates should possess at least 3 years of coding experience in a hospital...Remote workRelocation package
NACBA
United States3 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
- A health organization is seeking a Clinical DRG RN auditor to apply expertise in MS-DRG and APR-DRG coding/reimbursement. The role includes... ...experience in coding with ICD-10. This position offers remote work flexibility and a comprehensive benefits package including...Remote job
- A healthcare organization is seeking a Clinical DRG RN Auditor to apply deep knowledge of MS-DRG and APR-DRG coding/reimbursement methodologies. You will audit inpatient claims, ensuring accuracy and identifying overpayments while utilizing industry and proprietary tools...Remote job
- ...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 HealthRemote jobFlexible hours
$90k - $135.7k
A healthcare company is hiring a DRG Clinical (RN) Validation Auditor. This role involves auditing inpatient medical records and ensuring that clinical documentation supports the billed conditions. Candidates must possess an active RN license and a minimum of 10 years in...Remote job$110k - $115k
A healthcare organization in New York is seeking a Full-Time Quality Assurance Clinical Auditor - RN to elevate their nursing career. This hybrid role entails ensuring the compliance of clinical activities with regulatory standards, conducting audits, and developing processes...Remote jobFull time- ...organization in Plymouth, Minnesota is seeking a Clinical DRG RN auditor. The successful candidate will utilize their expertise in... ...audit rationales, and maintaining high-quality standards in a remote work setting. Candidates should possess a relevant degree and an...Remote jobRelocation package
- ...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
$81.85k - $155.09k
A healthcare company is looking for a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient medical records. This role requires an active RN license and at least 10 years in claims auditing. Responsibilities include identifying coding errors and ensuring...Remote job$81.85k - $155.09k
A leading health company is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient medical records, ensuring compliance and accuracy for reimbursements. This role requires an active RN license and at least 10 years of claims auditing experience...Remote job- A leading healthcare services provider is seeking an experienced Registered Nurse Clinical Coder for a fully remote contract role. The position involves performing DRG audits on inpatient medical records, ensuring coding accuracy from the payer's perspective. Candidates...Remote jobContract work
$35.82 per hour
...assigned. Excellent research abilities Patient and customer focuse QUALIFICATIONS (Required): Associates or Bachelor of Science in Nursing perferred. 3+ years’ experience in hospital, clinic, payor organization setting preferred. Auditing experience preferred. Working knowledge...Remote workContract workMonday to FridayFlexible hours- 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 jobFlexible hours
$34.42 - $67.6 per hour
...In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your... ...(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 jobHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package- 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 workWeekly payContract workWork at officeMonday to FridayFlexible hours
$38.91 - $60.31 per hour
...This position is an onsite role and does not offer a hybrid or remote option Summary : Ensures that correct charges are entered... ...environment and take appropriate action. Requirements: Registered Nurse Graduate of an accredited or state board of nursing approved...Remote workFull timeTemporary workLocal areaFlexible hoursShift workUCHealth
Parker, CO13 hours ago$50k - $55k
...Job Description Job Description Rural Mutual Insurance Company is looking for a Premium Auditor to join our remote team dedicated to Wisconsin businesses. This role is primarily remote for candidates living in Wisconsin and involves reviewing policyholder financial...Remote workWork at officeRural Mutual Insurance
Appleton, WI21 days ago$26.4 - $44 per hour
...level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities. As a Health Plans Licensed Practical Nurse (LPN) Auditor , you will be an integral part of the Health Plan Quality Management Team . This...Remote workWeekly payDaily paidContract workWork at officeMonday to FridayFlexible hoursShift workNight shift- Registered Nurse (RN) Clinical Documentation Denials Auditor United States Job Description Inova Health is looking for a dedicated Registered Nurse (RN) Clinical... ...to join the team. This role will be fully‑time remote, Monday‑Friday, regular business hours 8:00 AM - 4:30...Remote workMonday to FridayFlexible hours
$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 workHourly payFull timeFlexible hoursRCM Healthcare Services
United States13 hours ago- ...A community-focused health organization is seeking an Auditor (GARS) to ensure compliance with health policies while conducting audits of grievances and appeals. This role offers a full-time telework opportunity but requires the candidate to reside in California. Responsibilities...Remote workFull time
CalOptima Health
United States3 days ago $56.17k - $70.22k
...UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires the selected candidate to have...Remote workPermanent employmentFull timeFor contractorsLive inWork from homeRelocationRelocation packageDay shiftUNM Medical Group, Inc.
Albuquerque, NM9 hours agonew$71.1k - $97.8k
...Inpatient Medical Coding Auditor Become a part of our caring community and help us put health first. The Inpatient Medical Coding... ...procedures. Use your skills to make an impact. Work Style Remote/work at home. While this is a remote position, occasional...Remote workBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayVermont Staffing
Santa Fe, NM13 hours ago$45 - $48 per hour
A prominent debt recovery firm is seeking a Premium Auditor to join their team. The role involves conducting insurance premium audits, both remotely and on-site, with travel required to various locations. Candidates should have an Associate's Degree and experience in premium...Remote jobHourly payWork from home- A premier risk management firm is seeking a Premium Auditor in Plano, Texas. This role allows you to manage your own schedule and work from home. You will conduct audits, verify financial records, and maintain client relationships. Ideal candidates will have accounting...Remote jobWork from homeFlexible hours
