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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$67.1k
...2237 Compensation Pay Range: Minimum Offer $67,100.80; Maximum Offer $102,460.80 Summary: Presbyterian is seeking a Hybrid Remote RN-Nurse Auditor for the HCC Program Management Department. This role will support the Hierarchical Condition Categories (HCC) processes for...Remote workFull timeShift workNight shiftWeekend work- ...A company is looking for an Inpatient DRG Auditor / Coder (RN and Non RN). Key Responsibilities Perform inpatient DRG auditing and coding reviews Analyze disease processes and clinical indicators affecting DRG assignment Review audit outcomes and implement corrective...Remote work
Virtual Vocations Inc
United States2 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 HealthRemote jobFlexible 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... ...and take appropriate action. Requirements: Registered Nurse Graduate of an accredited or state board of nursing approved...Remote workFull timeTemporary workLocal areaFlexible hoursShift workUCHealth
Peyton, CO2 hours ago$86.56k - $155.81k
Elevance Health seeks a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient medical records for documentation... ...including expertise in ICD-9/10CM and related DRGs. This fully remote role allows flexibility while ensuring quality standards in clinical...Remote job$86.56k - $155.81k
Elevance Health is looking for a Diagnosis Related Group Clinical Validation Auditor-RN. In this virtual role, you will audit inpatient medical records to ensure accuracy in clinical documentation and DRG billing. The ideal candidate will possess a current RN license and...Remote jobFlexible hours- ...looking for an RN Diagnosis-Related Group (DRG) Auditor in Milwaukee, Wisconsin. This role includes... ...Clinical Documentation Integrity, and a Bachelor's in nursing or relevant field. The position offers the possibility of remote work and a comprehensive benefits package...Remote job
- ...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 workWork at officeWork from home
$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 hours- ...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
- A healthcare intelligence company located in New York is looking for a Clinical Auditor to perform clinical reviews and audits on medical records, ensuring compliance with company policies and quality assurance guidelines. This role requires an active RN license and the...Remote job
- A local healthcare provider is seeking a Hybrid Remote RN-Nurse Auditor for its HCC Program Management Department. This full-time role involves conducting clinical audits, interpreting medical documentation, and ensuring compliance for Medicare reimbursement. Candidates...Remote jobFull timeLocal area
- ...Residential Energy Auditor (Field-Based)Energy Efficiency Location: Southern Maryland locations to include; White Plains, Hughesville, Prince Frederick and Leonardtown (Field Remote) Ready to make a difference? Join our team of dedicated Residential Auditor, Energy, Audit...Remote workWork from home
ICF International Inc
Waldorf, MD4 days ago - This full time position will work Monday-Friday from 8:00am-5:00pm in the Operating Room. At Houston Methodist, the Nurse Auditor position is responsible auditing and reconciling patient charts (i.e. medical record) on a daily basis or upon request from Payor's on-site...SuggestedPermanent employmentFull timeWork at officeMonday to Friday
Houston Methodist Willowbrook Hospital
Houston, TX2 hours ago - ...Detect discrepancies in provider billing and recommend adjustments to ensure proper reimbursement. Qualifications: · Registered Nurse required. ~2+ years with inpatient claims, preferably NICU and maternity required. ~ Inpatient Coding Certification required -...Remote jobTemporary workCasual workWork at office
$100k
...loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the... ...locations Hybrid position - work from home and complete remote audits 2-3 days per week Job Requirements: Associate’s Degree...Remote workWeekly payTraineeshipLocal areaImmediate startWork from homeHome office2 days per week3 days per weekARMStrong Insurance Services
Altoona, PA21 days ago- ...HIGHLIGHTS: ~ Hybrid work environment: 3 days remote / 2 days required in the office (Green Hills) ~ Salaried... ...managers; materials management staff and Hospital Auditor to ensure proper documentation Serve as a nursing resource for staff when issues/needs are of a...Remote workFull timeTemporary workWork experience placementWork at office
$55.9k - $123.5k
Compliance Audit Security is seeking a Coding Investigator Auditor to conduct thorough reviews of billing, coding, and documentation for claims. This role, which is 100% work from home, requires strong professional communication skills and significant familiarity with Medicare...Remote workWork from homeCompliance Audit Security
Tulsa, OK10 hours ago$38.92 - $60.33 per hour
...Milwaukee, Wisconsin (Froedtert Hospital). Remote work is possible for this position. Job... ...The RN Diagnosis-Related Group (DRG) Auditor conducts targeted and random audits of finalized... .... Education Bachelor’s degree in nursing or foreign trained medical graduate required...Remote workHourly payTemporary work- A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to join their remote workforce. The role involves reviewing inpatient hospital claims and ensuring correct payments while operating in a metrics-driven environment. Candidates should...Remote work
Humana
Columbia, SC3 days ago - ...A healthcare services company is seeking an Inpatient Facility Coding Auditor. This remote position requires expertise in DRG-based auditing and a minimum of 5 years coding experience, including inpatient coding and auditing. Responsibilities include reviewing health...Remote work
iMedX
Edgewater, MD2 days ago - ~ Apply ~Save Job ~ Refer a Friend ~ Back Remote Work from Home Share This Page ~Share on Facebook ~Share... ..., Inpatient Education & Audits, the Coding Education Auditor, Inpatient will be responsible for assisting with developing all...Remote workFull timeWork experience placementLocal areaWork from homeDay shift
Johns Hopkins Medicine
Baltimore, MD2 days ago $25.48 - $40.87 per hour
...Prime Therapeutics is seeking a Pharmacy Claims Auditor to work remotely. The successful candidate will be responsible for identifying compliance issues and educating network pharmacies. Minimum qualifications include a Bachelor's degree in Health Science and a National...Remote workPrime Therapeutics
Jefferson City, MO2 days ago- ...A leading academic health system is seeking an experienced HB Outpatient Second Level Reviewer. This remote role involves auditing coding practices, ensuring compliance, and training coding staff to maintain data integrity. The ideal candidate has at least seven years...Remote work
Salem Health Hospitals & Clinics
Athens, GA5 days ago $70k - $85k
...A leading healthcare intelligence firm in Indiana seeks a Medical Coding Auditor to review and audit medical records, ensuring accurate coding practices according to federal and state regulations. Candidates should have in-depth knowledge of ICD-10, CPT, and HCPCS coding...Remote workPerformant
Indiana, PA5 days ago- ...data solutions company seeks an Inpatient Auditing Specialist to conduct coding audits and provide educational support. This fully remote role requires 3+ years of coding experience, a related degree, and good organizational skills. The successful candidate will review...Remote workRelocation package
Datavant
Columbus, OH5 days ago - ...A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work remotely. You will review inpatient hospital claims to ensure proper reimbursement and manage provider disputes in a metrics-driven environment. The ideal candidate holds a relevant...Remote workFlexible hours
Humana
Jackson, MS5 days ago - ...health data exchange company is seeking an Inpatient Auditing Specialist to perform coding audits and provide education in a fully remote setting. The ideal candidate will have at least 5 years of inpatient coding experience and relevant certifications. Responsibilities...Remote workFlexible hours
Datavant
Maryland5 days ago - ...A leading healthcare data platform is seeking an Inpatient Auditing Specialist. This position offers remote work flexibility and requires extensive coding and auditing experience. Responsibilities include conducting inpatient coding audits, providing coder education,...Remote workRelocation package
Datavant
Lansing, MI5 days ago
