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- ...A leading healthcare company is seeking a Nurse Auditor 2 to perform clinical audits and ensure that medical documentation is compliant and... ...and a minimum of 2 years of acute inpatient experience. This remote position allows occasional travel for training or meetings. Successful...Remote work
Humana
Jackson, MS2 days ago - ...Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position Job Responsibility 1. Leverages clinical... ...Job Qualification 1. Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, required, or equivalent combination...Remote workHourly payDaily paid
$78.4k - $107.8k
A healthcare services provider is looking for a Nurse Auditor 2 to ensure accurate medical coding and documentation. This remote position involves validating medical records, reviewing claims, and addressing fraud waste concerns. Candidates should hold an RN license, have...Remote jobRegistered 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- A healthcare organization is seeking a Nurse Researcher Assessor/Auditor to work from Frankfort, Kentucky, and telecommute. The ideal candidate will be a registered nurse responsible for conducting waiver audits and ensuring compliance with Medicaid regulations. This position...Remote job
$78.4k - $107.8k
...part of our caring community and help us put health first The Nurse Auditor 2 performs clinical audit/validation processes to ensure that... ...Knowledge of general lab billing Additional Information WORK STYLE: Remote/work at home. WORK HOURS: Business hours are Monday-Friday,...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$85k - $95k
A healthcare technology company is seeking a Clinical DRG Auditor to perform audits on medical record documentation and ensure compliance... ...RN license and 3+ years in an inpatient hospital setting. This remote role offers a competitive salary range of $85,000 to $95,000...Remote jobFlexible hours- ...healthcare technology company is seeking a Quality Assurance RN to audit clinical documentation for compliance and accuracy in a flexible remote role. The ideal candidate will have an active RN license and relevant QA experience in home health. This position offers...Remote jobFlexible hoursShift workWeekend work
- ...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
- ...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
- ...leading healthcare solutions provider is seeking a Pharmacy Claims Auditor CPhT to conduct pharmacy audits and ensure claims accuracy.... ...experience, and strong communication skills. This role offers a hybrid work model, combining remote work and field audits. #J-18808-Ljbffr...Remote work
Conduent
San Antonio, TX2 days ago - ...A leading healthcare staffing company is seeking a Medical Coding Auditor in Houston, TX. This role involves reviewing surgical cases to verify the accuracy of coding and providing educational support to coders. Ideal candidates will have 2-5+ years of cardiology coding...Remote work
Insight Global
Houston, TX2 days ago - ...leading service provider in Miami, FL is seeking a Pharmacy Claims Auditor CPhT to ensure accuracy in pharmacy claims. This role involves... .... The position offers a hybrid work model, allowing 25% remote work and includes comprehensive benefits from the first day. Ideal...Remote workWork at office
Conduent
Doral, FL2 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, MD4 days ago - ...a large academic hospital setting, and strong communication skills. Preferred qualifications include relevant certifications and experience with healthcare revenue cycle operations. This position may allow remote work and promotes a diverse culture. #J-18808-Ljbffr...Remote work
US Bankruptcy Court
Palo Alto, CA2 days ago $97k
...experience, alongside expertise in MS-DRG coding and auditing. This role offers competitive salary, a comprehensive benefits package, and opportunities for professional growth in a supportive environment. Flexible remote work with occasional travel required. #J-18808-Ljbffr...Remote workFlexible hoursHumana
Columbus, OH2 days ago- ...A healthcare organization is seeking a Health Information Management Inpatient Coding Auditor Sr. to lead coding teams and perform audits on inpatient coding. The ideal candidate should have a minimum of four years of experience in coding, an associate degree or equivalent...Remote workFull time
Prisma Health
Columbia, SC4 days ago - ...A leading healthcare provider is seeking a Medical Coding Auditor to join their Compliance Team remotely. This full-time role requires extensive knowledge of E/M coding and at least 5 years of relevant experience. Responsibilities include auditing medical records for...Remote workFull timeRelocation package
UNM Medical Group, Inc.
Albuquerque, NM2 days ago - ...A major health insurance provider is seeking a Claims Auditor to analyze and authorize stop loss claims while providing excellent customer service. This full-time position offers a choice between remote and hybrid work. The ideal candidate should have at least 6 years...Remote workFull time
BlueCross BlueShield of South Carolina
Phoenix, AZ2 days ago - ...A major healthcare insurer is looking for a Claims Auditor to audit and authorize reimbursement for medical stop loss claims. The role... ...claims and an Associate's degree. This full-time position offers the flexibility of remote or hybrid work options. #J-18808-Ljbffr...Remote workFull time
BlueCross BlueShield of South Carolina
Chicago, IL2 days ago - ...A healthcare organization in Florida is seeking an ACO Coding Auditor responsible for reviewing medical records and documenting Medicare Risk codes. The role involves on-site and remote audits, providing guidance on coding practices, and ensuring compliance with quality...Remote work
Cano Health
Doral, FL13 hours ago $51k - $68k
...A sustainable energy firm seeks an Energy Auditor in Wilmington, DE, to support energy efficiency programs. The role involves conducting... ..., providing technical support, and working hybrid (3 days remote). Candidates should have 2+ years of relevant experience, a relevant...Remote workFull timeWork at officeNew Ecology
Wilmington, DE4 days ago- ...A woman-owned staffing firm is hiring an Outpatient Coding Auditor for a remote, short-term summer assignment to support annual outpatient audits. The role involves leading coding audits, analyzing trends, and delivering education sessions. Candidates must have AHIMA...Remote workFull timeTemporary workPart timeSummer workFlexible hours
Cedar Park Group
Buffalo, NY2 days ago - ...A leading healthcare insurance provider is seeking an experienced claims auditor to analyze and adjudicate medical stop loss claims. This full-time role allows remote or hybrid work from Dallas and offers a comprehensive benefits package including health plans, 401k with...Remote workFull time
BlueCross BlueShield of South Carolina
New York, NY2 days ago $35 - $45 per hour
...company in Atlanta is seeking an Inpatient Auditing Specialist to conduct coding audits and provide educational support. This fully remote role requires 3-5 years of auditing experience, particularly in Trauma Level 1 facilities. Candidates should possess strong...Remote workHourly payDatavant
Atlanta, GA2 days ago$44 - $46 per hour
A leading debt recovery firm is seeking a Premium Auditor to conduct insurance audits for Workers Compensation and General Liability. The position allows hybrid work from home with travel required 2-4 days a week to audit locations. Candidates should possess an Associate...Remote jobPart timeWork from homeFlexible hours2 days per week- ...stakeholders across regions, and ensuring high-quality audit work. Candidates should have a degree in relevant fields and 4+ years of auditing experience. This position offers a hybrid work schedule, promoting a balance between remote and office work. #J-18808-Ljbffr...Remote workWork at office
NACBA
Indiana, PA2 days ago
