• Nurse Auditor

    Actalent (West Des Moines, IA)
    Nurse Auditor Job Description This role requires a...a hybrid schedule of 3 days in-office and 2 days remote . The work hours are Monday to Friday, 8 AM ... of standard medical coding, including CPT, ICD-10, and HCPCS. The Nurse Auditor is responsible for adjudicating claims to comply with client contracts… more
    Actalent (09/12/25)
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  • Profee Clinical Data Quality Admin (CDQA) / Coding…

    Virtua Health (Mount Laurel, NJ)
    …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... the Children's Hospital of Philadelphia for pediatrics. Location: 100% Remote Currently Virtua welcomes candidates for 100% remote... Remote Currently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID,… more
    Virtua Health (07/28/25)
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  • Clinical Revenue Auditor -CDM Patient…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical Revenue ... throughout the organization. **License** ? Current NYS licensure (Registered Nurse (RN), Occupational Therapist (OT), Physical Therapist (PT), Speech-Language… more
    Mount Sinai Health System (09/24/25)
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  • DRG Auditor - November Class

    Insight Global (South Jordan, UT)
    Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote . This person should have an extensive background in ... and coding terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding/clinical documentation certification (2 years… more
    Insight Global (09/18/25)
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  • Clinical Documentation Specialist Auditor

    UNC Health Care (Chapel Hill, NC)
    …the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as ... certification - AAPC (American Academy of Professional Coders) certification - RN (Registered Nurse ) license - LPN (Licensed Practical Nurse ) license - Advance… more
    UNC Health Care (07/29/25)
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  • Medical Management Auditor

    Centene Corporation (Jefferson City, MO)
    …other duties as assigned + Complies with all policies and standards POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN MISSOURI **Ideal candidate will be a Licensed ... Practical Nurse (LPN)** **Education/Experience:** Bachelor's degree in related field or...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (09/12/25)
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  • Clinical Documentation Auditor

    AdventHealth (Orlando, FL)
    …we are even better. **Schedule:** Full Time **Shift** : Days **Location: Remote ** **The role you'll contribute:** The Clinical Documentation Integrity Manager is a ... Registered Nurse and/or a Registered Health Information Administrator with a...and Certifications Current active State license as a Registered Nurse , Nurse Practitioner, Physicians Assistant, Medical Physician,… more
    AdventHealth (08/18/25)
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  • Remote Revenue Integrity Charge Specialist

    Trinity Health (Livonia, MI)
    …Maintains productivity standards Maintains compliance with regulatory requirements Assist Nurse Auditor and/or Coordinator with denial coordination process; ... RHIA, RHIT, CCS, CPC/COC or other coding credentials and/or Licensed Vocational Nurse / Licensed Practical Nurse licensure is required. CHC (Healthcare Compliance… more
    Trinity Health (09/06/25)
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  • Clinical Documentation Specialist, Second Reviewer

    SSM Health (MO)
    **It's more than a career, it's a calling.** MO- REMOTE **Worker Type:** Regular **Job Summary:** Performs as a vital member of the interdisciplinary care team ... member, an auditor , and an educator ensuring medical records are complete...- Regional MSO Credentialing + Or + Registered Professional Nurse (RN) - Illinois Department of Financial and Professional… more
    SSM Health (09/06/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …by members, and members' health outcomes.** **Note: This is a fully remote opportunity. Eastern Time Zones preferred.** **Responsibilities** **HEDIS Analyst II** + ... To include data documentation, compilation, reconciliation, and research.Works directly external HEDIS/NCQA auditor to resolve any items on Issue Log. + Reviews data… more
    Medical Mutual of Ohio (08/16/25)
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