• Nurse Auditor

    Actalent (West Des Moines, IA)
    Job Title: Nurse Auditor Job Description We are...hybrid schedule with 3 days in-office and 2 days remote , with work hours from Monday to Friday, 8 ... seeking a highly skilled Nurse Auditor who can understand the intricacies of standard medical coding, including CPT, ICD-10, and HCPCS. The successful candidate… more
    Actalent (08/30/25)
    - Related Jobs
  • 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)
    - Related Jobs
  • DRG Auditor

    Insight Global (South Jordan, UT)
    Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote . The work authorization is not specified and the ... * Expert coding knowledge (DRG & ICD-10) * Registered Nurse RN (must be inpatient) WITH coding/clinical documentation certification...(2 years in clinical documentation) OR IF NOT A NURSE : Degree in RHIM, RHIA, RHIT with medical coding… more
    Insight Global (08/26/25)
    - Related Jobs
  • 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)
    - Related Jobs
  • 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)
    - Related Jobs
  • Clinical Coding Appeals Nurse

    R1 RCM (Salt Lake City, UT)
    …AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to draft ... Proficiency in basic computer skills is essential for excelling in this remote production-drive position. **Here's what you will experience working as a Clinical… more
    R1 RCM (08/31/25)
    - Related Jobs
  • 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 (08/13/25)
    - Related Jobs
  • 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)
    - Related Jobs
  • Senior Accountant

    Geo-Technology Associates, Inc. (Abingdon, MD)
    …financial regulations and policies. + Prepare documentation for audits and respond to auditor inquiries. + Provide data for tax filings and CPA firm requirements. ... and more + Peak Health Wellness Plan - personalized nurse consultations, no-cost lab work, and ongoing wellness support...hybrid schedule of 4 days in-office and 1 day remote , with flexibility as needed. We ensure nondiscrimination and… more
    Geo-Technology Associates, Inc. (08/29/25)
    - Related Jobs
  • Case Manager, RN or Licensed Behavioral Health…

    Excellus BlueCross BlueShield (Dewitt, NY)
    …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects...paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus… more
    Excellus BlueCross BlueShield (08/28/25)
    - Related Jobs