- 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
- 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
- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire Hours: 40 ... Start Date: December 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities for a state… more
- UPMC (Pittsburgh, PA)
- …full time position working Monday through Friday daylight hours and will be fully remote .. The Clinical Auditor /Analyst is an integral part of the Risk ... has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a...as necessary to address issues and concerns. + Registered Nurse (RN), or Bachelor of Science in Nursing (BSN).… more
- 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
- 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
- Robert Half Accountemps (Boston, MA)
- …weekend coverage, and on-call stress. Many roles offer standard business hours with remote or hybrid options. + Career growth outside traditional clinical paths + ... healthcare administration, or corporate healthcare roles. Requirements Featured Opportunity: RN Auditor / Clinical Reviewer + Work for a Fortune 500 healthcare… more
- Trinity Health (Livonia, MI)
- …to intra-departmental Revenue Integrity colleagues including areas of opportunity. Assist Nurse Auditor and/or other stakeholders with denial related charge ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Purpose** Work Remote Position Responsible for the data capture, analysis & reporting of data… more
- 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
- 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