Nurse Auditor Work From Home Jobs

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47 Nurse Auditor Work From Home jobs found on Monster.

Jobs 1 to 20 of 47
Occupational Summary The Nurse Clinician is responsible and accountable for clinical expertise for specific patient populations. The incumbent functions as a clinician, educator, investigator, consultant and leader. Clinical judgments are based on a synthesis of current research, concepts, principles, theories, and outcomes to solve complex problems. The Nurse Clinician functions as an integral p...
DRG Validation Auditor (Remote) CGI Federal, a wholly owned subsidiary of CGI, and a leader in providing clinical auditing services to public and commercial healthcare payers throughout the US, has openings for DRG Validation Auditors. As members of CGI Federal ‘s DRG Validation Team, incumbents will be responsible for reviewing medical records to determine the accuracy of coding and reimbursemen...
Healthfirst Houston, TX
Healthfirst is a not-for-profit managed care organization sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. We are one of the fastest growing health plans in our area with over 900,000 diverse members and a network of more than 24,000 providers and 3,400 employees. Our mission is to ensure that our members have superior healthcare and s...
Vista Health Region), TN
Regulatory Compliance Auditor-1473115 Description Community Health Systems Professional Services Corporation is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease more than 200 hospitals in 29 states, with an aggregate of approximately 31,000 licensed beds. The consolidated organization owns and leases community hospitals that offer...
Description Community Health Systems Professional Services Corporation is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease more than 200 hospitals in 29 states, with an aggregate of approximately 31,000 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare inc...
Community Health Systems Inc Franklin, TN
Description Community Health Systems Professional Services Corporation is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease more than 200 hospitals in 29 states, with an aggregate of approximately 31,000 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare inc...
Coding licensure certification required and maintained (CPC-H, CCS, CPC, CCS-P, CCS-A) as a condition of employment. Minimum of 5 years direct experience in medical chart review for all provider/claim types inpatient/outpatient etc. Requires working knowledge of provider billing guidelines, payer reimbursement policies, HIPAA Privacy and Security Rules and CMS security requirements. Requires exper...
CGI Group Inc Cleveland, OH
Position Description: CGI Federal, a wholly owned subsidiary of CGI, and a leader in providing clinical auditing services to public and commercial healthcare payers throughout the US, has openings for DRG Validation Auditors. As members of CGI Federal ?s DRG Validation Team, incumbents will be responsible for reviewing medical records to determine the accuracy of coding and reimbursement for clin...
CGI Technologies and Solutions Inc. Cleveland, OH
Position Description: CGI Federal, a wholly owned subsidiary of CGI, and a leader in providing clinical auditing services to public and commercial healthcare payers throughout the US, has openings for DRG Validation Auditors. As members of CGI Federal ‘s DRG Validation Team, incumbents will be responsible for reviewing medical records to determine the accuracy of coding and reimbursement for clin...
IMARC Research, Inc. Strongsville, OH
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CGI Federal, a wholly owned subsidiary of CGI, and a leader in providing clinical auditing services to public and commercial healthcare payers throughout the US, has openings for DRG Validation Auditors. As members of CGI Federal s DRG Validation Team, incumbents will be responsible for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered t...
Description Remote DRG Auditor (Work from home) The Auditor, DRG MCR (Medical Chart Review) position has an extensive background in billing, inpatient coding and reimbursement guidelines and specifically has a solid understanding of the MS-DRG, AP-DRG and APR-DRG payment systems. This position is responsible for auditing client data and generating high quality recoverable claims for the benefit ...
Description The Outpatient and Specialty Auditor, MCR (Medical Chart Review) position has an extensive background in billing, coding and reimbursement guidelines and specifically has a solid understanding of one or more of the following disciplines from a coding and billing perspective: RUGS, IRF, APC, Home Health, ER, Diagnostics and Professional Service . This is an individual who has knowledge...
Anthem Blue Cross Blue Shield Houston, TX
Job Description: WellPoint is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide. Amerigroup, a proud member of the Anthem, Inc. family of companies, is focused on serving Medicaid, Medicare and uninsured individuals and families. We improve access to quality health care for the financially vulnerable, seniors and people with dis...
Amerigroup , a proud member of the Anthem, Inc. family of companies, is focused on serving Medicaid, Medicare and uninsured individuals and families. We improve access to quality health care for the financially vulnerable, seniors and people with disabilities. Here, you can do work that matters and offers opportunities for personal and professional growth. Together, our associates are transformin...
Beacon Health System South Bend, IN, 46601
Beacon Health System Director Home Health Site (BHV) Weights - (Total:100%) JOB SUMMARY Reports to the Director, Home Health Agency Services. Responsible for directing and managing the assigned Home Health Agency Division of Beacon Health Ventures. Maintains primary responsibility and authority in the areas of patient care, state licensure, accreditation, recruitment, supervision and developme...
Description: This position will work on the New York HARP program For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) This position is a telecommute / work from home position and will req...
Description: This position will work on the New York HARP program For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) This position is a telecommute / work from home position and will req...
Description: This position will work on the New York HARP program For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) This position is a telecommute / work from home position and will req...
Description: This position will work on the New York HARP program For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) This position is a telecommute / work from home position and will req...

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