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Medical Record Review Remote Jobs

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14 fresh jobs found
Disability Claims Examiner (Remote) (Bilingual Preferred)
Wash, 213 Washington St., Newark, NJ Prudential Financial logo Prudential Financial  Remote-first
Financial calculations Group Insurance Disability claims Contract Interpretation Medical Record Review Bilingual (English PC Claims management Bilingual (Spanish) +20
Entry Full Time
USD 54K+
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RN Quality Clinical Management Lead Analyst, Work from Home, Anywhere, USA
Pennsylvania Work at Home The Cigna Group logo The Cigna Group
Patient Disease Processes Database navigation Ncqa standards Quality of care HEDIS Medical Record Review Quality review Health Services Quality improvement +35
Senior Mid Full Time
USD 73K+
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Clinical Reviewer - RN (Remote U.S.)
United States - Remote Acentra Health logo Acentra Health
URAC Strong organizational Urac standards Data Abstraction Medical record abstracting Web navigation Ncqa standards NCQA Medical Record Review +33
Mid Full Time
USD 44K+
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Clinical HEDIS Manager
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE% Reveleer logo Reveleer
NCQA guidelines Interdisciplinary communication Member Management Submissions Abstraction Data Retrieval Medical Record Review HEDIS Risk Adjustment +23
Senior Mid Full Time
USD 100K+
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Clinical Abstraction Lead - HEDIS
Remote, United States Cotiviti logo Cotiviti
Clinical abstraction Data entry software Productivity standards Abstraction Team Supervision Remote Collaboration Medical Record Review HEDIS Reporting tools +21
Senior Full Time
USD 80K+
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Utilization Clinical Reviewer (Remote within State of California)
Los Angeles, California, United States - Remote Acentra Health logo Acentra Health
Medicaid Knowledge Strong organizational Psychiatric care Data documentation Medical Record Review Mental health services Clinical Review Medical necessity Detail Orientation +35
Mid Full Time
USD 76K+
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Quality Mgmt Spec I
Chicago Illinois HQ (300 E. Randolph Street) Health Care Service Corporation logo Health Care Service Corporation
Statistical reporting Clinical Practice Guidelines NCQA Training Coordination Medical Record Review PC Proficiency PC Clinical Practice Registered Nurse +20
Mid Full Time
USD 58K+
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Clinical Reviewer-Immediate Advocacy Discharge Assistance, RN (Remote)
United States - Remote Acentra Health logo Acentra Health
Medical record abstracting Action plans Internet navigation Disease Processes Medical Record Review Healthcare Delivery Discharge planning Medical Records Utilization Review +27
Mid Full Time
USD 44K+
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LTD Claims Specialist
Dover, NH, US Lincoln Financial logo Lincoln Financial
Medical Record Review Disability Management Reinsurance Leadership Development Claims management Multi-tasking Life Insurance Coaching Customer service +5
Mid Full Time
USD 50K+
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RN Consultant Team Lead - Professional Liability
Recruiting Only - Telecommuter Sedgwick logo Sedgwick
Legal nurse consulting Report proofreading Clinical Nursing Medical Record Review Professional liability Liability Staffing Judgment Disability +14
Senior Full Time
USD 80K+
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Nurse Auditor 2
Remote US Humana logo Humana
Clinical audit Medical record documentation Coding certification Medical Record Review Medical claims CPT codes Clinical Review CPT Consumer Experiences +37
Mid Full Time
USD 69K+
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DRG Nurse Quality Auditor, Sr. Specialist - Remote in US
Any city, OK, US, 99999 Gainwell Technologies logo Gainwell Technologies
CC Education content development DRG auditing MCC Coding reviews Payment methodologies DRG validation Training Initiatives APR-DRG +38
Senior Full Time
USD 64K+
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Clinical Quality Nurse Reviewer, Sr. Specialist - (RN Remote in US)
Any city, NC, US, 99999 Gainwell Technologies logo Gainwell Technologies
Clinical quality review InterQual criteria Chart Audits Clinical criteria guidelines Productivity standards Medical Record Review RN license InterQual Clinical Criteria +28
Senior Full Time
USD 64K+
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Outpatient Coder II - Remote Oncology
United States Tenet Healthcare logo Tenet Healthcare
Coding Quality Coding Productivity Encoder AHIMA Ethical Coding Medical record coding Anatomy and Physiology Outpatient coding Medical Record Review +21
Entry Mid Full Time
USD 61K+
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