NurseRemotely

Humana is seeking a Nurse Auditor 2 to perform clinical audit/validation of medical records to ensure accurate diagnosis coding and compliant billing for optimal reimbursement. The role involves interpreting documentation, identifying high-risk HCCs, and recommending improvements. The position is remote with occasional travel to Humana offices for training or meetings; typical hours are Monday–Friday, with start times in the home time zone. Requires RN license and inpatient care experience. #J-18808-Ljbffr

SYSTEMTEC is seeking a Clinical Analyst / Medical Coding Specialist for a remote opportunity for candidates working EST hours.Candidate will provide clinical coding and business analysis expertise within a complex healthcare environment, supporting the review, interpretation, and implementation of ICD-10, CPT, and HCPCS updates. The role will partner with healthcare, policy, operations, and technology stakeholders to document requirements, evaluate business impacts, and support ongoing healthcare system improvements. Required Qualifications of the Clinical Analyst/Medical Coding Specialist: Applicants must be authorized to work for any employer in the U.S. We are unable to provide sponsorship or work with Third-Party agencies. Bachelor’s degree in a healthcare-related field. Current CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) certification. 3+ years of professional experience in healthcare. 3+ years of experience with ICD-10, CPT, and HCPCS coding...

SYSTEMTEC is seeking a Clinical Analyst / Medical Coding Specialist for a remote opportunity with EST hours. You will provide clinical coding and business analysis expertise within a complex healthcare environment, supporting ICD-10, CPT, and HCPCS updates while partnering with stakeholders to document requirements and drive system improvements. Required CPC or CCS certification and 3+ years in healthcare, with travel to Columbia, South Carolina for onsite meetings at your own expense. #J-18808-Ljbffr

SYSTEMTEC is seeking a Clinical Analyst / Medical Coding Specialist for a remote opportunity with EST hours. You will provide clinical coding and business analysis expertise within a complex healthcare environment, supporting ICD-10, CPT, and HCPCS updates while partnering with stakeholders to document requirements and drive system improvements. Required CPC or CCS certification and 3+ years in healthcare, with travel to Columbia, South Carolina for onsite meetings at your own expense. #J-18808-Ljbffr