65 rn jobs found

QA Nurse / Coder (RN) As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentationparticularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter noteswhile properly sequencing diagnoses according to federal/state standards and agency policy. Core responsibilities include: Review OASIS forms and Plans of Care for appropriateness, completeness, and compliance. Assign and sequence ICD?10 codes in line with current home health coding guidelines. Ensure consistency and compliance of face-to-face encounter documentation with OASIS and care plans. Conduct additional clinical record audits and OASIS reviews as assigned. Stay current on Medicare reimbursement policies, home health regulations, and compliance requirements. Maintain relevant certifications (HCS?D, HCS?O or COS?C). Participate in quality assurance and performance-improvement efforts. Coordinate with physicians, facilities,...

RN or LPN Certified Professional Coder (CPC) Company Overview Managed Care Network, Inc. is an established managed care company who strives to be the best employer in the Worker’s Compensation and No-Fault marketplace by living our values and by providing a work environment that employees can be proud of. Through our company values, we promote employee growth so each person can Thrive and are appreciated for the expertise, hard work, and passion they bring to the company. We provide unique solutions quickly to solve problems and to make our customers’ jobs easier. Position Summary We are seeking a dedicated RN/LPN Certified Professional Coder (CPC) to join our team. This role blends medical coding expertise with medical record analysis. You will audit medical bills and records for accuracy, causality, and relatedness, prepare medical evidence for clients, and support litigation through affidavits and case summaries. The ideal candidate is highly organized, analytical,...

RN or LPN Certified Professional Coder (CPC) Company Overview Managed Care Network, Inc. is an established managed care company who strives to be the best employer in the Worker’s Compensation and No-Fault marketplace by living our values and by providing a work environment that employees can be proud of. Through our company values, we promote employee growth so each person can Thrive and are appreciated for the expertise, hard work, and passion they bring to the company. We provide unique solutions quickly to solve problems and to make our customers’ jobs easier. Position Summary We are seeking a dedicated RN/LPN Certified Professional Coder (CPC) to join our team. This role blends medical coding expertise with medical record analysis. You will audit medical bills and records for accuracy, causality, and relatedness, prepare medical evidence for clients, and support litigation through affidavits and case summaries. The ideal candidate is highly organized, analytical,...

Eddy Visiting Nurse and Rehab Association is seeking a Registered Nurse (RN) coder/OASIS reviewer to join our interdisciplinary Home Care team. The role allows flexible remote work with opportunities for per diem, part-time, or full-time employment and focuses on coding and OASIS reviews for SOC, ROC, and recertifications. Ideal candidates have a NYS RN license, HCS-D, and ideally HCS-O or COS-C, with at least one year of healthcare experience. #J-18808-Ljbffr

The Eddy Visiting Nurse and Rehab Association is seeking a RN CODER/OASIS Reviewer to join our interdisciplinary Home Care team in a flexible remote-capable role. This position codes and reviews OASIS on SOC, ROC, and RECERTS, aligning with Coding and OASIS guidelines while supporting high-quality patient care. We value NYS RN licensure, HCS-D, and COS-C/HCS-O credentials, with at least one year of healthcare experience; home care experience is preferred. Flexible shifts available. #J-18808-Ljbffr

Eddy Visiting Nurse and Rehab Association in Troy, NY, is seeking a full-time CODER/OASIS reviewer to join our HomeCare team. The role codes and reviews OASIS assessments for SOC, ROC, and RECERTS, collaborating closely with clinicians to maintain high-quality, compliant documentation. Candidates must have CODER certification or be in the process, with at least one year of healthcare experience and NYS RN licensure. #J-18808-Ljbffr

Employment Type: Full time Shift: Day Shift Description: Come join the satisfied, long-term staff of this 5 out of 5 Star Agency. There’s not a local agency that compares to us! Eddy Visiting Nurse and Rehab Association has a rewardingopportunity for a per diem, part time, or full time Registered Nurse (RN) CODER/OASISReviewertojoin ourinterdisciplinaryHome Care team! Flexibility to work remote What you will do: The role of thecoding/OASIS position is to code and complete OASIS reviews on SOC, ROC, and RECERTS, meetingCodingand OASIS guidelines. We take pride in our job at EVNRA working closely with the clinical team to achieve a 5 Star - Top 6% in the country. Requirements: Valid NYS Registered Nurse license Must have current HCS-D Must have either current HCS-O or COS-C (preferred). COS-C Certification would have to be obtained within a year of hire if missing. Must have one yearofpreviousexperience in the health care field. Additionalexperience working with seniorsand/or in home...

South Central Regional Medical Center in Laurel, MS is seeking an RN Coder for SCH Home Health. The role provides nursing care through assessment, planning, implementation, and evaluation, ensuring safe medication administration and documentation. The position emphasizes patient education, coordination of care, and adherence to performance improvement initiatives. Full-time opportunity with potential PRN shifts; requires current RN license by the MS Board of Nursing and strong communication #J-18808-Ljbffr

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. RN CODER - SCH HOME HEALTH Full Time Professionals Laurel, MS, US 11 days ago Requisition ID: 2034 Registered Nurse Job Title: Registered Nurse (RN) Coder Department: SCH Home Health Full Time/PRN: Full Time Job Summary Provides nursing care through assessment, planning, implementation, and evaluation; promotes restorative/supportive care; ensures safe medication administration and documentation. Minimum Qualifications Current RN license by MS Board of Nursing; ability to read/write/communicate effectively. Preferred Qualifications Coordinate care and perform assessments. Develop Plans of Care and educate patients/families. Participate in performance improvement. Physical Requirements Ability to stand and/or walk for extended periods. Frequent bending, reaching, squatting, and kneeling. Lift, carry, push, and...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. RN CODER - SCH HOME HEALTH Laurel, MS, US Registered Nurse Job Title: Registered Nurse (RN) Coder Department: SCH Home Health Full Time/PRN: Full Time Job Summary Provides nursing care through assessment, planning, implementation, and evaluation; promotes restorative/supportive care; ensures safe medication administration and documentation. Minimum Qualifications Current RN license by MS Board of Nursing; ability to read/write/communicate effectively. Preferred Qualifications Coordinate care and perform assessments. Develop Plans of Care and educate patients/families. Participate in performance improvement. Physical Requirements Ability to stand and/or walk for extended periods. Frequent bending, reaching, squatting, and kneeling. Lift, carry, push, and pull up to 50 lbs independently; >50 lbs with...

South Central Regional Medical Center in Laurel, MS, is hiring an RN Coder for SCH Home Health. The role delivers nursing care through assessment, planning, implementation, and evaluation. This position promotes restorative and supportive care, ensures safe medication administration, and accurate documentation. Ideal candidates hold an MS Board of Nursing license and can coordinate care and educate patients and families, while participating in performance improvement. #J-18808-Ljbffr

Job Description Job Summary The Clinical RN Auditor is responsible for ensuring clinical documentation meets regulatory standards and procedures. This role involves reviewing potential quality of care issues, understanding workflows, and establishing patient care plans to support technical and clinical requirements. The auditor works to improve clinical outcomes by monitoring documentation accuracy and consistency, reducing risk, evaluating data, and collaborating with the manager of clinical outcomes to provide expertise in coding classifications. Initial Onboarding Initial onboarding will take place at our offices in Colchester, VT. The position will then be a hybrid work arrangement with 1-2 days per week in our offices located in Colchester, VT. In-person meetings are also required at least quarterly. Qualifications / Job Requirements Education and Licensure Current unencumbered Vermont RN Licensure Homecare Coding Specialist- Diagnosis, or ability to obtain within one year...

The RN Auditor role focuses on ensuring clinical documentation meets regulatory standards and supports accurate coding. You will review quality of care issues, understand workflows, and help establish patient care plans to improve outcomes. Initial onboarding occurs at Colchester, VT, followed by a hybrid work arrangement with 1-2 days per week in Colchester and quarterly in-person meetings. Strong attention to detail and communication are essential. #J-18808-Ljbffr

Hattiesburg Clinic, PA is seeking an Outpatient Coder responsible for completing charge documents for outpatient services in a primary care setting. The ideal candidate will have a CPC certification or be a graduate from a nursing school, with solid experience and knowledge of medical coding guidelines. This full-time position requires working on-site for initial training, with the possibility of transitioning to remote work. Strong multitasking abilities and excellent communication skills are essential. #J-18808-Ljbffr

UnitedHealth Group in San Juan, Puerto Rico, is seeking a skilled Clinical Auditor to review professional and facility claims, compare with medical records, and determine claim viability for further processing. The role emphasizes data accuracy, compliance, and clear clinical reasoning for providers. The position requires a Coding Certificate or Nursing Licensure, proficiency with Microsoft Office, and fluency in English and Spanish. #J-18808-Ljbffr

Description MaineHealth Corporate (100% remote) Professional - Nonclinical Req #: 83708 Summary: The Inpatient Coder III role is responsible for identifying and accurately assigning ICD diagnostic and ICD procedural codes after thorough review of provider documentation; and abstracts demographic and clinical information for inpatient records for the purpose of data collection, reimbursement, research and compliance with state and federal regulations and other agencies utilizing established coding principles and protocols. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate's Degree in Health Information Management and/or Bachelor's Degree in Health Information Management, or other science-based degree such as nursing preferred. License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS) or Certified...

Senior Managing Director Ankura is a team of excellence founded on innovation and growth. Ankura's Health Care team is a recognized leader in health care and life sciences disputes, compliance, and investigations. The team combines clinical, technical, operational, financial, economic, and analytic expertise to help clients and counsel resolve complex matters involving payers, providers, pharmacies, and law firms. The Senior Managing Director will be an executive-level, self-sustaining rainmaker who originates, sells, leads, and testifies in complex healthcare commercial disputes. The role requires a credible marketplace presence with health plans, law firms, and healthcare-focused private equity or strategic stakeholders. Responsibilities: Proven, tangible business development record with the ability to produce at least $3M in revenue and a target opportunity to generate $3M to $5M+ annually Manage and deliver results for a portfolio of projects, which typically includes...

Outpatient CoderPride Health is hiring an Outpatient Coder for a fully remote opportunity supporting our healthcare client.Schedule: DaysLocation: RemoteJob Type: ContractContract Length: 26 WeeksPay Range: $35 - $38/hr on W2Pay offered is based on experience, expertise, credentialing, and education.Duties:Review and interpret patient medical records.Assign accurate ICD-10-CM and CPT-4 codes based on physician documentation.Primarily code complex: Ambulatory surgery casesObservation visitsSpecial proceduresAssist with outpatient ancillary, specialty clinic, and emergency department coding as needed.Abstract required information from medical records.Enter coding and abstracted information into the electronic health record.Submit physician queries when additional documentation or clarification is required.Collaborate with physicians and Clinical Documentation Specialists.Maintain a minimum 95% coding accuracy rate.Stay current with coding guidelines, documentation requirements, and...

Certified Professional Coder Job Location: Hopewell, NJ Job Duration: 6 Months (possibility of extension) Payrate: $35 - $38/ hr. on w2 Job Summary: This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends. The role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. The position also provides education and guidance on ICD-10-CM coding, DRG assignment, payment methodologies, and auditing practices. Key Responsibilities: Lead hospital billing and coding audits, both on-site and remote Identify and present billing discrepancies and coordinate improper claim payment referrals Analyze trends related to documentation, billing errors, and provider contract interpretation issues Compile audit reports,...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more These are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from patient medical records....

Remote / Work from Home / Virtual / Hybrid Department CDI Team Schedule Full-time Facility Shadeland Station Shadeland Ave Indianapolis , IN 46256 United States Community Health Network 8.14K subscribers Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you. Partner with Community Health Network and Deaconess Health System – IHCI The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community...

This position is located in the Health Administration Service (HAS), Health Information Management ( HIM) section at the VA Greater Los Angeles Healthcare System. MRTs (Auditor) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, group practices, multi-specialty clinics, and specialty centers. Basic Requirements a. Citizenship . Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) b. Experience and Education (1) Experience. One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records. OR, (2) Education. An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information...

Medical Coder - Outpatient Pride-Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors. Fair Chance Employment Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential...