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Clinical Audit Denial Rn Jobs (NOW HIRING)

Salgado LLC

RN Clinical Manager

San Jose, CA

$157K/yr

Audit Leadership: Serve as the clinical audit lead during official CMS and DHCS reviews ... Active, unencumbered Registered Nurse (RN) license in the state of California. * Leadership ...

Salgado LLC

Clinical Nurse Manager - RN

San Jose, CA

$157K - $207K/yr

Audit Leadership: Serve as the clinical audit lead during official CMS and DHCS reviews ... Active, unencumbered Registered Nurse (RN) license in the state of California. * Leadership ...

TEEMA Group

RN Clinical Coordinator

White Plains, NY

$61 - $79/hr

Ensures department goals of LOS reduction, readmission prevention, denial reduction, and ... Retro/self-audit * MC variance * Admission clinical review * The RN Care Manager collaborates with ...

WVU Medicine

Clinical Revenue Cycle Educator

EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Current Registered Nurse license issued by the state ... Track completion, competency, audit scores, and denial trends to evaluate program impact and refine ...

Vivian Health

Denial and Appeals RN in Durham, CT

Durham, CT · On-site

$21.50 - $26.50/hr

Denial and Appeals RN / Clinical Resource Management Location Detail: 1290 Silas Deane Hwy Wethrsfld (10181) Shift Detail: Monday through Friday 7a-330pm, no holidays and weekends Work where every ...

Vivian Health

Denial and Appeals RN in Enfield, CT

Enfield, CT · On-site

$22.25 - $27.75/hr

Denial and Appeals RN / Clinical Resource Management Location Detail: 1290 Silas Deane Hwy Wethrsfld (10181) Shift Detail: Monday through Friday 7a-330pm, no holidays and weekends Work where every ...

Dovel Technologies, Inc

$68K - $113K/yr

... and clinical documentation supporting level of care and services rendered. Identify denial root ... What You Will Need Current unrestricted Registered Nurse license in the state you reside. (Compact ...

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Clinical Audit Denial Rn information

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How much do clinical audit denial rn jobs pay per year?

As of Sep 13, 2026, the average yearly pay for clinical audit denial rn in the United States is $89,949.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,000.00 and $104,500.00 per year, depending on experience, location, and employer.

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For Clinical Audit Denial Rn jobs, the most frequently searched job titles are:

Infographic showing various Clinical Audit Denial Rn job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 71% Full Time, 18% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $89,949 per year, or $43.2 per hour.

RN Clinical Reimbursement Specialist

Oklahoma City, OK • On-site

INTEGRIS Health
See more jobs at INTEGRIS Healthexternal

Full-time

Medical, PTO

Posted 24 days ago

Integris Health rating

6.6

Company rating: 6.6 out of 10

Based on 182 frontline employees who took The Breakroom Quiz

Job description

Join our team as a RN Clinical Reimbursement Specialist at INTEGRIS Health in Oklahoma City, OK.

Get to Know Your Team

  • INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.

  • Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.

  • Take your first step toward growing your career by joining us.

INTEGRIS Health mission: Partnering with people to live healthier lives.

To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.

INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.

* Current licensure as a Licensed Practical Nurse (LPN) or Registered Nurse (RN) in the State of Oklahoma or current multistate license from a Nurse Licensure Compact (eNLC) member state and 8 years' experience working with healthcare facilities, health insurance or managed care companies, and 10 years demonstrated experience working with healthcare facilities, health insurance or managed care companies 

* 6 years of direct managed care or case management experience 

* Knowledge and proficiencies with government rules and regulations, managed care contracts, provider relations, pre-certification, reimbursement, financial analysis, and patient accounting 

* Knowledge of legal documents, collection agency procedures, and contract documents 

* Must be able to communicate effectively in English (Verbal/Written)

INTEGRIS Health is an Equal Opportunity Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

The RN Clinical Reimbursement Specialist is responsible for identifying and preparing clinical appeals for government, managed care organizations, and various other payors. Provides assistance and guidance in the maintenance of the charge description master for the INTEGRIS Health system.

The RN Clinical Reimbursement Specialist responsibilities include, but are not limited to, the following:

  • Assists the Director of Revenue Recovery in the training and development of all INTEGRIS recovery staff related to clinical and non-clinical payment issues
  • Oversees and manages the INTEGRIS System clinical denial management process
  • Identifies inaccurate and/or problematic denial and payment trends and assists with the development of a plan to insure facilities receive maximum reimbursement
  • Participates in Utilization Management Committee for all INTEGRIS facilities to report denial issues and develop preventive strategies in collaboration with the physicians
  • Analyzes, prepares and distributes monthly denial reports to Vice Presidents, Directors and Managers of specified hospital departments
  • Responds to utilization management clinical denials issued by government contracted vendors for the Medicare and Medicaid programs
  • Supports Case Management and other hospital departments with clinical expertise in regards to both payor and patient clinical denial inquiries
  • Assists the Chargemaster Consultant in the development, implementation, maintenance and audit functions related to the chargemaster description master.
  • Analyzes denial trends for documentation or charging issue opportunities and facilitates cross-departmental collaboration to improve processes and develop best practices.
  • Identifies charging, coding or clinical documentation issues and works with ancillary departments to resolve issues and notify appropriate leadership.
  • Educates and maintains effective and practical knowledge of government and managed care payer rules, regulations and requirements.
  •  

Reports to assigned Corporate Manager. This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Minimal. 

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