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From Home Remote Rn Chart Review Jobs in Colorado

Remote, with meetings conducted via video conferencing or phone No cold calling: Warm leads ... homes, via Zoom, or over the phone Assist clients in applying for insurance policies Sell ...

Performs clinical chart reviews to ensure documentation accuracy by applying established clinical ... Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 ...

Performs clinical chart reviews to ensure documentation accuracy by applying established clinical ... Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 ...

Clinical Support Auditor (IKC)

Denver, CO ยท On-site +1

$35.75 - $48/hr

... Registered Nurse that can provide expertise, education, coaching, and guidance on clinical practice ... Performs clinical chart reviews to ensure documentation accuracy by applying established clinical ...

Clinical Support Auditor (IKC)

Denver, CO ยท On-site +1

$35.75 - $48/hr

... Registered Nurse that can provide expertise, education, coaching, and guidance on clinical practice ... Performs clinical chart reviews to ensure documentation accuracy by applying established clinical ...

Clinical Support Auditor (IKC)

Denver, CO ยท On-site +1

$35.75 - $48/hr

... Registered Nurse that can provide expertise, education, coaching, and guidance on clinical practice ... Performs clinical chart reviews to ensure documentation accuracy by applying established clinical ...

... review * Develop and manage individualized care plans for patients with chronic lung conditions ... Set your own schedule and work from anywhere in the US. Tell us your desired caseload and we'll ...

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Showing results 1-20

From Home Remote Rn Chart Review information

What is the difference between From Home Remote Rn Chart Review vs From Home Remote LPN Chart Review?

AspectFrom Home Remote Rn Chart ReviewFrom Home Remote LPN Chart Review
Required CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote, home-basedRemote, home-based
Job ResponsibilitiesComprehensive chart review, clinical decision supportBasic chart review, data entry
Industry UsageHospitals, insurance companies, healthcare providers

While both roles involve remote chart review, Rn Chart Review requires an RN license and involves more complex clinical assessments, whereas LPN Chart Review requires an LPN license with more routine data review tasks. The RN role typically offers higher responsibility and pay, reflecting the advanced clinical skills needed.

What cities in Colorado are hiring for From Home Remote Rn Chart Review jobs? Cities in Colorado with the most From Home Remote Rn Chart Review job openings:
RN, DRG Coder / Clinical Auditor

RN, DRG Coder / Clinical Auditor

Pivotal Placement Services

Denver, CO โ€ข Remote

$95K - $105K/yr

Full-time

This job post hasย expired 1 day ago.ย Applications are no longer accepted.


Job description

RN, DRG Coder / Clinical Auditor
Must be a Registered Nurse with experience

๐Ÿ“ Remote | Full-Time | ๐Ÿฅ Healthcare | Clinical Documentation & Coding

About the Role

Weโ€™re seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records and documentation. This role ensures accurate coding and clinical support for DRG assignments, helping improve billing accuracy, reimbursement, and compliance. Youโ€™ll work independently to review records, validate coding, and communicate findings clearly and professionally.


Key Responsibilities
  • Chart Review & Validation
    Review medical records to validate DRG assignments and ensure clinical documentation supports coding decisions.

  • Physician Documentation Review
    Confirm that physician notes and clinical indicators support assigned DRGs.

  • Audit & Compliance
    Conduct audits to verify coding accuracy, enhance reimbursement, and identify cost-saving opportunities.

  • Coding Expertise
    Apply ICD-10-CM and PCS coding guidelines, payer rules, and regulatory standards (Medicare, Medicaid, CMS).

  • Communication & Reporting
    Clearly document findings and communicate results in a professional and concise manner.

  • Other Duties
    Support additional documentation and coding-related tasks as assigned.


Qualifications
  • Licensure: RN
  • Experience:
    • Minimum 1 year of recent DRG auditing experience in a hospital or health plan setting.
    • Inpatient ICD-10 coding experience required.
    • CDI candidates are encouraged to apply.
  • Certifications:
    • National coding certification through AHIMA (preferred) or AAPC.
    • CCS or CIC strongly preferred.
  • Technical Skills:
    • Proficient in MS and APR DRG methodology.
    • Familiarity with Coding Clinic citations and Official Coding Guidelines.
    • Strong understanding of Medicare/CMS documentation requirements.
  • Soft Skills:
    • Exceptional attention to detail.
    • Strong problem-solving and critical thinking abilities.
    • Effective verbal and written communication.
    • Ability to work independently in a fast-paced, production-driven environment.
  • Tools:
    • Proficient in Microsoft Office Suite.

Compensation

๐Ÿ’ต Pay Range: $90,000 โ€“ $104,841
Salary is based on location, experience, qualifications, and internal equity. Final compensation may vary depending on assessment during the interview process.


Who We Are

Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionalsโ€”from staff to leadershipโ€”with both clinical and non-clinical employers. Our comprehensive and customer-focused workforce solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.