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Full Time Remote New Grad Rn Jobs in Washington (NOW HIRING)

Pair Team

Medicare Nurse Practitioner (Remote)

Columbia, MD · Remote

$115K - $130K/yr

Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Willingness and ability to obtain additional state NP licenses as Pair Team expands into new ACCESS ...

QTC

Registered Nurse

Mclean, VA · On-site +1

Leidos QTC Medical Group is seeking a full-time Registered Nurse to join our team at locations throughout the Northern Virginia area, providing important healthcare services to employees and their ...

Maximus

Health Specialist (RN, Remote and Temporary)

VA · On-site +1

General information Job Posting Title Health Specialist (RN, Remote and Temporary) Date Thursday, May 28, 2026 City Remote Country United States Working time Full-time Description & Requirements The ...

Cinqcare

Registered Nurse

Laurel, MD · Remote

Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions ... The RN will establish the business strategy and roadmap: (1) improve outcomes for Grace at Home ...

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All JobsFull Time Remote New Grad Rn JobsFull Time Remote New Grad Rn Jobs in Washington

Full Time Remote New Grad Rn information

What is the difference between Full Time Remote New Grad Rn vs Full Time Remote Registered Nurse?

AspectFull Time Remote New Grad RnFull Time Remote Registered Nurse
CredentialsState RN license, new graduate certificationState RN license, experience preferred
Work EnvironmentRemote, healthcare setting, supervised trainingRemote, healthcare setting, more autonomous
Employer & IndustryHospitals, clinics, telehealth companiesHospitals, telehealth, insurance companies
Search & Comparison IntentEntry-level, recent grads, remote nursing jobsExperienced nurses seeking remote roles

The main difference is experience level and expectations. Full Time Remote New Grad Rn roles are designed for recent graduates with less experience, focusing on training and supervision. Full Time Remote Registered Nurse positions typically require prior experience and offer more autonomy. Both roles are remote healthcare jobs, but they cater to different stages of a nurse's career.

Full Time Remote New Grad Rn jobs near you
SIU Nurse Auditor, RN, CPC (Full-time, Remote)

SIU Nurse Auditor, RN, CPC (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA • On-site, Remote

Full-time

Posted 15 days ago

Job description

Job Title: Clinical Nurse Auditor - Payment Integrity
Job Summary
We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential.
How You Will Make an Impact
  • Investigations and Audits: Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
  • Tool and Policy Development: Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
  • Cross-Departmental Collaboration: Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
  • Data Analysis and Trending: Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
  • Fraud Detection Support: Support fraud investigators with medical review expertise to detect and address fraudulent activities.
  • Mentorship: Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.

Requirements
Qualifications
  • Education:
    • Minimum Associate's Degree in Nursing required;
  • Licensure & Certification:
    • Current, unrestricted Registered Nurse (RN) license in applicable state(s).
    • Certification in medical coding from AAPC or AHIMA (e.g., CPC, CIC, CDI, or equivalent) is highly preferred.
  • Experience:
    • Minimum 5 years of clinical nursing experience, preferably with exposure to hospital bill auditing or defense auditing.
    • Strong knowledge of provider manuals, reimbursement policies, and medical policy guidelines.
    • Prior experience with healthcare fraud investigation and auditing is highly preferred.
  • Skills:
    • Proficiency in CPT/HCPCS and ICD-10 coding, with a strong foundation in auditing, accounting, and control principles.
    • Analytical and problem-solving skills with a keen attention to detail.
    • Exceptional written and verbal communication skills for clear and effective reporting and provider engagement.
    • Strong proficiency in Microsoft Office and familiarity with audit tracking systems.

Preferred Traits
  • Meticulous, organized, and objective in analyzing claims and documentation.
  • Ethical and responsible, with a commitment to supporting the integrity of healthcare billing and reimbursement.
  • Able to work independently, stay current with rapidly changing healthcare regulations, and thrive in a fast-paced environment.

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