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 ...
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 ...
Role Description This is a full-time remote Entry Level Management role for Globe Life American Income Division: Fisher Organization. The Manager will be responsible for day-to-day tasks such as team ...
Role Description This is a full-time remote Entry Level Management role for Globe Life American Income Division: Fisher Organization. The Manager will be responsible for day-to-day tasks such as team ...
Role Description This is a full-time remote Entry Level Management role for Globe Life American Income Division: Fisher Organization. The Manager will be responsible for day-to-day tasks such as team ...
Role Description This is a full-time remote Entry Level Management role for Globe Life American Income Division: Fisher Organization. The Manager will be responsible for day-to-day tasks such as team ...
Licensed Clinical Professional Counselor (LCPC)
Hyattsville, MD · Remote
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits Schedule: Monday-Friday, 9:00 AM-5:00 PM Job Summary A growing behavioral health organization is ...
Licensed Clinical Professional Counselor (LCPC)
Hyattsville, MD · Remote
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits Schedule: Monday-Friday, 9:00 AM-5:00 PM Job Summary A growing behavioral health organization is ...
Licensed Clinical Professional Counselor (LCPC)
Hyattsville, MD · On-site +1
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits Schedule: Monday-Friday, 9:00 AM-5:00 PM Job Summary A growing behavioral health organization is ...
Licensed Clinical Professional Counselor (LCPC)
Hyattsville, MD · On-site +1
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits Schedule: Monday-Friday, 9:00 AM-5:00 PM Job Summary A growing behavioral health organization is ...
Licensed Clinical Professional Counselor (LCPC)
Hyattsville, MD · Remote
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits Schedule: Monday-Friday, 9:00 AM-5:00 PM Job Summary A growing behavioral health organization is ...
Quick apply
Licensed Clinical Professional Counselor (LCPC)
Hyattsville, MD · Remote
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits Schedule: Monday-Friday, 9:00 AM-5:00 PM Job Summary A growing behavioral health organization is ...
Advertising Specialist
College Park, MD · Remote
$39 - $40/hr
This is a full-time remote position based in College Park. As an Advertising Specialist, you will play a key role in creating and implementing advertising campaigns to promote our brand and products.
Quick apply
Advertising Specialist
College Park, MD · Remote
$39 - $40/hr
This is a full-time remote position based in College Park. As an Advertising Specialist, you will play a key role in creating and implementing advertising campaigns to promote our brand and products.
Accredited Tax Consultants, REMOTE (BG26061143)
Chantilly, VA · Remote
$65K - $68K/yr
These are full-time remote positions. The Bowen Group, a values-led, industry leader in telehealth, strategic communications, and wellness services and staffing, has an outstanding opportunity for a ...
Quick apply
Accredited Tax Consultants, REMOTE (BG26061143)
Chantilly, VA · Remote
$65K - $68K/yr
These are full-time remote positions. The Bowen Group, a values-led, industry leader in telehealth, strategic communications, and wellness services and staffing, has an outstanding opportunity for a ...
These are full-time remote positions. The Bowen Group, a values-led, industry leader in telehealth, strategic communications, and wellness services and staffing, has an outstanding opportunity for a ...
These are full-time remote positions. The Bowen Group, a values-led, industry leader in telehealth, strategic communications, and wellness services and staffing, has an outstanding opportunity for a ...
Accredited Tax Consultants, REMOTE (BG26061143)
Chantilly, VA · On-site +1
$65K - $68K/yr
These are full-time remote positions. The Bowen Group, a values-led, industry leader in telehealth, strategic communications, and wellness services and staffing, has an outstanding opportunity for a ...
Accredited Tax Consultants, REMOTE (BG26061143)
Chantilly, VA · On-site +1
$65K - $68K/yr
These are full-time remote positions. The Bowen Group, a values-led, industry leader in telehealth, strategic communications, and wellness services and staffing, has an outstanding opportunity for a ...
Data Operations Specialist (Remote)
Bethesda, MD · Remote
$55K - $62K/yr
This is a full time remote position that will be assigned to our corporate office in Bethesda, MD. Remote work is authorized for this position, preferably in the DC, MD, VA (NCR) area. Salary Range ...
Data Operations Specialist (Remote)
Bethesda, MD · Remote
$55K - $62K/yr
This is a full time remote position that will be assigned to our corporate office in Bethesda, MD. Remote work is authorized for this position, preferably in the DC, MD, VA (NCR) area. Salary Range ...
Collision Estimator
Gaithersburg, MD · Remote
$61K - $83K/yr
... Full-Time Remote No
Collision Estimator
Gaithersburg, MD · Remote
$61K - $83K/yr
... Full-Time Remote No
Collision Estimator
Woodbridge, VA · Remote
$55K - $75K/yr
... Full-Time Remote No
Collision Estimator
Woodbridge, VA · Remote
$55K - $75K/yr
... Full-Time Remote No
Digital Marketing Analyst
Herndon, VA · On-site +1
$48K/yr
This is an entry-level, full-time, remote, salaried position. Candidate must reside in the Continental U.S., eastern and central time zones preferred. Responsibilities: * Manage social media Pay-Per ...
Digital Marketing Analyst
Herndon, VA · On-site +1
$48K/yr
This is an entry-level, full-time, remote, salaried position. Candidate must reside in the Continental U.S., eastern and central time zones preferred. Responsibilities: * Manage social media Pay-Per ...
Digital Marketing Analyst
Washington, DC · Remote
$48K/yr
This is an entry-level, full-time, remote, salaried position. Candidate must reside in the Continental U.S., eastern and central time zones preferred. Responsibilities: * Manage social media Pay-Per ...
Digital Marketing Analyst
Washington, DC · Remote
$48K/yr
This is an entry-level, full-time, remote, salaried position. Candidate must reside in the Continental U.S., eastern and central time zones preferred. Responsibilities: * Manage social media Pay-Per ...
Collision Estimator
Gaithersburg, MD · Remote
$61K - $83K/yr
... Full-Time Remote No
Collision Estimator
Gaithersburg, MD · Remote
$61K - $83K/yr
... Full-Time Remote No
Digital Marketing Analyst
Herndon, VA · Remote
$48K/yr
This is an entry-level, full-time, remote, salaried position. Candidate must reside in the Continental U.S., eastern and central time zones preferred. Responsibilities: * Manage social media Pay-Per ...
Digital Marketing Analyst
Herndon, VA · Remote
$48K/yr
This is an entry-level, full-time, remote, salaried position. Candidate must reside in the Continental U.S., eastern and central time zones preferred. Responsibilities: * Manage social media Pay-Per ...
Tax Manager CPA Washington, DC
Washington, DC · On-site +1
$125K - $175K/yr
This is a full-time remote role, and the right person will be included in decision-making as part of the leadership team. Tax preparation and tax review experience is highly needed What You'll Do ✅ ...
Quick apply
Tax Manager CPA Washington, DC
Washington, DC · On-site +1
$125K - $175K/yr
This is a full-time remote role, and the right person will be included in decision-making as part of the leadership team. Tax preparation and tax review experience is highly needed What You'll Do ✅ ...
Be Seen First
Regional Sales Manager
Washington, DC · Remote
Only serious inquiries apply This is a full-time remote role for a Regional Sales Manager. The successful candidate will identify and engage potential clients, build and maintain strong relationships ...
Quick apply
Be Seen First
Regional Sales Manager
Washington, DC · Remote
Only serious inquiries apply This is a full-time remote role for a Regional Sales Manager. The successful candidate will identify and engage potential clients, build and maintain strong relationships ...
These are full-time remote positions. Work from home. Only a virtual office and organization to check in with. Get ready to jump on board with the industry leader in the provision of wellness ...
These are full-time remote positions. Work from home. Only a virtual office and organization to check in with. Get ready to jump on board with the industry leader in the provision of wellness ...
Full Time Remote information
See Reston, VA salary details
$30.06 - $30.80
3% of jobs
$30.80 - $31.54
9% of jobs
$31.54 - $32.28
10% of jobs
$32.46 is the 25th percentile. Wages below this are outliers.
$32.28 - $33.02
10% of jobs
$33.02 - $33.76
10% of jobs
$33.76 - $34.50
6% of jobs
The median wage is $34.58 / hr.
$34.50 - $35.24
10% of jobs
$35.24 - $35.98
10% of jobs
$36.39 is the 75th percentile. Wages above this are outliers.
$35.98 - $36.73
10% of jobs
$36.73 - $37.47
10% of jobs
$37.47 - $38.21
10% of jobs
$30
$34
$38
How much do full time remote jobs pay per hour?
What does it mean to work a full time remote job?
What are some of the unique challenges of working full time in a remote position, and how can I successfully navigate them?
What Are the Qualifications to Get a Full-Time Remote Job?
The primary qualifications for getting a full-time remote job depend on the position, but many require a degree and several years of experience. Some people work full-time as independent contractors, but company employees fill many full-time remote jobs as well. It is possible to convert an office job into a remote job if you can still fulfill all of your responsibilities and duties without having to visit the office each day. Experience is helpful in this area, so the more time you spend in your field of expertise, the easier it is to get a remote job doing the same thing from home. In creative roles, you should develop a portfolio of logos and other digital or print graphics to demonstrate your skills to employers.
What is the difference between Full Time Remote vs Part Time Remote?
| Aspect | Full Time Remote | Part Time Remote |
|---|---|---|
| Work Hours | Typically 35-40 hours per week | Less than 30 hours per week |
| Employment Status | Full-time employee | Part-time employee |
| Benefits | Usually includes benefits like health insurance, paid time off | Limited or no benefits |
| Job Responsibilities | Complete set of responsibilities as per role | Fewer responsibilities or flexible tasks |
Full Time Remote jobs involve working standard full-time hours with comprehensive benefits, while Part Time Remote roles offer fewer hours and often limited benefits. The choice depends on your availability and career goals.
What are the key skills and qualifications needed to thrive in a full-time remote position, and why are they important?
- Part Time Remote
- Marriott Remote
- Day Shift Aetna Customer Service Representative
- Remote Medicare Customer Service
- Night Shift Work From Home Japanese Customer Service Representative
- Remote Political Call Center
- Remote Work From Home Ironing
- Assistant Remote Disney Customer Service
- Remote Gc Services Customer Service
- Capital One Remote Customer Service
SIU Nurse Auditor, RN, CPC (Full-time, Remote)
Integrity Management Services, Inc.Alexandria, VA • On-site, Remote
Full-time
This job post has expired today. Applications are no longer accepted.
Job description
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.
About Integrity Management Services
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
51 - 200 Employees
Headquarters location
Alexandria, VA, US
Year founded
2009