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Professional Remote Rn Chart Review Jobs in Denver, CO

Performs clinical chart reviews to ensure documentation accuracy by applying established clinical ... clinical professionals, including NPs, PAs, RNs, and/or physicians, pharmacists, etc. * Master ...

Performs clinical chart reviews to ensure documentation accuracy by applying established clinical ... clinical professionals, including NPs, PAs, RNs, and/or physicians, pharmacists, etc. * Master ...

Clinical Support Auditor (IKC)

Denver, CO ยท On-site +1

$35.75 - $48/hr

Performs clinical chart reviews to ensure documentation accuracy by applying established clinical ... for clinical professionals, including NPs, PAs, RNs, and/or physicians, pharmacists, etc.

Clinical Support Auditor (IKC)

Denver, CO ยท On-site +1

$35.75 - $48/hr

Performs clinical chart reviews to ensure documentation accuracy by applying established clinical ... for clinical professionals, including NPs, PAs, RNs, and/or physicians, pharmacists, etc.

Clinical Support Auditor (IKC)

Denver, CO ยท On-site +1

$35.75 - $48/hr

Performs clinical chart reviews to ensure documentation accuracy by applying established clinical ... for clinical professionals, including NPs, PAs, RNs, and/or physicians, pharmacists, etc.

Be Seen First

Build lasting client relationships through annual reviews and ongoing service * Generate new ... Must have reliable internet access and a professional remote-work environment * Must be able to ...

New

Care Transformation RN

Englewood, CO ยท Remote

$41.14 - $67.88/hr

Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Professional, you will deliver comprehensive, coordinated health services remotely, leveraging ...

Care Transformation RN

Englewood, CO ยท Remote

$41.14 - $67.88/hr

Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Professional, you will deliver comprehensive, coordinated health services remotely, leveraging ...

Care Transformation RN

Englewood, CO ยท Remote

$41.14 - $67.88/hr

Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Professional, you will deliver comprehensive, coordinated health services remotely, leveraging ...

RN Virtual ICU

Aurora, CO ยท On-site +1

$35.29 - $54.71/hr

Graduate of an accredited or state board of nursing approved Registered/Professional Nursing ... Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns ...

RN Virtual ICU Nights

Aurora, CO ยท On-site +1

$35.29 - $54.71/hr

... remote option Minimum Requirements ... Graduate of an accredited or state board of nursing approved Registered/Professional Nursing ...

Lead Nurse (Denver, CO / Hybrid)

Denver, CO ยท On-site +1

$35 - $47.25/hr

Conduct routine chart audits and documentation reviews to maintain audit readiness. * Identify ... Active Registered Nurse (RN) license in good standing (Compact licensure to serve multiple states ...

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Professional Remote Rn Chart Review information

What is the difference between Professional Remote Rn Chart Review vs Medical Records Reviewer?

AspectProfessional Remote Rn Chart ReviewMedical Records Reviewer
CredentialsRegistered Nurse (RN) licenseVaries; often includes medical background or certification
Work EnvironmentRemote, healthcare-focusedRemote or onsite, administrative or healthcare settings
Industry UsageHealthcare, insurance, legal casesHealthcare, insurance, legal documentation
Job FocusReviewing patient charts for accuracy, compliance, and medical necessityReviewing medical records for completeness, accuracy, and compliance

The Professional Remote Rn Chart Review primarily involves licensed RNs analyzing patient charts for medical accuracy and compliance, often for insurance or legal purposes. Medical Records Reviewers may have a broader background and focus on verifying the completeness and correctness of medical documentation. While both roles are remote and healthcare-related, the RN chart review emphasizes clinical expertise, whereas medical records reviewers may not require nursing credentials.

What are the most commonly searched types of Remote Rn Chart Review jobs in Denver, CO? The most popular types of Remote Rn Chart Review jobs in Denver, CO are:

RN, DRG Coder / Clinical Auditor

Pivotal Placement Services

Denver, CO โ€ข Remote

$95K - $105K/yr

Full-time

Posted 21 days ago


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.