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Remote Cdi Rn Jobs in Oregon (NOW HIRING)

firsthand Health

Remote Triage Nurse

Eugene, OR · Remote

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...

Community Care Partners

Triage RN (Remote)

Dallas, OR · On-site +1

The Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This ...

firsthand Health

Remote Triage Nurse

Eugene, OR · On-site +1

$80K/yr

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...

Centene

Supervisor, Appeals

OR · On-site +1

$75K - $135K/yr

REMOTE RN candidates may reside in any state but a current and active RN license from the state of California is strongly preferred Position Purpose: Supervises Prior Authorization, Concurrent Review ...

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Remote Cdi Rn information

What are the typical daily responsibilities of a Remote CDI RN?

As a Remote CDI RN, your daily tasks generally include reviewing patient medical records, identifying opportunities to clarify documentation, and collaborating with physicians and coding teams to ensure accuracy and completeness. You may participate in team meetings, provide education to clinical staff about documentation best practices, and use specialized software to track workflow and metrics. Working remotely requires effective time management as you balance multiple reviews and communications electronically. This role directly impacts quality reporting, risk management, and reimbursement for healthcare organizations.

What is a Remote Cdi Rn job?

A Remote CDI RN (Clinical Documentation Integrity Registered Nurse) is a nursing professional who reviews medical records to ensure accurate and complete documentation for coding and billing purposes. They work remotely, collaborating with physicians and healthcare teams to clarify diagnoses and improve documentation quality. This role helps optimize reimbursement, ensures compliance with regulations, and enhances patient care accuracy. Strong clinical knowledge, coding proficiency, and communication skills are essential for success in this position.

What are the key skills and qualifications needed to thrive in the Remote Cdi Rn position, and why are they important?

To thrive as a Remote CDI RN, you need a current registered nursing license, solid clinical experience, and a deep understanding of clinical documentation improvement (CDI) processes. Familiarity with electronic health record (EHR) software, coding systems like ICD-10, and sometimes certifications such as CCDS or CDIP are commonly required. Strong attention to detail, effective communication, and the ability to work independently make candidates stand out. These skills are critical to ensuring accurate clinical documentation that reflects appropriate patient care and supports organizational compliance and reimbursement.

What are popular job titles related to Remote Cdi Rn jobs in Oregon? For Remote Cdi Rn jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Remote Cdi Rn jobs in Oregon look for? The top searched job categories for Remote Cdi Rn jobs in Oregon are:
What cities in Oregon are hiring for Remote Cdi Rn jobs? Cities in Oregon with the most Remote Cdi Rn job openings:
Remote Cdi Rn jobs near you
Infographic showing various Remote Cdi Rn job openings in Oregon as of July 2026, with employment types broken down into 7% Locum Tenens, 35% Internship, 50% Full Time, 4% Part Time, 3% Contract, and 1% Nights. Highlights an 81% Physical, 1% Hybrid, and 18% Remote job distribution.
Remote RN - Medical Claims Reviewer

Remote RN - Medical Claims Reviewer

Broadway Ventures

OR • Remote

Other

Re-posted 3 days ago

Job description

Job Type: Full-time (40 hours/week)
Schedule: Monday-Friday, 8:00 AM - 5:00 PM

Max Salary: W-2 ($65,000/$31.25)

Location: Remote (U.S. - Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.

About the Role

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.

Key Responsibilities
  • Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
  • Assess payment determinations using clinical information and established guidelines.
  • Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
  • Provide clear, well-documented rationales for service approvals or denials.
  • Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
  • Support quality control activities to meet corporate and team objectives.
  • Provide guidance to LPN team members and support non-clinical staff through training and discussions.
  • Assist with special projects and additional responsibilities as assigned.
Minimum QualificationsLicensure:
  • Active, unrestricted RN license in the U.S. and in the state of hire
    OR
  • Active compact multistate RN license (as defined by the Nurse Licensure Compact).
Education:
  • Associate Degree in Nursing
    OR
  • Graduate of an accredited School of Nursing.
Experience:
  • Two years of clinical experience plus at least two years in one of the following:
    • Home Health
    • Utilization/Medical Review
    • Quality Assurance
Skills & Competencies:
  • Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings.
  • Ability to interpret and apply medical review criteria and clinical guidelines.
  • Proficiency in Microsoft Office and word processing software.
  • Strong analytical, organizational, and decision-making skills.
  • Ability to work independently while managing priorities effectively.
  • Excellent customer service, communication, and critical thinking skills.
  • Ability to handle confidential information with discretion.
Preferred Qualifications
  • Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred).
  • Proficiency in using multiple screens and software programs simultaneously.

If you are a detail-oriented RN with a passion for medical review, we encourage you to apply!

Apply