Medical Reviewer, RN - Temporary Position Location ... Remote *This role is a temporary position and that employment is expected to be for a limited ...
Medical Reviewer, RN - Temporary Position Location ... Remote *This role is a temporary position and that employment is expected to be for a limited ...
Registered Nurse (0767)
Baltimore, MD · Remote
$84K - $106K/yr
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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Registered Nurse (0767)
Baltimore, MD · Remote
$84K - $106K/yr
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 ...
Care Manager (Remote)
Baltimore, MD · Remote
We are looking for an experienced Registered Nurse to work remotely within the greater Baltimore/Washington metropolitan area. While this position is remote, the incumbent will be expected to come ...
Care Manager (Remote)
Baltimore, MD · Remote
We are looking for an experienced Registered Nurse to work remotely within the greater Baltimore/Washington metropolitan area. While this position is remote, the incumbent will be expected to come ...
Current Registered Nurse licensure in Maryland, the District of Columbia, and/or appropriate ... Remote patient monitoring * Connected care * Clinical informatics * Digital health * Technology ...
Current Registered Nurse licensure in Maryland, the District of Columbia, and/or appropriate ... Remote patient monitoring * Connected care * Clinical informatics * Digital health * Technology ...
Be Seen First
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
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Be Seen First
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
Be Seen First
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
Quick apply
Be Seen First
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
As a Triage Clinical Guide (Registered Nurse), you'll be responsible for providing telephonic ... Eager to learn and able to quickly master electronic medical records (EMR), remote telephone ...
As a Triage Clinical Guide (Registered Nurse), you'll be responsible for providing telephonic ... Eager to learn and able to quickly master electronic medical records (EMR), remote telephone ...
iMPROve Health is seeking an RN Reviewer (Workers' Compensation Utilization Review) to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc ...
New
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iMPROve Health is seeking an RN Reviewer (Workers' Compensation Utilization Review) to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc ...
New
Bi-Lingual, RN Care Coordinator
Annapolis, MD · On-site
$25 - $26/hr
... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... specialty physicians, registered dietitians, nurses, psychologists, and therapists who have ...
Bi-Lingual, RN Care Coordinator
Annapolis, MD · On-site
$25 - $26/hr
... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... specialty physicians, registered dietitians, nurses, psychologists, and therapists who have ...
100% Remote Must be able to adhere to a 9am to 5:30pm EST or CST schedule Optum Home & Community ... As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population ...
100% Remote Must be able to adhere to a 9am to 5:30pm EST or CST schedule Optum Home & Community ... As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population ...
Urgent Care Nurse Practitioner
Washington, DC · Remote
$81K - $101K/yr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Remote-first culture 401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...
Urgent Care Nurse Practitioner
Washington, DC · Remote
$81K - $101K/yr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Remote-first culture 401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...
We believe in meeting people where they are and offer remote first care with opportunities for in-person visits. About the APRN role Sunday Health is seeking an Advanced Practice Registered Nurse ...
We believe in meeting people where they are and offer remote first care with opportunities for in-person visits. About the APRN role Sunday Health is seeking an Advanced Practice Registered Nurse ...
UM Specialist (RN) - Remote / Telecommute
Baltimore, MD · Remote
$46 - $51/hr
Qualification And Education: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire. * LPN - Licensed Practical Nurse - State Licensure. * CNS-Clinical Nurse Specialist ...
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UM Specialist (RN) - Remote / Telecommute
Baltimore, MD · Remote
$46 - $51/hr
Qualification And Education: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire. * LPN - Licensed Practical Nurse - State Licensure. * CNS-Clinical Nurse Specialist ...
Medical Reviewer, RN Coder
Millersville, MD · Remote
$18.25 - $24.25/hr
Medical Reviewer, RN Coder - Temporary Position Location ... Remote *This role is a temporary position and that employment is expected to be for a limited ...
Medical Reviewer, RN Coder
Millersville, MD · Remote
$18.25 - $24.25/hr
Medical Reviewer, RN Coder - Temporary Position Location ... Remote *This role is a temporary position and that employment is expected to be for a limited ...
RN Field Case Manager
Washington, DC · Remote
$88K - $112K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Washington, DC · Remote
$88K - $112K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
Be Seen First
NP or PA MAT Telehealth Provider
Baltimore, MD · Remote
$111K - $144K/yr
Graduate of an approved accredited ARNP or PA program. · Experience : Minimum one to three years ... Remote
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Be Seen First
NP or PA MAT Telehealth Provider
Baltimore, MD · Remote
$111K - $144K/yr
Graduate of an approved accredited ARNP or PA program. · Experience : Minimum one to three years ... Remote
Licenses/Certifications: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required. * CCM - Certified Case Manager Upon Hire Preferred. * LNCC - Legal Nurse ...
Licenses/Certifications: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required. * CCM - Certified Case Manager Upon Hire Preferred. * LNCC - Legal Nurse ...
Telephonic Case Manager I - California RN License Required
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. California RN license is required for this role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the patient ...
Quick apply
Telephonic Case Manager I - California RN License Required
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. California RN license is required for this role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the patient ...
Telephonic Case Manager I - California RN License Required
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. California RN license is required for this role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the patient ...
Telephonic Case Manager I - California RN License Required
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. California RN license is required for this role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the patient ...
Holter/Cardiac Technologist (Remote)
Rockville, MD · Remote
$22/hr
A rare opportunity for remote techs is now open! Clinician must be able to submit comprehensive ... FMG, RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect ...
Quick apply
Holter/Cardiac Technologist (Remote)
Rockville, MD · Remote
$22/hr
A rare opportunity for remote techs is now open! Clinician must be able to submit comprehensive ... FMG, RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect ...
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Job description
Location: Remote
*This role is a temporary position and that employment is expected to be for a limited duration.
About J29
J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee-centered healthcare management consulting company. Our team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinical expertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.
J29 was founded to be an employee-centric company that prioritizes the well-being and value of its employees. Our mission is to empower our employees to do great things for the benefit of those that need it most. The J29 mission supports not only our health and human service programs, but also the philanthropy efforts of our team. We are proud to continue our support to non-profit groups with critical missions as J29 continues to grow.
Key Responsibilities
RVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims-including Part A/B, DMEPOS, and Home Health/Hospice-to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules, and document clear, accurate findings for each claim.
Reviewers participate in dispute resolution by re-examining claims and providing supporting documentation, support quality assurance through audits and ongoing training, and maintain compliance with CMS security and privacy standards. They also collaborate closely with key personnel to ensure consistency, accuracy, and continuous process improvement in all review activities.
Qualifications
- 5+ years of direct medical coding or medical billing experience, specifically in a healthcare environment.
- 3+ years working in a productivity-based claims or case working environment, out of a queued case management system.
- 3+ years working remotely with various technology systems. Ideally, candidate will have 3+ years of Medicare Fee For Service (FFS) experience in a medical coding role or program.
- Active Medical Coding Certification (CPC, CCS or equivalent) required
- Experience with low-code, no-code case management systems as an end-user is preferred but not required.
Education/Certification
- Active license as a Registered Nurse, in good standing, in the United States (as verified by Nurses). Verified regularly.
J29, Inc. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. J29, Inc. is a proud Veteran friendly employer.
About J29
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
1 - 10 Employees
Headquarters location
Millersville, MD, US
Year founded
2017