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Remote Post Surgery Jobs in Oregon (NOW HIRING)

EnableComp

DRG Validator/Reviewer (REMOTE)

OR · Remote

... ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative ... Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ...

Broadway Ventures

Medical Claims Reviewer (RN)

OR · Remote

Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... This role involves conducting pre- and post-payment medical reviews to ensure compliance with ...

Cambia Health Solutions

Payment Integrity Nurse I

Bend, OR · Remote

$66K - $106K/yr

As a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post ... Knowledge of medical and surgical procedures and other healthcare practices. * Competency to apply ...

ZEISS

Senior Advisor, Regulatory and Clinical Affairs

OR · Remote

$183K - $228K/yr

This position is a remote role. What's the role? The Senior Advisor,Regulatory and Clinical Affairs ... Drivingresolutions of questions from FDA, pre- and post-market Do you qualify? * Master's degree ...

All JobsPost Surgery JobsRemote Post Surgery JobsRemote Post Surgery Jobs in Oregon

Remote Post Surgery information

What are the typical responsibilities and challenges for remote post-surgery nurses working with patients recovering at home?

Remote post-surgery nurses typically monitor patients’ recovery via telehealth platforms, review vital signs and wound images, answer questions about medications, and provide guidance on activity restrictions. A common challenge is accurately assessing patients without in-person interaction, which requires strong communication skills and the ability to identify urgent issues based on virtual assessments. These nurses collaborate closely with surgeons, primary care providers, and sometimes physical therapists to ensure continuity of care. Staying organized and proactive in follow-up is key to helping patients recover safely and comfortably.

What are the key skills and qualifications needed to thrive as a Remote Post Surgery Nurse, and why are they important?

To thrive as a Remote Post Surgery Nurse, you need a nursing degree, active RN licensure, and strong clinical assessment skills in post-operative care. Familiarity with telehealth platforms, remote monitoring tools, and electronic health records (EHRs) is essential for effective virtual patient management. Excellent communication, empathy, and problem-solving skills help you support patients and coordinate care remotely. These skills ensure safe recovery for patients, timely intervention, and positive outcomes in a virtual healthcare environment.

What is the difference between Remote Post Surgery vs Remote Physical Therapist?

AspectRemote Post SurgeryRemote Physical Therapist
CredentialsMedical degree, post-surgical trainingPhysical therapy license, certification
Work EnvironmentPatient follow-up, recovery monitoringRehabilitation plans, exercise guidance
Industry UsageHealthcare, hospitals, clinicsRehabilitation centers, outpatient clinics
Common Search/ComparisonPost-surgical care, recovery supportPhysical therapy, rehab services

Remote Post Surgery roles focus on monitoring and supporting patients after surgery, often requiring medical credentials. Remote Physical Therapists provide rehab exercises and therapy plans, typically needing a physical therapy license. While both work in healthcare and support patient recovery, their specific responsibilities and credentials differ, making each role unique in the post-operative care process.

What is a Remote Post Surgery nurse?

A Remote Post Surgery nurse is a healthcare professional who provides post-operative care and support to patients recovering at home after surgery, using telehealth technology. They monitor patients’ recovery, manage symptoms, offer guidance on wound care, medication, and activity restrictions, and help identify complications early. This role allows patients to recover comfortably at home while still receiving expert medical oversight, reducing the need for frequent hospital visits. Remote Post Surgery nurses work closely with surgeons and care teams to ensure a safe and smooth recovery for patients.
What are popular job titles related to Remote Post Surgery jobs in Oregon? For Remote Post Surgery jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Remote Post Surgery jobs in Oregon look for? The top searched job categories for Remote Post Surgery jobs in Oregon are:
What cities in Oregon are hiring for Remote Post Surgery jobs? Cities in Oregon with the most Remote Post Surgery job openings:
Remote Post Surgery jobs near you

DRG Validator/Reviewer (REMOTE)

EnableComp

OR • Remote

Full-time

Posted 4 days ago

EnableComp rating

8.7

Company rating: 8.7 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

44th of 479 rated business services

Job description

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years. 
 
Position Summary
 
The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database, DRG Reviewers utilize their technical expertise in ICD-10 coding to analyze medical records, determine coding accuracy, and make recommendations that optimize hospital reimbursement. This role requires certification as a Certified Coding Specialist (CCS) and a deep understanding of medical record documentation, clinical coding guidelines, and DRG reimbursement methodology. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.
Key Responsibilities
  • Review inpatient claims imported into the DRG database, focusing on diagnosis, procedures, grouping logic, and reimbursement accuracy.
  • Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and procedure codes.
  • Conduct detailed medical record reviews post-bill to determine if submitted diagnosis and procedure codes are accurate and complete.
  • Navigate medical records efficiently, targeting specific sections (e.g., discharge summary, operative reports) based on system edits and flagged items.
  • Match clinical documentation in the medical record to corresponding ICD-10 codes, ensuring DRG accuracy.
  • Identify and correct errors such as under coded or misclassified diagnoses and procedures.
  • Utilize Health ROI system edits to detect specific high-value opportunities (e.g., dialysis, occlusion, embolization, catheterization).
  • Make reimbursement improvement recommendations and submit findings for client review and approval.
  • Collaborate with leadership on case prioritization and workflow management.
  • Stay informed on coding updates, payer guidelines, and DRG changes to support accurate recommendations.
  • Analyze client reporting.
  • Identify new revenue opportunities related to all inpatient DRG related components.
  • Other duties as required.
Requirements and Qualifications
  • Associate's or bachelor's degree in health information management or related field required. (RHIT or RHIA credentialed individuals encouraged).
  • Certified Coding Specialist (CCS) certification required.
  • 2-3 years' experience in DRG validation, inpatient medical coding, or related coding review.
  • Strong understanding of ICD-10-CM/PCS coding guidelines, DRG reimbursement methodology, and hospital billing processes.
  • Proficient in reading and interpreting clinical documentation across multiple departments (e.g., nursing, operative, radiology, pharmacy).
  • Experience working in a post-bill coding environment and familiarity with DRG grouping software and billing databases.
  • Analytical thinker with a focus on financial impact and reimbursement accuracy.
  • Comfortable navigating multiple digital platforms, EMRs, and data systems.
  • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Special Considerations and Prerequisites
  • This role is primarily office-based or remote, depending on company policy, with extensive computer and document review work.
  • Must be comfortable working independently in a detail-oriented, data-driven environment.
  • Excellent communication and documentation skills to support client reporting and recommendations.
  • High integrity and professionalism in handling PHI and confidential information.
  • Strong collaboration and responsiveness to feedback from leadership and client partners.
  • Ability to review and analyze large volumes of medical and billing data.
  • Strong focus and attention to detail in identifying discrepancies and ensuring compliance.
  • Ability to manage high volumes of case processing with accuracy and efficiency.
  • Ability to meet deadlines and handle time-sensitive workloads in a high-volume environment.
  • Proven written and verbal communication skills.
  • Strong analytical and problem-solving skills.
  • Ability to prioritize and manage multiple competing priorities and projects concurrently.
  • Proven experience working with external clients; strong customer service skills and business acumen.
  • Timely and regular attendance.
EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.
 
EnableComp recruits, develops and retains the industry's top talent.  As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people.  We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies.  If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.
 
 Don't just take our word for it!  Hear what our people are saying:
"I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other." - Revenue Specialist
 
"I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun." - Supervisor, Operations
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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