Three years' experience required in a health insurance, nursing, compliance, or auditing related ... State of Wisconsin Registered Nurse license (if applicable). Certified Risk Adjustment Coder ...
Three years' experience required in a health insurance, nursing, compliance, or auditing related ... State of Wisconsin Registered Nurse license (if applicable). Certified Risk Adjustment Coder ...
Three years' experience required in a health insurance, nursing, compliance, or auditing related ... State of Wisconsin Registered Nurse license (if applicable). Certified Risk Adjustment Coder ...
Three years' experience required in a health insurance, nursing, compliance, or auditing related ... State of Wisconsin Registered Nurse license (if applicable). Certified Risk Adjustment Coder ...
Regional Director of Clinical Survey
Milwaukee, WI · Remote
$88K - $120K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Milwaukee, WI · Remote
$88K - $120K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · Remote
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · On-site +1
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Madison, WI · On-site +1
$90K - $123K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Milwaukee, WI · On-site +1
$88K - $120K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Regional Director of Clinical Survey
Milwaukee, WI · On-site +1
$88K - $120K/yr
Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$68K - $70K/yr
We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$68K - $70K/yr
We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$68K - $70K/yr
We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...
Medical Review Nurse Analyst
Madison, WI · On-site +1
$68K - $70K/yr
We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...
Care Advocate Nurse
Madison, WI · Remote
$61K - $98K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...
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Care Advocate Nurse
Madison, WI · Remote
$61K - $98K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...
Care Advocate Nurse
Madison, WI · Remote
$61K - $98K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...
Care Advocate Nurse
Madison, WI · Remote
$61K - $98K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...
Nurse Clinician 3 - 80%
Oshkosh, WI · On-site +1
$46.11 - $56.10/hr
The rate offered within this range will relate to years of licensure/credentialing as a registered ... Job Details This position is not eligible for remote work and will work on site. This position is ...
Nurse Clinician 3 - 80%
Oshkosh, WI · On-site +1
$46.11 - $56.10/hr
The rate offered within this range will relate to years of licensure/credentialing as a registered ... Job Details This position is not eligible for remote work and will work on site. This position is ...
Specialist, IRIS Eligibility Screening (Milwaukee County, WI & Eastern Waukesha County, WI)
Milwaukee, WI · Remote
$19.84 - $38.69/hr
This is a remote position, where you will partner with people in your community who use the TMG ... Nurse (RN) license in good standing. • Valid and unrestricted driver's license, reliable ...
Specialist, IRIS Eligibility Screening (Milwaukee County, WI & Eastern Waukesha County, WI)
Milwaukee, WI · Remote
$19.84 - $38.69/hr
This is a remote position, where you will partner with people in your community who use the TMG ... Nurse (RN) license in good standing. • Valid and unrestricted driver's license, reliable ...
Oncology Account Executive
Milwaukee, WI · Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... Remote
Oncology Account Executive
Milwaukee, WI · Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... Remote
Per Diem Home Health Intake Nurse
Milwaukee, WI · Remote
$38.20 - $57.30/hr
Remote Per Diem position with availability Monday - Friday 8am-6pm. Weekend and Holiday rotations ... Registered Nurse - License issued by the state in which the team member practices. Education ...
Per Diem Home Health Intake Nurse
Milwaukee, WI · Remote
$38.20 - $57.30/hr
Remote Per Diem position with availability Monday - Friday 8am-6pm. Weekend and Holiday rotations ... Registered Nurse - License issued by the state in which the team member practices. Education ...
Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in ... Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA ...
Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in ... Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA ...
Registered Dietitian, Union Grove Veterans Home - Reannouncement
Union Grove, WI · On-site +1
$68K - $72K/yr
The Home is a 24/7/365 skilled nursing, long-term care facility that specializes in providing ... Job Details This position currently works on-site, with potential for hybrid/remote work in the ...
Registered Dietitian, Union Grove Veterans Home - Reannouncement
Union Grove, WI · On-site +1
$68K - $72K/yr
The Home is a 24/7/365 skilled nursing, long-term care facility that specializes in providing ... Job Details This position currently works on-site, with potential for hybrid/remote work in the ...
NCLEX Instructor - Milwaukee, WI (On-Site)
Milwaukee, WI · On-site +1
$40/hr
... a Registered Nurse. • 5+ years clinical nursing experience required. • Previous teaching ... Location Remote/Nationwide, USA Additional Locations Employee Type Employee Job Functional Area ...
NCLEX Instructor - Milwaukee, WI (On-Site)
Milwaukee, WI · On-site +1
$40/hr
... a Registered Nurse. • 5+ years clinical nursing experience required. • Previous teaching ... Location Remote/Nationwide, USA Additional Locations Employee Type Employee Job Functional Area ...
Certified Medical Assistant
Greenfield, WI · Remote
$21 - $24/hr
Remote within the State of Wisconsin Working Model: Remote Employee Type: Full Time Schedule: 8am ... Triages incoming lab results, medical reports, refill requests, etc. to MD/APRN/PAs in a timely ...
Certified Medical Assistant
Greenfield, WI · Remote
$21 - $24/hr
Remote within the State of Wisconsin Working Model: Remote Employee Type: Full Time Schedule: 8am ... Triages incoming lab results, medical reports, refill requests, etc. to MD/APRN/PAs in a timely ...
Certified Medical Assistant
Greenfield, WI · Remote
$21 - $24/hr
Remote within the State of Wisconsin Working Model: Remote Employee Type: Full Time Schedule: 8am ... Triages incoming lab results, medical reports, refill requests, etc. to MD/APRN/PAs in a timely ...
Certified Medical Assistant
Greenfield, WI · Remote
$21 - $24/hr
Remote within the State of Wisconsin Working Model: Remote Employee Type: Full Time Schedule: 8am ... Triages incoming lab results, medical reports, refill requests, etc. to MD/APRN/PAs in a timely ...
Remote Rn Chart Auditor information
What are the key skills and qualifications needed to thrive as a Remote RN Chart Auditor, and why are they important?
How to make $300,000 as a nurse online?
How to be a chart auditing RN?
What is the difference between Remote Rn Chart Auditor vs Remote Rn Coding Specialist?
| Aspect | Remote Rn Chart Auditor | Remote Rn Coding Specialist |
|---|---|---|
| Credentials | RN license, auditing certifications (e.g., CHAA) | RN license, coding certifications (e.g., CPC, CCS) |
| Work Environment | Healthcare facilities, insurance companies, or independent | Hospitals, clinics, insurance companies, or consulting firms |
| Industry Usage | Focuses on reviewing patient charts for accuracy and compliance | Focuses on assigning medical codes for billing and documentation |
Remote Rn Chart Auditors primarily review patient records for accuracy and compliance, requiring auditing certifications, while Remote Rn Coding Specialists focus on assigning appropriate medical codes, often holding coding certifications. Both roles require RN licensure and are integral to healthcare revenue cycle management, but they differ in daily tasks and certification emphasis.
How to make $100,000 as an RN?
How does a Remote RN Chart Auditor typically collaborate with healthcare teams while working offsite?
What is the highest paid remote nursing job?
What is a Remote RN Chart Auditor?
Full-time
Posted 2 days ago
Sanford Health rating
6.8
Based on 528 frontline employees who took The Breakroom Quiz
483rd of 877 rated healthcare providers
Job description
Work Shift:
Day (United States of America)
Scheduled Weekly Hours:
40
Compensation:
Salary Range: $26.00 - $41.50
Union Position:
No
Department Details
Summary
The Revenue Management Educator is accountable for the successful development, implementation and delivery of educational and training resource materials to assist providers in coding accuracy. The Educator develops and implements strategic action, quality improvement and risk management plans. The Educator provides overall educational support and coding quality assurance activities to both internal and external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the accuracy and integrity of risk adjustment data submitted to the Centers for Medicare & Medicaid Services (CMS) and the Department of Health Services (DHS).
Job Description
Develops educational materials for providers in relation to diagnostic coding and risk adjustment revenue management to educate providers on thorough documentation and accurate coding. Identifies inadequate or erroneous documentation and/or coding to determine process improvement and educational opportunities.
Research's appropriate material (terminology, testing, abbreviations) to accurately assess documentation.
Analyzes coding and documentation to make appropriate judgments based on coding/ guidelines and policies. Monitors and audit performance in areas of compliance risk ensuring that established policies and procedures are being followed. Identifies the root cause of any errors to determine process improvement opportunities that may result in training, reference material revisions, and process changes. Assists in audits as it related to risk adjustment revenue management to address clinical issues related to documentation and coding. Assesses health insurance products, compliance, or operational risks and develop risk management strategies to improve revenue and reduce audit risk. Reviews, interprets and disseminates information relating to pending industry changes, trends and best practices to include CMS and DHS guidelines related to revenue management to anticipate necessary audits and education for providers.
Qualifications
Bachelor's degree required with an emphasis in a business or medical field, or a registered nurse degree. Completion of courses in Current Procedural Terminology (CPT), and ICD-9, ICD-10 and Hierarchical Condition Category (HCC) coding required
Will consider years of experience in lieu of bachelor's degree.
Three years' experience required in a health insurance, nursing, compliance, or auditing related position. Knowledge of CPT coding rules, ICD-9 and ICD-10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding, use of modifiers, documentation guidelines, CMS Policy requirements, and other reimbursement guidelines. Demonstrated knowledge of anatomy/physiology, medical terminology, Word, Excel, Power Point and Access.
Adult education/training and curriculum development preferred.
Certified Professional Coder certification awarded by American Academy of Professional Coders required within one year required. State of Wisconsin Registered Nurse license (if applicable).
Certified Risk Adjustment Coder awarded by American Academy of Professional Coders preferred.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.
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About Sanford Health
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Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Industry
Health care and social assistance and hospitals
Company size
10,000+ Employees
Headquarters location
Sioux Falls, SD, US