Registered Nurse, UR specific certification preferred (CCM, ACM, CPUR) * Educational Requirements: Bachelors Degree * Minimum Experience: Minimum of 7 years UR with progressive Revenue Cycle ...
Registered Nurse, UR specific certification preferred (CCM, ACM, CPUR) * Educational Requirements: Bachelors Degree * Minimum Experience: Minimum of 7 years UR with progressive Revenue Cycle ...
Remote MSDRG Auditor
Atlanta, GA · On-site +1
... and skilled nursing facilities, as well as other provider types and care settings. The DRG ... Ongoing training and education are provided specific to audit processes, coding and reimbursement ...
Remote MSDRG Auditor
Atlanta, GA · On-site +1
... and skilled nursing facilities, as well as other provider types and care settings. The DRG ... Ongoing training and education are provided specific to audit processes, coding and reimbursement ...
Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to ... Associate or bachelor's degree in nursing (active /unrestricted license). * Associate or bachelor ...
Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to ... Associate or bachelor's degree in nursing (active /unrestricted license). * Associate or bachelor ...
TELEHEALTH MENTAL HEALTH PROFESSIONAL
Atlanta, GA · Remote
$49K - $64K/yr
The successful candidate will conduct remote evaluations and diagnose patients according to DSM-5 ... PH.d or RN or LCSW or LPC or CMHC or FNP from an accredited institution. Current, unrestricted ...
TELEHEALTH MENTAL HEALTH PROFESSIONAL
Atlanta, GA · Remote
$49K - $64K/yr
The successful candidate will conduct remote evaluations and diagnose patients according to DSM-5 ... PH.d or RN or LCSW or LPC or CMHC or FNP from an accredited institution. Current, unrestricted ...
Licensed Psychologist- Remote
Atlanta, GA · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Licensed Psychologist- Remote
Atlanta, GA · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
RN - AI Trainer
Atlanta, GA · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
RN - AI Trainer
Atlanta, GA · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
RN - AI Trainer
Sandy Springs, GA · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
RN - AI Trainer
Sandy Springs, GA · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Clinical Quality Assurance Coordinator (32259)
Atlanta, GA · Remote
$30 - $31.25/hr
MES is looking for a self-driven, high-performing RN or LPN to join our dynamic team as a Clinical ... The position is 100% remote with a schedule of Monday through Friday: * 12:00pm - 8:30pm EST ...
Clinical Quality Assurance Coordinator (32259)
Atlanta, GA · Remote
$30 - $31.25/hr
MES is looking for a self-driven, high-performing RN or LPN to join our dynamic team as a Clinical ... The position is 100% remote with a schedule of Monday through Friday: * 12:00pm - 8:30pm EST ...
Clinical Audit/Denials Specialist, RN
Atlanta, GA · On-site +1
... coding, billing, audit and reimbursement payer methodologies and guidelines. Experience in the collection, interpretation, and presentation of data to medical staff members; and, interaction with ...
Clinical Audit/Denials Specialist, RN
Atlanta, GA · On-site +1
... coding, billing, audit and reimbursement payer methodologies and guidelines. Experience in the collection, interpretation, and presentation of data to medical staff members; and, interaction with ...
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Licensed Professional Counselor- Remote
Atlanta, GA · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Licensed Professional Counselor- Remote
Atlanta, GA · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Manager of Clinical Annotation - Remote
Atlanta, GA · On-site +1
$91K - $163K/yr
The Manager of Clinical Annotation leads a team of Registered Nurse Clinical Annotators responsible for labeling and validating medical data used in training artificial intelligence models for prior ...
New
Manager of Clinical Annotation - Remote
Atlanta, GA · On-site +1
$91K - $163K/yr
The Manager of Clinical Annotation leads a team of Registered Nurse Clinical Annotators responsible for labeling and validating medical data used in training artificial intelligence models for prior ...
New
Manager of Clinical Annotation - Remote
Atlanta, GA · Remote
$91K - $163K/yr
The Manager of Clinical Annotation leads a team of Registered Nurse Clinical Annotators responsible for labeling and validating medical data used in training artificial intelligence models for prior ...
New
Manager of Clinical Annotation - Remote
Atlanta, GA · Remote
$91K - $163K/yr
The Manager of Clinical Annotation leads a team of Registered Nurse Clinical Annotators responsible for labeling and validating medical data used in training artificial intelligence models for prior ...
New
Inpatient DRG Sr. Reviewer
Atlanta, GA · On-site +1
$95K - $120K/yr
Registered Nurse licensure preferred * Inpatient Coding Certification required (i.e., CCS, CIC ... We foster a hybrid and remote friendly culture, and all our employee's work locations are based on ...
Inpatient DRG Sr. Reviewer
Atlanta, GA · On-site +1
$95K - $120K/yr
Registered Nurse licensure preferred * Inpatient Coding Certification required (i.e., CCS, CIC ... We foster a hybrid and remote friendly culture, and all our employee's work locations are based on ...
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
The market performance manager will lead a team of nurse practitioners, registered nurses, social ... This position is remote but may require 25% of travel within their given market * Basic Life ...
The market performance manager will lead a team of nurse practitioners, registered nurses, social ... This position is remote but may require 25% of travel within their given market * Basic Life ...
Healthcare Community Liaison
Atlanta, GA · Remote
$200 - $3.0K/mo
Registered Nurses (RN) * Licensed Practical Nurses (LPN) * Medical Social Workers * Hospital ... This is a remote position.
Quick apply
Healthcare Community Liaison
Atlanta, GA · Remote
$200 - $3.0K/mo
Registered Nurses (RN) * Licensed Practical Nurses (LPN) * Medical Social Workers * Hospital ... This is a remote position.
Oncology Account Executive
Atlanta, GA · Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... Remote
Oncology Account Executive
Atlanta, GA · Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... Remote
Licensed Marriage and Family Therapist- Remote
Atlanta, GA · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Licensed Marriage and Family Therapist- Remote
Atlanta, GA · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Remote Medical Scribe
Cumming, GA · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
Quick apply
Remote Medical Scribe
Cumming, GA · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
Remote Rn Coding information
See Lawrenceville, GA salary details
$12.34 - $15.76
0% of jobs
$15.76 - $19.18
0% of jobs
$19.18 - $22.61
16% of jobs
$23.37 is the 25th percentile. Wages below this are outliers.
$22.61 - $26.03
40% of jobs
$26.03 - $29.46
5% of jobs
$29.46 - $32.88
9% of jobs
$34.81 is the 75th percentile. Wages above this are outliers.
$32.88 - $36.30
9% of jobs
$36.30 - $39.73
10% of jobs
$39.73 - $43.15
6% of jobs
$43.15 - $46.58
3% of jobs
$46.58 - $50
2% of jobs
$12
$30
$50
How much do remote rn coding jobs pay per hour?
What is the difference between Remote Rn Coding vs Remote Medical Coder?
| Aspect | Remote Rn Coding | Remote Medical Coder |
|---|---|---|
| Credentials | RN license, coding certifications (e.g., CPC, CCS) | Certification (CPC, CCS), no RN license needed |
| Work Environment | Healthcare facilities, insurance companies, remote clinics | Insurance companies, billing companies, healthcare organizations |
| Industry Usage | Hospitals, clinics, outpatient facilities | Insurance, billing, coding services |
| Job Focus | Clinical documentation, patient records, coding from RN perspective | Medical coding from documentation, billing codes, insurance claims |
Remote Rn Coding involves licensed RNs with coding certifications working primarily on clinical documentation and patient records, often within healthcare settings. Remote Medical Coder roles focus on coding insurance claims and billing documentation, typically requiring coding certifications but not an RN license. Both roles are essential in healthcare revenue cycle management but differ in credentials, work environment, and job focus.
What are some common challenges faced by Remote RN Coders and how can they be addressed?
What is a Remote RN Coder?
What are the key skills and qualifications needed to thrive as a Remote RN Coder, and why are they important?
Utilization Management Director - RN Required - Remote
Gainesville, GA • On-site, Remote
Full-time
Re-posted yesterday
Northeast Georgia Health System rating
7.5
Based on 150 frontline employees who took The Breakroom Quiz
231st of 881 rated healthcare providers
Job description
Executive Leadership, Revenue Cycle
Work Shift/Schedule:
8 Hr Morning - Afternoon
Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.
About the Role:
Job Summary
The Director of Utilization Management (UM) is responsible for leading and managing the Utilization Management (UM) functions at Northeast Georgia Medical Center. This position plays a critical role in ensuring correct status assignment, optimizing reimbursement, minimizing denials, improving case mix index (CMI), and ensuring appropriate utilization of hospital resources. The Director works collaboratively with hospital leadership, physicians, case management, finance, and compliance teams to enhance quality reporting, patient outcomes, and financial integrity. This role serves as a key liaison between clinical and financial operations, ensuring a seamless integration of documentation integrity with utilization management to drive efficiency, compliance, and revenue cycle optimization.
Minimum Job Qualifications
- Licensure or other certifications: Registered Nurse, UR specific certification preferred (CCM, ACM, CPUR)
- Educational Requirements: Bachelors Degree
- Minimum Experience: Minimum of 7 years UR with progressive Revenue Cycle leadership experience of 2 or more years.
- Other:
Preferred Job Qualifications
- Preferred Licensure or other certifications:
- Preferred Educational Requirements: Master's Degree in Nursing or other health related field preferred
- Preferred Experience:
- Other:
Job Specific and Unique Knowledge, Skills and Abilities
- Proven ability to lead teams, manage budgets, and implement strategic initiatives.
- Strong ability to educate and influence physicians, staff, and leadership on UM best practices.
- Experience in data analysis, KPI tracking, and performance improvement strategies.
- Expertise in medical necessity criteria, payer regulations, and revenue cycle principles.
- Oversee day-to-day operations of the Utilization Management Department, ensuring compliance with payer requirements and regulatory standards.
- Work closely with case management, managed care, and patient financial services to streamline utilization review and enhance hospital financial performance.
- Monitor and analyze key performance indicators (KPIs), financial goals, and length of stay (LOS) metrics to drive performance improvements.
- Recruit, train, and manage a high-performing UM team, ensuring operational alignment with hospital objectives.
- Manage departmental budgets, ensuring financial responsibility and resource allocation
- Develop and implement performance metrics to evaluate team effectiveness and drive continuous improvement.
- Foster strong relationships with internal and external stakeholders, including hospital executives, physicians, and payers.
- Provide data-driven insights and strategic recommendations to hospital leadership regarding UM performance.
- Act as the operational leader for process improvement initiatives related to utilization management, and revenue cycle optimization.
- Work closely with Physician Advisors to develop and revise policies and procedures related to clinical status determination, medical necessity, denials and appeals, and physician education.
- Review daily, weekly and monthly reports to monitor and analyze performance of UM departments, assess data against KPI standards and goals, and identifies trends to make adjustments as indicated. Keeps leadership, staff, and clinical staff (where appropriate) informed.
- Oversees UM working closely with Case Management and other members of the interdisciplinary team to ensure effective collaboration for length of stay and throughput.
- Communicate with and educate physicians and other key stake holders regarding Utilization Review policies, practices, and procedures to ensure safe, effective services, along with appropriate transitions of care.
- Assesses departmental workload to determine appropriate staff allocations to ensure productivity standards are being met consistently.
- Works closely with physicians and staff to provide and monitor clinical/financial data for the purpose of improving hospital/physician performance and anticipating payer and managed care demands.
- Actively participates as the operational leader for UM in committees including but not limited to MRUR; Compliance; Policy and Procedures; and Quality
- Identifies and maintains good relationships with other departments such as Managed Care, Patient Financial Services, Patient Access, and others so to facilitate the utilization review processes and to provide continuity of care.
- Weight Lifted: Up to 20 lbs, Frequently 31-65% of time
- Weight Carried: Up to 20 lbs, Frequently 31-65% of time
- Vision: Moderate, Frequently 31-65% of time
- Kneeling/Stooping/Bending: Occasionally 0-30%
- Standing/Walking: Constantly 66-100%
- Pushing/Pulling: Constantly 66-100%
- Intensity of Work: Occasionally 0-30%
- Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving
Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.
NGHS: Opportunities start here.
Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.
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About Northeast Georgia Health System
Sourced by ZipRecruiter
Northeast Georgia Health System (NGHS) is a not-for-profit community health system dedicated to improving the health and quality of life of the people of Northeast Georgia. Through the services of a medical staff of more than 800 physicians, the residents of Northeast Georgia enjoy access to the state’s finest and most comprehensive medical services. It is our mission to improve the health of our community in all we do.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Gainesville, GA, US
Year founded
1951