In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
Quick apply
In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
RN Health Coord (bilingual, remote, temporary)
VA · On-site +1
General information Job Posting Title RN Health Coord (bilingual, remote, temporary) Date Wednesday, May 20, 2026 City Remote Country United States Working time Full-time Description & Requirements ...
RN Health Coord (bilingual, remote, temporary)
VA · On-site +1
General information Job Posting Title RN Health Coord (bilingual, remote, temporary) Date Wednesday, May 20, 2026 City Remote Country United States Working time Full-time Description & Requirements ...
The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with ... codes. * Contribute to development of service line and hospital standards and guidelines.
The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with ... codes. * Contribute to development of service line and hospital standards and guidelines.
Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer - RN - PRN (Remote U.S.) to join our growing team. Job Summary: * Review medical records against criteria, contract ...
Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer - RN - PRN (Remote U.S.) to join our growing team. Job Summary: * Review medical records against criteria, contract ...
The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with ... codes. * Contribute to development of service line and hospital standards and guidelines.
The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with ... codes. * Contribute to development of service line and hospital standards and guidelines.
Senior Medical Coding Subject Matter Expert
Falls Church, VA · On-site +1
$20 - $25.25/hr
... Registered Health Information Administrator (RHIA) with coding specialization. Minimum 10 years ... Bachelor's degree in Health Information Management, Health Administration, Nursing, or a related ...
Senior Medical Coding Subject Matter Expert
Falls Church, VA · On-site +1
$20 - $25.25/hr
... Registered Health Information Administrator (RHIA) with coding specialization. Minimum 10 years ... Bachelor's degree in Health Information Management, Health Administration, Nursing, or a related ...
Senior Medical Coding Subject Matter Expert
Falls Church, VA · Remote
$17 - $21.75/hr
... Registered Health Information Administrator (RHIA) with coding specialization. Minimum 10 years ... Bachelor's degree in Health Information Management, Health Administration, Nursing, or a related ...
Senior Medical Coding Subject Matter Expert
Falls Church, VA · Remote
$17 - $21.75/hr
... Registered Health Information Administrator (RHIA) with coding specialization. Minimum 10 years ... Bachelor's degree in Health Information Management, Health Administration, Nursing, or a related ...
Outpatient Coding Auditors (FT and PT)
Washington, DC · On-site +1
Remote VA Experienced Outpatient Coding Auditors (Full-Time and Part-Time Positions Available ... RHIA) / Registered Health Information Technician (RHIT) • Certified Coding Specialist (CCS ...
Outpatient Coding Auditors (FT and PT)
Washington, DC · On-site +1
Remote VA Experienced Outpatient Coding Auditors (Full-Time and Part-Time Positions Available ... RHIA) / Registered Health Information Technician (RHIT) • Certified Coding Specialist (CCS ...
Medicare Nurse Practitioner (Remote)
Washington, DC · Remote
$115K - $130K/yr
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Fully remote work environment Pair Team is an Equal Opportunity Employer. At Pair Team, we value ...
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Medicare Nurse Practitioner (Remote)
Washington, DC · Remote
$115K - $130K/yr
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Fully remote work environment Pair Team is an Equal Opportunity Employer. At Pair Team, we value ...
Health Specialist (RN, Remote and Temporary)
VA · On-site +1
General information Job Posting Title Health Specialist (RN, Remote and Temporary) Date Thursday, May 28, 2026 City Remote Country United States Working time Full-time Description & Requirements The ...
Health Specialist (RN, Remote and Temporary)
VA · On-site +1
General information Job Posting Title Health Specialist (RN, Remote and Temporary) Date Thursday, May 28, 2026 City Remote Country United States Working time Full-time Description & Requirements The ...
S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working ... One (1) year of experience as a registered nurse in a clinical care setting or home health ...
S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working ... One (1) year of experience as a registered nurse in a clinical care setting or home health ...
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is ...
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is ...
Senior Accreditation Manager (Nurse Survey Review) Remote
Arlington, VA · Remote
$80K - $90K/yr
Registered Nurse (RN) with a Bachelor's degree in Nursing or a related healthcare field * 5+ years ... Remote Flexibility: Work from anywhere in the U.S. while collaborating with a high-performing team.
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Senior Accreditation Manager (Nurse Survey Review) Remote
Arlington, VA · Remote
$80K - $90K/yr
Registered Nurse (RN) with a Bachelor's degree in Nursing or a related healthcare field * 5+ years ... Remote Flexibility: Work from anywhere in the U.S. while collaborating with a high-performing team.
RN Field Case Manager
Fairfax, VA · Remote
$79K - $101K/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
Fairfax, VA · Remote
$79K - $101K/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 ...
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 ...
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
Fairfax, VA · Remote
$79K - $101K/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
Fairfax, VA · Remote
$79K - $101K/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 ...
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder
Washington, DC · Remote
Demonstrates proficiency in medical coding, billing, clinical documentation, and regulatory ... EN1 #LI-Remote Ankura is an Affirmative Action and Equal Opportunity Employer. All qualified ...
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder
Washington, DC · Remote
Demonstrates proficiency in medical coding, billing, clinical documentation, and regulatory ... EN1 #LI-Remote Ankura is an Affirmative Action and Equal Opportunity Employer. All qualified ...
Remote Rn Coding information
See Woodbridge, VA salary details
$13.31 - $17.01
0% of jobs
$17.01 - $20.70
0% of jobs
$20.70 - $24.40
16% of jobs
$25.23 is the 25th percentile. Wages below this are outliers.
$24.40 - $28.10
40% of jobs
$28.10 - $31.79
5% of jobs
$31.79 - $35.49
9% of jobs
$37.57 is the 75th percentile. Wages above this are outliers.
$35.49 - $39.18
9% of jobs
$39.18 - $42.88
10% of jobs
$42.88 - $46.57
6% of jobs
$46.57 - $50.27
3% of jobs
$50.27 - $53.97
2% of jobs
$13
$32
$53
How much do remote rn coding jobs pay per hour?
What can an RN do remotely?
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.
Can you work remotely as a medical coder?
What are some common challenges faced by Remote RN Coders and how can they be addressed?
Can an RN work as a medical coder?
What is a Remote RN Coder?
Are RN coders in demand?
What are the key skills and qualifications needed to thrive as a Remote RN Coder, and why are they important?
SIU Nurse Auditor, RN, CPC (Full-time, Remote)
Integrity Management Services, Inc.Alexandria, VA • On-site, Remote
Full-time
Posted 14 days ago
Job description
Job Summary
We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential.
How You Will Make an Impact
- Investigations and Audits: Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
- Tool and Policy Development: Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
- Cross-Departmental Collaboration: Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
- Data Analysis and Trending: Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
- Fraud Detection Support: Support fraud investigators with medical review expertise to detect and address fraudulent activities.
- Mentorship: Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.
Requirements
Qualifications
- Education:
- Minimum Associate's Degree in Nursing required;
- Licensure & Certification:
- Current, unrestricted Registered Nurse (RN) license in applicable state(s).
- Certification in medical coding from AAPC or AHIMA (e.g., CPC, CIC, CDI, or equivalent) is highly preferred.
- Experience:
- Minimum 5 years of clinical nursing experience, preferably with exposure to hospital bill auditing or defense auditing.
- Strong knowledge of provider manuals, reimbursement policies, and medical policy guidelines.
- Prior experience with healthcare fraud investigation and auditing is highly preferred.
- Skills:
- Proficiency in CPT/HCPCS and ICD-10 coding, with a strong foundation in auditing, accounting, and control principles.
- Analytical and problem-solving skills with a keen attention to detail.
- Exceptional written and verbal communication skills for clear and effective reporting and provider engagement.
- Strong proficiency in Microsoft Office and familiarity with audit tracking systems.
Preferred Traits
- Meticulous, organized, and objective in analyzing claims and documentation.
- Ethical and responsible, with a commitment to supporting the integrity of healthcare billing and reimbursement.
- Able to work independently, stay current with rapidly changing healthcare regulations, and thrive in a fast-paced environment.
About Integrity Management Services
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
51 - 200 Employees
Headquarters location
Alexandria, VA, US
Year founded
2009