Top 18 Rn Coding Analyst Jobs

Clinical Review Pharmacy Analyst
VanderHouwen —Portland, OR
- $22 - $25 an hour
- Contract
- Remote
- Mid-level
- Residential
- Analysis skills
- Disability insurance
- Health insurance
Quick Apply
12d
Clinical Analyst Appeals (Remote)
Beth Israel Lahey Health —Charlestown, MA
- $93,142 - $124,800 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
Nurse Itemized Bill Reviewer (IBR Analyst)
Machinify —California City, CA
- $80,000 - $90,000 a year
- Remote
- Microsoft Excel
- LVN
- RN License
- Health savings account
- Health insurance
Registered Nurse- Clinical Data Analyst Trauma Services/Spine and Joint (FT- 1.0 FTE, Day Shift)
Bozeman Deaconess Hospital —Bozeman, MT
- Weekends as needed
- Nursing
- RN License
- Bachelor of Science
CDCE Data Analyst
Emory Healthcare —Atlanta, GA
- $52.37 - $65.06 an hour
- Full-time
- Nursing
- Azure
- Computer Science
- Wellness program
- Health insurance
10d
Trauma/Burn Quality and Research Analyst
Regional One Health —Memphis, TN
- Full-time
- Remote
- Computer science
- Nursing
- Surgery
13d
Clinical Denials Audit Analyst RN, Full Time
Unity Health —Searcy, AR
- Full-time
- Nursing
- RN License
- Computer literacy
Trauma Quality Analyst (RN)
HonorHealth —Phoenix, AZ
- Full-time
- Nursing
- RN License
- Hospital
CDI Quality Analyst
Franciscan Health —Mishawaka, IN
- $73,278.40 - $100,776.00 a year
- Full-time
- Nursing
- RN License
- Research
- Work from home
Registered Nurse - RN STAFF - CLINICAL ANALYST
US Veterans Health Administration —White River Junction, VT
- $79,295 - $136,755 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
14d
Denial Analyst - RN
Franciscan Missionaries of Our Lady Health System —Baton Rouge, LA
- Day shift
- Nursing
- RN License
- Research
7d
Clinical Auditor/Analyst (Remote)- Fraud, Waste and Abuse
UPMC —Pittsburgh, PA
- $32.85 - $56.83 an hour
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
5d
Nurse Analyst, Medicaid Fraud, Chicago or Oakbrook 23-E-06
Office of the Illinois Attorney General —Oak Brook, IL
- $65,000 - $95,000 a year
- Full-time
- Nursing
- RN License
- Writing skills
- Disability insurance
- Health insurance
Transplant Charge Review Analyst | Revenue Cycle
UF Health —Gainesville, FL
- Full-time
- Mid-level
- 2 years
7d
CDI Quality Analyst
The University of Iowa —Iowa City, IA
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Dental insurance
6d
RN Healthcare Data Analyst
Certilytics —United States
- Nursing
- RN License
- HIPAA
Analyst Clinical Documentation Integrity (CDI)
Envision Healthcare —United States
- Full-time
- Nursing
- Computer literacy
- HIPAA
- Paid holidays
- Disability insurance

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Clinical Review Pharmacy Analyst

VanderHouwen -
Portland, OR

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Job Details

Contract
$22 - $25 an hour
12 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
Vision insurance
401(k) matching
Life insurance

Qualifications

IV compounding
Inpatient
Sterile IV admixture procedures
Hospital experience
Compounding medications

Full Job Description

Clinical Review Pharmacy Analyst
Our client is seeking a Clinical Review Pharmacy Analyst to support post-service claim audits and ensure the accuracy and compliance of pharmaceutical billing. This role leverages strong knowledge of medications, healthcare documentation, and reimbursement policies to evaluate claims and identify discrepancies. The ideal candidate is detail-oriented, analytical, and able to manage competing priorities while maintaining high standards of accuracy and regulatory compliance.

This role is fully remote. Applicants who reside in Oregon, Washington, Utah, or Idaho are preferred.

Clinical Review Pharmacy Analyst Responsibilities

Conduct detailed post-service audits of pharmacy-related claims to ensure billed charges align with medical records, drug administration documentation, and reimbursement policies.
Analyze pharmaceutical billing and treatment documentation to identify discrepancies, incorrect charges, or use of medications outside approved treatment guidelines.
Request and review additional documentation when necessary to validate claims and support audit findings.
Maintain compliance with regulatory, accreditation, and organizational standards while ensuring work meets established accuracy, quality, and turnaround expectations.
Manage assigned audit workload independently, prioritizing tasks to meet productivity goals and departmental timelines.
Maintain organized access to policies, procedures, and reference materials needed to perform claim and billing reviews effectively.
Contribute to operational efficiency by supporting cross-functional tasks, participating in departmental initiatives, and assisting with special projects as assigned.

Clinical Review Pharmacy Analyst Qualifications

Licensed Practical Nurse (LPN) or Licensed Pharmacy Technician certification required.
5+ years of combined experience in healthcare claims review, pharmacy billing analysis, or related healthcare auditing functions.
Recent hands-on experience working in an inpatient IV room compounding sterile pharmaceuticals is required.
Minimum of 2 years of clinical or healthcare facility experience (hospital or residential treatment setting preferred).
Strong knowledge of pharmaceuticals and drug administration practices, including the ability to identify inappropriate billing, off-label use, or investigational treatments.
Experience reviewing healthcare claims and billing documentation, with familiarity in medical records and reimbursement policies.
Demonstrated ability to work independently, meet productivity and quality standards, and manage multiple priorities in a fast-paced environment.
Strong analytical, problem-solving, and communication skills.
Proficiency with Microsoft Office and general computer applications.
Experience using AI tools or technology to support analysis and decision-making is highly preferred.
Payment review, medical coding, or audit experience is a plus.

Compensation: $22-$25/hr. (DOE)

VanderHouwen Contractors Enjoy Exceptional Benefit Perks!
As an eligible contract employee with VanderHouwen, you'll have access to a full suite of benefits designed with your well-being in mind. Our comprehensive package includes medical, dental, vision, life insurance, short- and long-term disability, and a matching 401(k) to help secure your future.

Meet VanderHouwen
What kind of recruiter do you see yourself working with? One who prioritizes your best interest, no matter what? VanderHouwen does, and we're in it for the long game! Our recruiters focus on YOU, building meaningful, long-term relationships while developing a deep understanding of companies' staffing needs and workplace cultures. This approach helps us find an ideal job match that aligns with your unique career aspirations and goals.

VanderHouwen is an award-winning, Women & Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!

VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.

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Refine Your Search

Rn Coding Analyst jobs

Clinical Review Pharmacy Analyst

Clinical Analyst Appeals (Remote)

Nurse Itemized Bill Reviewer (IBR Analyst)

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Nurse Analyst, Medicaid Fraud, Chicago or Oakbrook 23-E-06

Transplant Charge Review Analyst | Revenue Cycle

CDI Quality Analyst

RN Healthcare Data Analyst

Analyst Clinical Documentation Integrity (CDI)

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