Top 75 Medical billing and coding rn Jobs

DRG Validation Auditor (Clinical & Coding)
Cotiviti —Remote
- $45.67 an hour
- Full-time
- Nursing
- Writing skills
- High school diploma or GED
- Paid holidays
- Disability insurance
DRG Clinical Validation Nurse
MedReview —Remote
- $85,000 - $95,000 a year
- Full-time
- Remote
- Anatomy knowledge
- RN License
- Computer literacy
- Commuter assistance
- Health insurance
Quick Apply
Nurse Medical Coder
Humana —Remote
- $86,300 - $118,700 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Paid parental leave
- Paid holidays
7d
Remote HomeCare OASIS Coder/Reviewer
Costa Coding —Remote
- $50 - $85 an hour
- Full-time
- Remote
- Mid-level
- 3 years
- Associate's degree
- Health insurance
- Flexible schedule
Quick Apply
3d
DRG/Clinical Validation Auditor RN
Optum —Plymouth, MN
- $34.23 - $61.15 an hour
- Full-time
- Remote
- Nursing
- Anatomy knowledge
- RN License
- AD&D insurance
- Employee stock purchase plan
Trauma Registrar- RN required
NYU Langone Health —Brooklyn, NY
- $82,886.37 - $142,978.85 a year
- Online Application
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Wellness program
Coding & OASIS Reviewer
Netsmart Technologies —Remote
- Part-time
- Remote
- Background check
- Pass drug screening
- Mid-level
- Opportunities for advancement
Charge Nurse 6am-2pm (RN or LVN)
Coral Rehabilitation and Nursing of Arlington —Arlington, TX
- Weekends as needed
- Anatomy knowledge
- LVN
- RN License
- COVID-19 protective measures
Quick Apply
RN Quality Assurance Manager- Home Health Agency
Better Home Care LLC —Feasterville-Trevose, PA
- $90,000 - $105,000 a year
- Full-time
- RN License
- Office
- 3 years
- Health insurance
- Dental insurance
Quick Apply
11d
RN/Surgery Center Administrator
PhyBus —Nashville, TN
- $110,000 - $130,000 a year
- Full-time
- Background check
- Nursing
- Surgery
- Health savings account
- Health insurance
Quick Apply
Travel OR (Operating Room) RN (Registered Nurse) in Billings, MT - 1131326
Medical Solutions —Billings, MT
- Surgery
- RN License
- Operating room
- Health insurance
- Dental insurance
Quick Apply
5d
Senior Analyst, Edits | Payment Integrity (Remote)
CGI Group, Inc. —Knoxville, TN
- $75,000 - $100,000 a year
- Remote
- RN License
- 5 years
- SQL
- Paid parental leave
- Paid holidays
Registered Nurse (RN) — Clinical Research Nurse Coordinator — Liver Institute of Virginia at St. Mary's Hospital
Bon Secours —Richmond, VA
- $36.42 - $58.28 an hour
- Nursing
- Patient monitoring
- RN License
- Health savings account
- Disability insurance
6d
Local ER (Emergency Room) RN (Registered Nurse) in Billings, MT - 1123824L
Medical Solutions —Billings, MT
- PRN
- RN License
- ER
- 1 year
- Health insurance
- Dental insurance
Quick Apply
13d
Local Med Surg (Medical Surgical) RN (Registered Nurse) in Billings, MT - 1131323L
Medical Solutions —Billings, MT
- PRN
- RN License
- Medical-surgical
- Medical-Surgical
- Health insurance
- Dental insurance
Quick Apply
3d
RN Infusion Suite Nurse - Billings
Option Care Health —Billings, MT
- $38.84 - $64.72 an hour
- Full-time
- CPR Certification
- Medication administration
- RN License
- Health insurance
- Dental insurance
Quick Apply
Travel ICU (Intensive Care Unit) RN (Registered Nurse) in Billings, MT - 1131241
Medical Solutions —Billings, MT
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
- Dental insurance
Quick Apply
5d
Travel ICU (Intensive Care Unit) RN (Registered Nurse) in Billings, MT - 1131522
Medical Solutions —Billings, MT
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
- Dental insurance
Quick Apply
5d
Local ICU (Intensive Care Unit) RN (Registered Nurse) in Billings, MT - 1131522L
Medical Solutions —Billings, MT
- PRN
- RN License
- Critical & Intensive Care
- 1 year
- Health insurance
- Dental insurance
Quick Apply
5d
Travel Med Surg (Medical Surgical) RN (Registered Nurse) in Billings, MT - 1131323
Medical Solutions —Billings, MT
- RN License
- Mid-level
- Medical-surgical
- Health insurance
- Dental insurance
Quick Apply
3d

I want to receive the latest job alert for medical billing and coding rn

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medical billing and coding rn jobs near

Auditor jobs in Remote

Registered Nurse Icu jobs in Billings, MT

Coding Specialist jobs in Remote

Clinical Nurse jobs in Remote

Registered Nurse Operating Room jobs in Billings, MT

Licensed Vocational Nurse jobs in Arlington, TX

Trauma Registrar jobs in Brooklyn, NY

Registered Nurse Infusion jobs in Billings, MT

Energy Auditor jobs in Remote

Night Auditor jobs in Washington, DC

Night Auditor jobs in Denver, CO

Registered Behavior Technician jobs in New York, NY

Registered Environmental Health Specialist jobs in California

Registered Nurse jobs in Owings Mills, MD

Psychiatric Nurse Practitioner jobs in West Virginia

Medical Laboratory Technician jobs in Orlando, FL

Remote Medical jobs in Philadelphia, PA

Travel Surgical Tech jobs in Texas

Coding Specialist jobs in Lima, OH

Child Life Specialist jobs in Los Angeles, CA

DRG Validation Auditor (Clinical & Coding)

Cotiviti -
Remote

Apply Now

Job Details

Full-time
$45.67 an hour

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Family leave
Vision insurance
Life insurance

Qualifications

Writing skills
CMS
Regulatory compliance in claims processing
Documentation tools
Centers for Medicare & Medicaid Services (CMS) billing regulations
Productivity software
Clinical documentation standards
Legal compliance
Medical terminology
DRG

Full Job Description

Overview:

This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused on the following disciplines from a coding and billing perspective: Inpatient DRG/APR-DRG. This position is responsible for auditing inpatient claims and documenting the results of those audits, with a focus on clinical review, coding accuracy, and the appropriateness of treatment setting and services delivered.

Responsibilities:

Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently.
Effectively Utilizes Audit Tools. Utilizes Cotiviti proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters.
Meets or Exceeds Standards/Guidelines for Productivity. Maintains production goals set by the audit operations management team.
Meets or Exceed Standards/Guidelines for Accuracy and Quality. Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim.
identification and documentation (letter writing).
Identifies New Claim Types.
Identifies potential claims outside of the concept where additional recoveries may be available.
Suggests and develops high quality, high value concept and or process improvement, tools, etc.
Complete all responsibilities as outlined on annual Performance Plan.
Complete all special projects and other duties as assigned.
Must be able to perform duties with or without reasonable accommodation.
Complete all responsibilities as outlined on annual Performance Plan.
Complete all special projects and other duties as assigned.
Must be able to perform duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications:

Education (at least one of the following are required):

Associate or bachelor’s degree in nursing (active /unrestricted license).
Associate or bachelor’s degree Health Information Management (RHIA or RHIT).
High school diploma or GED plus equivalent experience of 5+ years’ experience in claims auditing, quality assurance, or recovery auditing...ideally in a DRG / Clinical Validation Audit setting or a hospital environment.

Coding/CDI Certification (at least one of the following are required and are to be maintained as a condition of employment):

RHIA or RHIT.
CPC.
Inpatient Coding Credential – CCS, CIC, CDIP or CCDS.

Experience (required):

Advanced knowledge of ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria and coding terminology. A minimum of 2+ years experience required with a nursing or HIM degree OR 5 to 7+ years of experience required with all other degrees or high school diploma/GED.
Adherence to official coding guidelines, coding clinic determinations and CMS and other regulatory compliance guidelines and mandates. Requires expert coding knowledge - DRG, APRDRG, ICD-10, CPT, HCPCS codes.
Requires working knowledge of and applicable industry-based standards.
Proficiency in Word, Access, Excel, TEAMS, and other applications.
Excellent written and verbal communication skills.

Mental Requirements:

Communicating with others to exchange information.
Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

Remaining in a stationary position, often standing or sitting for prolonged periods.
Repeating motions that may include the wrists, hands, and/or fingers.
Must be able to provide a dedicated, secure work area.
Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
No adverse environmental conditions expected.

Base compensation is paid hourly at $45.67 per hour (95k annualized). This role is eligible for discretionary bonus consideration.

Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Date of posting: 4/21/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 6/21/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

#LI-Remote

#LI-JJ1

#senior

Apply Now

Refine Your Search

medical billing and coding rn jobs

DRG Validation Auditor (Clinical & Coding)

DRG Clinical Validation Nurse

Nurse Medical Coder

Remote HomeCare OASIS Coder/Reviewer

DRG/Clinical Validation Auditor RN

Trauma Registrar- RN required

Coding & OASIS Reviewer

Charge Nurse 6am-2pm (RN or LVN)

RN Quality Assurance Manager- Home Health Agency

RN/Surgery Center Administrator

Travel OR (Operating Room) RN (Registered Nurse) in Billings, MT - 1131326

Senior Analyst, Edits | Payment Integrity (Remote)

Registered Nurse (RN) — Clinical Research Nurse Coordinator — Liver Institute of Virginia at St. Mary's Hospital

Local ER (Emergency Room) RN (Registered Nurse) in Billings, MT - 1123824L

Local Med Surg (Medical Surgical) RN (Registered Nurse) in Billings, MT - 1131323L

RN Infusion Suite Nurse - Billings

Travel ICU (Intensive Care Unit) RN (Registered Nurse) in Billings, MT - 1131241

Travel ICU (Intensive Care Unit) RN (Registered Nurse) in Billings, MT - 1131522

Local ICU (Intensive Care Unit) RN (Registered Nurse) in Billings, MT - 1131522L

Travel Med Surg (Medical Surgical) RN (Registered Nurse) in Billings, MT - 1131323

I want to receive the latest job alert for medical billing and coding rn

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected