Review medical records to validate billed DRG codes and ensure medical claims are coded accurately. Identify overpayments and provide professional explanations for clinical decisions.
Browse Remote Jobs in United States (123,315)
Remote in = United States
Perform DRG auditing and retrospective overpayment identification to ensure accurate healthcare reimbursement. Collaborate with a remote team to deliver excellence in inpatient coding and auditing for top-tier healthcare clients.
Leads the planning and execution of DRG audit activities while managing a team of auditors to ensure accurate coding and reimbursement. Oversees operational goals, client SLAs, and inventory aging to support overall program success.
Facilitate online BSN nursing courses through synchronous lectures and asynchronous discussions while serving as a coach and advisor to students. Manage course materials, grading, and student remediation in alignment with the Chamberlain Care philosophy.
Design and develop scalable full-stack applications and cloud-native solutions using Python and React on AWS. Integrate Amazon Connect and Pindrop security workflows while maintaining CI/CD pipelines and infrastructure as code.
Get new remote jobs delivered to your inbox
Be the first to know when matching positions are posted
Drive account growth and profitability for complex customers by securing contractual commitments and managing a portfolio of approximately 100 accounts. Collaborate with outside developers and cross-functional teams to penetrate accounts and deliver best-in-class customer service.
Technical Project Manager
CLEARWATER SECURITY & COMPLIANCE LLC
·
Full Time
·
3 Weeks Ago
CLEARWATER SECURITY & COMPLIANCE LLC
The Technical Project Manager provides end-to-end support for Managed Cloud and Managed Security Services, focusing on project planning, resource allocation, and risk reporting. They serve as the primary point of contact for clients and internal teams to ensure the successful delivery of SOC engagements.
The PAS Intake Coordinator is responsible for the clerical assembly of patient files and accurate data entry into the Pre-Admission Screening tool. The role focuses on accelerating the admission workflow by auditing files and collaborating with the clinical team and Hospital Liaisons.
Provide production support and system maintenance for a SaaS financial risk prevention platform. Manage application deployments and perform complex SQL data analysis to resolve system issues.
Manage relationships with state officials and stakeholders to advance the company's legislative and regulatory agenda. Lead engagement with external lobbying firms and internal teams to influence policy issues relevant to social casino and sweepstakes operations.
The role focuses on managing complex client datasets to drive balance reconciliations and resolve missing data volumes during the implementation phase. You will communicate directly with clients via Slack to investigate root causes and improve operational workflows using AI tools.
Lead the research agenda to identify fraud patterns and adversarial behaviors using a global identity graph. Translate complex data findings into strategic narratives for executives, regulators, and the broader market while managing a team of researchers.
Principal / Senior Principal Coastal Engineer or Scientist
Geosyntec Consultants, Inc.
·
Full Time
·
3 Weeks Ago
Geosyntec Consultants, Inc.
Lead and grow the coastal and waterfront redevelopment practice through business development and client relationship management. Oversee complex technical projects involving shoreline stabilization and dredging while mentoring junior staff.
The role involves gathering and documenting business requirements to deliver scalable ServiceNow capabilities for federal government projects. The analyst will translate needs into user stories and workflows while collaborating with developers and stakeholders through Agile ceremonies.
Responsible for the day-to-day support, optimization, and enhancement of Epic Inpatient ClinDoc to improve clinical workflows and operational efficiency. The role involves leading application builds, managing system upgrades, and providing mentorship to junior team members.
Case Manager
Blue Cross & Blue Shield of Rhode Island
·
Full Time
·
3 Weeks Ago
Blue Cross & Blue Shield of Rhode Island
Manage members through evidence-based care and health assessments to identify risks and implement appropriate interventions. Coordinate services between members, providers, and community organizations to improve well-being and moderate claims costs.
Provide leading-edge diagnostic interpretation and personalized care plans focusing on hormone optimization, weight loss, and cardiometabolic treatments. Collaborate with health coaches to deliver a best-in-class member experience through both synchronous and asynchronous care.
Get new remote jobs delivered to your inbox
Be the first to know when matching positions are posted
The Art Director is responsible for designing and art directing compelling frontlist book covers for fiction and nonfiction titles across multiple imprints. This involves collaborating with editors, production teams, and freelance creatives to guide projects from initial concept to final production.
The role focuses on accelerating the growth of the impact investing ecosystem map by researching existing solutions and designing GTM strategies. The associate will aggregate and analyze large volumes of data using AI tools to build lean data pipelines.
The role involves providing production support and managing enhancement requests for Work and Resource Management systems. Key duties include collecting business requirements, developing user stories, and coordinating project plans between IT teams and stakeholders.
The role focuses on supporting lower-ARR accounts through automated success motions and coordinating onboarding and renewal workflows. It also involves maintaining high data integrity within HubSpot to monitor account health and identify churn risks.
Design, develop, and maintain public and private Shopify Custom Apps while ensuring high standards of security and scalability. Integrate Shopify with external systems such as ERPs and CRMs to automate commercial processes and operational efficiency.
The role focuses on extracting and analyzing fleet-scale manufacturing and quality data to generate value-driven insights and KPIs. It involves automating manual workflows using AI and developing intelligent dashboards for executive-level visibility into operational health.
Drive revenue growth by identifying and closing new business opportunities for business automation solutions. Build strong relationships with C-level executives and manage the full sales lifecycle from prospecting to contract close.
Technical Sales Representative (Organic/Peptides - Mid-Atlantic)
Biotage
·
Full Time
·
3 Weeks Ago
Biotage
Responsible for selling core chemistry instruments and consumables to pharma, biotech, and academic accounts in the Mid-Atlantic region. Tasks include conducting hands-on product demonstrations, managing sales forecasts, and maintaining customer relationships via Salesforce.
The Lead AI Engineer is responsible for architecting and scaling agentic AI systems, including LLM orchestration and RAG pipelines. The role combines hands-on technical implementation with the leadership, mentoring, and recruitment of a team of AI engineers.
Get new remote jobs delivered to your inbox
Be the first to know when matching positions are posted
Project Engineer - Power Distribution
Sigma Technologies
·
Full Time
·
3 Weeks Ago
Sigma Technologies
The Project Engineer assists the Project Manager in developing production schedules and maintaining quality assurance within labor budgets. They implement work breakdown structures to ensure project scope, schedule, and budget objectives are met.
Consulting Engineer - Structural Engineering & Analysis
SI Solutions, LLC
·
Full Time
·
3 Weeks Ago
SI Solutions, LLC
The role involves planning and executing complex structural engineering projects, including 3D modeling and advanced analysis for industrial structures. The consultant is also responsible for managing project budgets, leading team members, and maintaining strong client relationships to secure repeat business.
Consulting Engineer - Structural Engineering & Analysis
SI Solutions, LLC
·
Full Time
·
3 Weeks Ago
SI Solutions, LLC
The role involves planning and executing complex structural engineering projects, including 3D modeling and advanced analysis for industrial structures. The consultant is also responsible for managing project budgets, leading team members, and maintaining strong client relationships to secure repeat business.
Consulting Engineer - Structural Engineering & Analysis
SI Solutions, LLC
·
Full Time
·
3 Weeks Ago
SI Solutions, LLC
The role involves planning and executing complex structural engineering projects, including 3D modeling and advanced analysis for industrial structures. The consultant is also responsible for managing project budgets, leading team members, and maintaining strong client relationships to secure repeat business.
Automatically Apply to the Best Remote Jobs
Stop the endless job search. Our AI finds and applies to the best jobs for you.
Browse Jobs by Role
Remote Data Analyst Jobs
Remote Management Consultant Jobs
Remote Account Executive Jobs
Remote Call Center Representative Jobs
Remote Graphic Designer Jobs
Remote Social Media Manager Jobs
Remote Proofreader Jobs
Remote Program Manager Jobs
Remote Video Editor Jobs
Remote Translator Jobs
Remote Technical Writer Jobs
Remote Customer Success Manager Jobs
Remote Software Engineer Jobs
Remote Content Creator Jobs
Remote Chief of Staff Jobs
