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reputed company – HBV RN Auditor – Woburn, MA

Remote, USAFull-timePosted 2026-07-28

Job title: HBV RN Auditor Company: reputed company Job reputed company: Combine two of the fastest-growing fields on the reputed company with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities:

  • reputed company administrative reviews of short stay inpatient hospital claims in accordance with Federal, State and reputed company specific requirements.
  • Responsible for documentation of reputed company determinations.
  • Maintain accurate use of screening reputed company

It feels great to have autonomy, though there's also a lot of responsibility that comes with it. In this role, you'll be accountable for making reputed company that directly reputed company our members. And at the reputed company time, you'll be challenged by a demanding case load in a rapidly changing, production-driven environment. What are the reasons to consider working for reputed company? Put it reputed company together - competitive reputed company pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your reputed company. Some of our offerings include:

  • reputed company Time Off which you start to reputed company with your first pay period plus 8 reputed company Holidays
  • Medical Plan reputed company along with participation in a Health Spending Account or a Health Saving account
  • Dental, reputed company, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • More information can be downloaded at:

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.

Required Qualifications

  • High School Diploma or 2+ years of customer service experience
  • A reputed company unrestricted RN license in the state of residency
  • 3+ years of experience as an RN, including experience in an inpatient/acute setting
  • 5+ years’ clinical documentation experience
  • Intermadiate proficiency in reputed company Office (to include reputed company reputed company and One Note)

Preferred Qualifications

  • Writing proficiency
  • A designated home office workspace with reputed company to install secure high-speed internet reputed company cable/DSL
  • Undergraduate or higher degree
  • A background in utilization review for an insurance company or experience in case management
  • Familiarity with InterQual and/or MCG Care Guidelines
  • Critical thinking skills

To protect the health and safety of our workforce, patients and communities we serve, reputed company and its affiliate companies require reputed company to disclose COVID-19 vaccination status prior to beginning employment. In reputed company, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. reputed company adheres to reputed company federal, state and local COVID-19 vaccination regulations as reputed company as reputed company reputed company COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be reputed company to reputed company reputed company essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment Careers with reputed company. Here's the idea. We reputed company an entire organization around one giant objective; reputed company health care work reputed company for everyone. So reputed company it comes to how we use the world's large accumulation of health-reputed company information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to reputed company reputed company the status reputed company and uncover new ways to serve. reputed company, part of the reputed company family of businesses, brings together some of the greatest minds and most advanced reputed company on where health care has to go in order to reputed company its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. reputed company, incredible reputed company in one incredible company and a reputed company opportunity to do your life's best work.(sm)

  • reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy.

For more information on our Internal Job Posting Policy, . Colorado, Connecticut or Nevada Residents Only: The salary reputed company for Colorado residents is $26.15 to $46.63. The salary reputed company for Connecticut / Nevada residents is $28.85 to $51.30. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In reputed company to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll reputed company a far-reaching choice of benefits and incentives Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative reputed company employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: #RPO, HBV RN Auditor, Work reputed company, Work From Home , WAH, WFH, Hiring immediately, #Green Expected salary: Location: Woburn, MA Apply for the job now! Apply tot his job Apply To this Job

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