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Healthcare Administration Healthcare Management

Remote Lead Clinical Review Nurse: Coding & Audit Lead

Remote / Online - Candidates ideally in
Mason, Warren County, Ohio, 45040, USA
Listing for: Elevance Health
Remote/Work from Home position
Listed on 2026-02-17
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
A healthcare company is looking for a Lead Clinical Review Nurse to oversee nursing staff and enhance collaboration with cross-functional teams. This role ensures quality audits and education for the team while managing complex clinical issues, interpreting coding standards, and verifying appropriate care. The ideal candidate should have an Associate's in nursing, 7 years of acute care experience, and possess a current RN license.

Strong skills in claims auditing and understanding medical payment processes are preferred.
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