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Remote Medicaid Medical Review RN: Fraud & Claims Auditor

Remote / Online - Candidates ideally in
Grove City, Franklin County, Ohio, 43123, USA
Listing for: CoventBridge Integrity
Full Time, Remote/Work from Home position Listed on 2026-11-06
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 78000 - 85000 USD Yearly USD 78000.00 85000.00 YEAR

Job Description & How to Apply Below

Covent Bridge Integrity Systems is seeking a Medicaid Medical Review RN (Medical Reviewer III) for remote work with potential on-site audits in Grove City, OH. The role focuses on clinical reviews of medical records during fraud investigations and applies Medicare/Medicaid guidelines to coverage decisions.

The incumbent will coordinate investigative reports, train UPIC staff, provide expert testimony as needed, and ensure high accuracy while handling confidential information.

This role, Remote Medicaid Medical Review RN:
Fraud & Claims Auditor at Covent Bridge Integrity, could be your next move.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote Medicaid Medical Review RN:
Fraud & Claims Auditor role in the description above.

We appreciate your interest in this position.

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