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13 remote Healthcare Claims Review jobs

13 open remote Healthcare Claims Review roles from top companies and boards — updated daily.

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Medical Reviewer, RN/CPC3d ago
J29, Inc·United States·USD 70,000 - 85,000 / annual
medical-reviewerhealthcare-claims-reviewnurse-medical-codermedicare-claims-processinghealthcare-compliancern-medical-reviewer
Nurse Reviewer - Itemized Bill Review (Any city, TX, US, 99999)5d ago
Gainwell Technologies·United States·USD 78,000 - 85,000 / annual
medical-reviewhealthcare-claims-reviewutilization-reviewnursingclaims-auditingclaims-review-nurse
Medical Reviewer II - Palmetto GBA8d ago
BlueCross BlueShield of South Carolina·United States
medical-reviewutilization-reviewhealthcare-claims-reviewclinical-reviewrn-medical-reviewermedical-reviewer
Medical Reviewer II - Palmetto GBA9d ago
Palmetto GBA·United States
medical-reviewutilization-reviewhealthcare-claims-reviewnursinghealthcare-administrationmedical-reviewer
Medical Policy Analyst (Part-Time - 32 hrs weekly)10d ago
Horizon Blue Cross Blue Shield of New Jersey·United States·USD 70,500 - 94,395 / annual
medical-policy-analysthealthcare-claims-reviewmedical-necessity-reviewclinical-reviewhealthcare-compliancemedical-policy-specialist
Claims Examiner (Remote, Remote, US)12d ago
firstsourc·United States
claims-examinermedical-coderhealthcare-claims-reviewmedical-records-auditorhealthcare-coding-specialistgrievance-and-appeals-specialist
Appeals Specialist16d ago
MedReview Inc.·United States·USD 50,000 - 50,000 / annual
appeals-specialisthealthcare-claims-reviewpayment-integrityrevenue-cycle-specialisthealthcare-administrativeappeals-and-hearings-specialist
Medical Review Specialist V21d ago
Empower AI Inc.·United States
medical-review-specialisthealthcare-claims-reviewmedicare-fraud-investigationmedical-records-reviewrn-medical-reviewersenior-medical-review-specialist-medicare
Medical Reviewer III (Medicare Part A)22d ago
Empower AI Inc.·United States
medical-reviewmedicare-part-ahealthcare-claims-reviewregistered-nursehealthcare-compliancesenior-medical-review-specialist-medicare
Remote Clinical Validation Reviewer (RN)22d ago
Molina Healthcare·United States
clinical-documentation-improvementmedical-claims-reviewhealthcare-claims-reviewrn-case-managementpayment-integrityremote-drg-clinical-validation-lead
Remote Medical Review Nurse (LVN/LPN)- PST schedule23d ago
Molina Healthcare·United States
medical-review-nurseutilization-review-nurselvn-lpnhealthcare-claims-reviewremote-nursingremote-licensed-practical-nurse
Complex Clinical Claims Analyst2026-07-14
Machinify·United States·USD 100,000 - 110,000 / annual
clinical-claims-analysthealthcare-claims-reviewpayment-integrityclinical-review-specialistmedical-claims-analysthealthcare-claims-analyst
DRG Reviewer2026-07-10
MedReview Inc.·United States·USD 85,000 - 90,000 / annual
drg-reviewermedical-codinghealthcare-claims-reviewinpatient-coderpayment-integrity-specialistdrg-review-specialist