Remote Coding Quality Auditor - Compliance & Audits
UnitedHealth Group
- Remote job
Optum Insight within UnitedHealth Group is seeking a Coding Quality Auditor to oversee regulatory compliance audits and coding quality across domestic sites. The role involves examining inpatient coding, partnering with CDI teams, and maintaining strong client relationships while upholding Optum360 values. You’ll have the flexibility to telecommute from anywhere in the U.S. and work on improving risk management, quality, and revenue growth through responsible AI and data accuracy. #J-18808-Ljbffr UnitedHealth Group
$52k - $66.56k
...Role: Home Health Quality Assurance LPN/LVN (QA LPN... ...$ 25-32 Schedule: Remote, Sat/Sun Location:... ...clinical accuracy, regulatory compliance, and optimal... ...improve outcomes, reduce audit risk, and maintain defensibility... ...QA, auditing, or coding Familiarity with Homecare...Remote workFull timeWork at officeFlexible hoursWeekend work- ...performance, maintain compliance, and enhance the patient... ...highest standards of quality, information security,... ...healthcare. Remote (United States) | Full... ...Emergency Department Coding Auditor / QA Specialist to join... ...conducting comprehensive audits of professional Emergency...Remote workHourly payFull timeWork at officeMonday to FridayFlexible hours
$60.1k - $98.7k
This is a remote office opportunity. The Quality Analyst oversees work performed by the Clinical CVA auditors to ensure that EXL’s standard of accuracy... ...targeted clinical CVA audits. A brief coding/auditing assessment... ...with all company Compliance, Information Security...Remote workFull timeWork at office- ...Position Summary: The Inpatient Coding Quality Auditor is an exempt professional role responsible... ...evaluating the accuracy, consistency, compliance, quality, and effectiveness of... ..., reimbursement integrity, and coding audit methodology. The role ensures consistent...Remote workWork experience placement
- Quality Validation Specialist, Outpatient Coding Remote - US Machinify is a leading healthcare intelligence... ...coding validation audits to ensure accuracy, consistency, compliance, and adherence to client,... ...and education, monitors auditor performance, and promotes...Remote workTemporary workFlexible hours
$90k - $115k
...we make. The Senior Claims Quality Assurance Auditor will conduct regular audits and assessments of Pie's claims handling... ...for reviewing claim files for compliance, identifying areas of non-... ...otherwise specified, this role is remote. Remote team members must live and...Remote workFull timeWork experience placement- BJC HealthCare is seeking an Inpatient Coding Quality Auditor to perform second-level audits and provide real-time education across inpatient coding. The role... ..., procedures and DRG assignments, ensuring compliance with regulatory guidelines and supporting quality measures...Remote job
- BJC HealthCare is hiring for a Coding Quality Audit Inpatient Coordinator. This role performs second-level coding audits in a hospital setting... ...real-time education to the Coding Department to ensure compliance with federal and state guidelines and accurate DRG assignment...Remote job
- ...HealthCare is seeking an Outpatient Coding Quality Auditor to support second level audits and real-time education within our Coding Department. This remote role targets candidates with 2-5... ...educational materials, and collaborate with Compliance, Revenue Management, and providers...Remote job
- ...University seeks an Inpatient Coding Quality Analyst (Auditor) to validate ICD-10-CM/PCS coding... ...pre-bill reviews and targeted audits. You will analyze high-risk inpatient... ...with Revenue Cycle, CDI, Compliance, and Internal Audit teams. Remote position with 40 hours weekly....Remote job
- Centauri Health Solutions, Inc. seeks a Coding Quality Specialist to conduct quality reviews and... ...and guidelines. You will provide audit findings, educate coders, and maintain up... ...or Commercial lines and is suited to a remote work environment with strong organizational...Remote job
- Centene Corp. is seeking a data management and audit professional to develop and implement business solutions by researching, auditing... ...four years of data management experience in automated claims environments; remote work option within the #J-18808-Ljbffr Centene Corp.Remote job
- ## Inpatient Coding Quality Analyst (Auditor)Applyremote type: Remotelocations: Remote Locationtime type: Full timeposted on: Posted... ...accuracy, completeness, and compliance of ICD‐10‐CM/PCS coding and MS... ...through both random and targeted audits of inpatient medical records....Remote workWork at officeShift workDay shift
- ...Member.This position is REMOTE within US Only -... ...determination activities in compliance with CMS requirements,... ...with physicians, nurses, quality teams, customer service... ...and review standards. Coding & Documentation Accuracy... ...decision‑making and audit readiness. Operational...Remote workWork at officeImmediate startMonday to FridayFlexible hoursAfternoon shift
$60.2k - $107.4k
...reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results... ...Caring. Connecting. Growing together. Coding Quality Auditor is responsible for regulatory compliance audits, including but not limited to regulatory agencies...Remote workMinimum wageFull timeWork experience placementLocal area$63k - $90k
...through independent, second-level quality reviews using an “audit-the-auditor” approach. As a Senior Verification... ...independent quality and compliance reviews of member and provider interactions... ...in this role ~ Fully remote options from most US locations and...Remote workFull timeWork at officeImmediate startFlexible hours$55.22k - $96.64k
...practices and verifying compliance with state, national,... ...position conducts data‑quality activities such as case... ...editing, case‑finding audits, and quality‑control reviews... ..., and complex coding rules to ensure accurate... ...Is Eligible For A Fully Remote Work Option Certified...Remote workFull timeWork experience placementNight shift- ...seeking a work-from-home Inpatient Coding Auditor to perform internal quality assessments of coding across the... ...integrity and data quality while ensuring compliance with national guidelines and... ...experience, 3+ years coding auditing, and RHIA/RHIT/CCS credentials preferred...Remote jobWork from home
- ...hiring now for an Internal Quality Auditor! SMTC Corporation was founded... ...for conducting internal audits and supporting Quality Management... ...(QMS) activities to assess compliance with customer requirements,... ...electronics manufacturing, remote, and travel-based...Remote workTemporary workWork at office
- ...Evaluating contact center interactions and back-office transactions, the remote Associate Professional Quality will monitor compliance and accuracy while conducting reviews and audits to enhance member and provider experiences. Key responsibilities Evaluate voice and...Remote workWork at office
- Kaiser Permanente in Renton, WA seeks a professional to contribute to coding quality audits through special projects, audits, and reviews under senior guidance, ensuring accuracy of coding and documentation across assigned lines of business. The role supports audit analysis...
- ...to provide service-management quality assurance for the USMEPCOM... ...Specialist will conduct process audits, analyze performance trends,... ...practices. This position is remote, with preference given to... ...quality reviews to evaluate compliance with approved plans, standard...Remote workContract workFor contractorsLocal area
$31.68 per hour
Behavioral Health Quality Management Specialist Location: Phoenix, AZ Position Type: Remote Pay: $31.68 Position Overview We are seeking... ..., quality management, compliance, and service authorization activities... ...of HCPCS Level I and II codes, ICD-10, DSM-IV/V coding, and...Remote workWork at office- ...set tied to technical specifications; auditing and review of electronic clinical... ...documentation to meet HEDIS regulatory compliance. Responsible for oversight and... ...environment. Understanding of NCQA HEDIS quality measures and related code value sets. Experience in HEDIS...Remote work
$77.46k - $116.19k
...Quality Audit Specialist Location: Home Office, US Contract... ...corporate quality and compliance processes, including... ...expert on-site and remote support during inspections... ...internal compliance auditors. Provides... ...authorities. Understand the Code of Federal Regulations...Remote workFull timeContract workWork at officeHome office- Food Safety & Quality Specialist ABOUT FISHWIFE Fishwife... ...supplier approval and audits, complaint and quality... ...position is a full-time, remote role reporting to the... ...mock recalls Quality and compliance documentation that is... ...expose Maintain lot code standards and one-up, one...Remote workFull timeContract work
$95k - $124k
Department: 107100 Quality Location: San Diego, USA- Remote Be a part of a global team that... ...Associate - GMP/GDP Auditing is responsible for executing... ...supplier qualification, compliance oversight, and inspection... ...Quality Suite preferred. Lead Auditor certification (ASQ, IRCA,...Remote workContract workTemporary work$39.54k - $59.49k
...thorough understanding of quality control including:... ...Quality management system compliance. Process... ...techniques and processes. Auditing. Core Skills... ...understand images graphs and coding systems in the work... ...onboarding process begins. Remote Work : No...Remote workFull timeWork at officeFlexible hoursShift workWeekend work- Recover Medical Group is recruiting for a Quality Assurance & Compliance professional to ensure regulatory compliance, audit readiness, licensing, reporting, and ongoing quality... ...audits, and drive process improvements. Remote or on-site work options are available. #J-18...Remote jobLocal area
- ...Part time: Full TimeClinical Research Quality (CRQ), a unit within Spectrum and the Senior... ..., is seeking a Quality Assurance Auditor 1 to conduct internal audits of clinical research studies. The auditor will evaluate compliance with federal regulations, Good Clinical...Remote workPart timeWork experience placementWork at officeLocal area
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