Remote Medical Claims Auditor - CPC/CIC Certified
Vālenz Health
- Remote job
Vālenz Health seeks a Clinical Bill Review Analyst to audit and review medical bills, identify coding errors, and uncover savings opportunities. You will analyze complex claims, collaborate with negotiation teams, and report findings to clients while ensuring HIPAA compliance. The role requires CPC/CIC certification, strong communication, and deep knowledge of ICD-10, CPT, HCPCS coding guidelines. This is a fully remote position based in the United States. #J-18808-Ljbffr Vālenz Health
- ...seeking a Clinical Bill Review Analyst to review medical bills, identify discrepancies, and uncover savings... ...clients, and mentor junior analysts. This fully remote role requires 3+ years in healthcare auditing and CPC/CIC certification with strong CMS knowledge. #J-1880...Remote jobMedicalClaims
- ...possible. Please note: An active CPC and/or CIC certification is required for... ...Analyst, you’ll review claims upfront and take a deeper... ...You’ll Do Here : Review medical bills to identify appropriate... ...You’ll Work: This is a fully remote position, and we’ll provide all...Remote workMedicalClaimsImmediate startFlexible hours
- ...accepting applications for a Certified Coding Auditor to work in its New York office or remotely. Principal duties and... ...met. Qualifications: CPC/CCS-P with a minimum... ...supports medical necessity and the E/M,... ...both UB-04 and CMS 1500 claims data, as well as understanding...Remote workMedicalClaimsWork at officeLocal area
- Remote Medical Coding Auditor (CPC, CCS-P, or CPMA) Crossroads Treatment Centers is an equal opportunity employer... ...Coding Auditor Conducting audits of claims and patient records to identify... ...and Licensure Requirements Certified Professional Coder (CPC), Certified...Remote jobMedicalClaimsTemporary workMonday to FridayShift work
- ...global health services company seeking a certified medical coder to join our Revenue Operations... ..., transmitting electronic and paper claims, and coordinating with auditors and payers. We require 2+ years of coding experience, CPC/CCS/ CCS-H credentials, and strong attention...Remote jobMedicalClaims
- ...To support Yale Medicine Administration, the full-time remote CPC-A Certified Medical Coder will review charge submissions for compliance with coding... ...manner Verify all information required to submit clean claims, ensuring compliance with relevant guidelines and policies...Remote workMedicalClaimsFull timeWork experience placement
- ...Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type:... ...We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical... ...clinical documentation before claims are submitted to ensure accurate coding...Remote workMedicalClaimsHourly payPart timeWork at officeWork from homeMonday to FridayFlexible hours
$52.69 - $69.82 per hour
...Hour R2658919 Remote USA 108610021 Admin... ...Compliance Auditors conduct audits... ...APC assignments, medical necessity, and... ...errors before claims submission, ensuring... ...CCS - Certified Coding Specialist... ...within 180 Days or CPC - Certified Professional... ...180 Days or CIC - Certified...Remote workMedicalClaimsHourly payFull timeWork experience placementWork at office- ...Certified Medical Coder II - Surgical Coder Hybrid - Remote. Hourly salary plus monthly bonus! As Mount Sinai grows, so... ...issues such as medical necessity, claims denials, bundling issues and charge... .... Qualifications: CPC or CCS-P Certification Required...Remote workMedicalClaimsHourly payWork at office
$20.5 - $23 per hour
...people truly thrive. The Certified Professional Coder (CPC) is responsible for performing... ...following AMA and CMS medical coding guidelines . The primary... ...staff. This is a fully remote, full-time role in TX, NC,... ...prepare and submit clean claims to insurance companies via...Remote workMedicalClaimsHourly payFull timeLocal areaMonday to Friday- ...Coding Auditor Department: SIU Employment Type... ...designed for a certified professional coder... ...foundation in primary medical coding and a keen... ...codes billed on a claim to a medical... ...of the following: CPC, CCS, CCA Benefits... ...development initiatives Remote work eligible...Remote workMedicalClaimsHourly payFull timeFlexible hours
- ...Medical Review Nurse - Home Health Auditor Machinify is a leading healthcare... ...primarily performs medical claims audit reviews with... .... You will work remotely in a fast-paced and... ...). CCDS - Certified Clinical Documentation... ...Coding Specialist CIC - Certified...Remote workMedicalClaimsWork at office
- ...join us.The ACO Coding Auditor is responsible for reviewing medical records and identifying... ...monitoring, and documenting claims and encountering... ...ResponsibilitiesPerforms on-site and remote clinical validation... ...GED required.Required Certified Coder; CPC, CRC, CCS-P, CCS-H,...Remote workMedicalClaimsWork at officeFlexible hoursWeekend work
$29.75 - $32.7 per hour
...Specialized Coder is a certified coder with expert knowledge... ...research for denied claims. The Specialized Coder'... ...directly from the medical record/operative report... ...professional certifications (CPC, preferred with the... ...Monster Top Workplace for Remote Work 2024Great Place to...Remote workMedicalClaimsTemporary workLocal area- ...Summary The ACO Coding Auditor is responsible for reviewing medical records and identifying... ...monitoring, and documenting claims and encountering... ...Responsibilities Performs on-site and remote clinical validation... ...GED required. Required Certified Coder; CPC, CRC, CCS-P, CCS-H,...Remote workMedicalClaimsWork at officeFlexible hoursWeekend work
- ...supplies the model of care. The Coding and Medical Records Auditor will be responsible for conducting coding audits prior to claims submission. This position will... ...: REQUIRED (any of the following) Certified Professional Coder (CPC) Certified Risk Coder (CRC) Certified...Remote jobMedicalClaims
$38.46 - $52.4 per hour
...Remote Chicago - 550 Van Buren North... ...systems, hospitals and medical clinics are under... ...Inpatient Coding Auditor will be... ...initiated before the claim is rebilled to the... ...Certifications: Certified Coding Specialist... ...Inpatient Coder (CIC) or Certified Documentation...Remote workMedicalClaimsHourly payPermanent employmentFull timeWork at officeLocal areaImmediate startFlexible hoursDay shift$100k - $102.5k
...Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy,... ...revisions. Requirements Certified Professional Coder (CPC), Certified Outpatient... ...adaptability to regulatory changes Remote Work Requirements High...Remote workMedicalClaims- ...LLC (“IES”) is seeking a Certified Medical Coding Auditor with emphasis on auditing... ..., and contributes to clean claim submission and optimal reimbursement... ...work in either a hybrid or remote setting. If remote, must... ...Coders (AAPC) (ie. CPC), or American Health Information...Remote workMedicalClaimsFull timeWork at officeLocal areaFlexible hoursNight shift
- ...to receive an alert: Certified Coding Specialist Date... ...18, 2026 Location: Remote, Remote, US Requisition... ...Inpatient/Outpatient Medical Coding Specialist... ...Coding | Coding Denials | Claim Rejections Position... ...Certification Required: Active CPC, COC, CCS, or CIC certification....Remote workMedicalClaimsWork at officeLocal area
$90k - $105k
...It takes great medical minds to create powerful solutions... ...for a Clinical DRG Auditor who is responsible for... ...codes for inpatient claims. Consistently... ...employment: RHIA, RHIT, CCS, CIC, CCDS or CPC ~3+ years clinical... ...in this role Remote within the U.S. May...Remote workMedicalClaimsFull timeContract workFlexible hours$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare... .../specialty claims and documenting the... ...review, coding accuracy, medical necessity, and the appropriateness... ...and maintained i.e. CPC, CIC, CCS, CCS-P, RHIA or...Remote workMedicalClaimsHourly payFull timeContract workWork at officeImmediate start- ...IncPosted: 2026-09-04Humana Inc. is seeking a Medical Coding Auditor for its Outpatient Facility/APC Coding Team. This remote role reviews claims, ensures CPT/HCPCS compliance, and... ...or meetings.The ideal candidate holds a CPC/COC/CCS/ROCC/RHIA/RHIT certification with...Remote workMedicalClaims
- ...Description We are seeking a Certified Medical Billing & Coding Specialist... ...and experienced with insurance claims, coding accuracy, and revenue... ...with Eclinical Works. NO remote applicants please. Responsibilities... ...Certification required: CPC, CCS, or equivalent...Remote workMedicalClaims
- ...26-08-31Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review inpatient hospital claims, assign ICD-10-CM, ICD-10-PCS and DRG codes, and... ...accuracy while supporting cost reduction. Remote work with occasional travel to Humana offices;...Remote workMedicalClaims
- ...volume coding environment, the full-time remote Certified Medical Coding Specialist will assign accurate... ...guidelines Resolve coding-related claim rejections and denials by reviewing payer... ...Current coding certification through AAPC (CPC, COC) or AHIMA (CCS, CCS-P, RHIA, RHIT)...Remote workMedicalClaimsFull time
- ...professional services, the remote Revenue Cycle Insurance... ...while maintaining timely claims submissions. Key responsibilities... ...healthcare experience in medical billing or related fields... ...Education is preferred Certified Professional Coder (CPC) certification is required...Remote workMedicalClaims
- ...revenue cycle team, the full-time remote Revenue Cycle Insurance... ...professional services, ensuring timely claims submissions and resolving... ...of healthcare experience in medical billing or a related field ~ Certified Professional Coder (CPC) certification required, with...Remote workMedicalClaimsFull time
- ...Certified Coder Certified Coder needed for busy multi... ...and benefits, including medical, dental, vision, short-... ...and no weekends! Remote Work Available once trained... ...information, keying of claims, and other billing/coding... ...Certificate/License: CPC-A or CPC through AAPC/CCA...Remote workMedicalClaimsTemporary workWork at office
$70.8k - $123.8k
Clinical Nurse Auditor Position Description... ...audits of medical records to determine... ...inpatient and outpatient claims, evaluate medical... ...This position is remote within the United... ...integrity programs Certified Professional... ...Professional Coder (CPC), or other relevant...Remote workMedicalClaimsWork at officeLocal area
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