Remote QA Specialist - Claims Quality & Audit Expert
Xceedance
New York, NY
- Remote job
Xceedance is seeking a QA Specialist to join our remote, flexible team in the United States. You will audit internal and client claim files to ensure compliance with established guidelines and improve overall quality of claims handling. Ideal candidates have 3+ years in claims, strong QA and auditing experience, and relevant designations. You will analyze data trends, support action plans, and participate in special projects while collaborating across teams. #J-18808-Ljbffr Xceedance
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote QA Specialist - Claims Quality & Audit Expert in New York, NY vacancy
- Elevance Health seeks a DRG Coding Auditor to audit inpatient records and generate high-quality recoverable claims for all lines of business. You will perform clinical reviews to assess coding accuracy and DRG assignments, specializing in DRG coding via medical records...Remote jobQualityClaims
- The Elevance Health Company seeks a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims for all lines of business. You will apply advanced ICD-10 coding principles and DRG logic to substantiate conclusions and ensure accurate...Remote jobQualityClaims
- National General is seeking an Auto Claims Estimator to join our Claims team. Ideal candidates... .... Responsibilities include creating or auditing damage estimates for auto/multi-line... ...claims, negotiating settlements, and ensuring quality across complex files. Proficiency with...Remote jobQualityClaims
$35 - $42 per hour
Location: USA (Remote) Compensation: $35.00-$42.00 USD... ...of AI in Finance, Audit & Risk Volga Partners... ...thinking, and provide high-quality feedback within their area... ...Quantitative Finance, Claims Auditing, Forensic... ...network of subject matter experts. As client projects become...Remote workQualityClaimsHourly payExtra incomePermanent employmentContract workTemporary workFlexible hours- ...serve as a Subject Matter Expert (SME) and Expert... ...Supervise, mentor, and audit the performance of expert... ...inpatient stays, etc). Quality Assurance: Conduct regular... ...are provided for remote workspace. About Dane... ...over 200,000 insurance claims annually for leading national...Remote workQualityClaimsContract workTemporary work
- ...About the role We are hiring expert Evaluators in Spreadsheet QA / workbook maintenance to review and assess... ...) for accuracy, rigor, and domain quality. You will apply deep subject-matter... ...to grade outputs. This is a remote, hourly engagement. Requirements...Remote workQualityHourly payWork at office
Mercor Inc
New York, NY3 days ago $115k - $130k
...to join our dynamic team. This full-time remote position allows you to provide vital mental... ..., ensuring that clients receive high-quality care regardless of their geographical location... ...support for scheduling, billing, and claims processing, enabling you to focus on client...Remote jobQualityClaimsFull timeFlexible hoursSerene Minds Psychological Services
Richland, WA20 days ago- ...editing, localization, translation, content QA, journalism, education, or related... ...literal translations, hallucinated claims, or culturally mismatched phrasing.... ...directed, and able to deliver consistent quality in an hourly, remote contractor workflow across time zones....Remote workQualityClaimsHourly payFor contractorsShift work
SME Careers
United States2 days ago $100k - $105k
...join our team in a full-time remote capacity. In this critical role... ...dedicated to delivering high-quality mental health services. We... ...nurses, and community resource specialists, to ensure holistic care for... ...history of Medical Malpractice Claims, as verified by a third party...Remote jobQualityClaimsFull timeFlexible hoursCompassionate Being Wellness Services, LLC
Edmonds, WA20 days ago$100k - $105k
...range of mental health services. In this remote position, you will provide therapeutic support... ..., Inc. is committed to enhancing the quality of life for our clients through holistic... ...\n No history of medical malpractice claims, confirmed through third-party verification...Remote jobQualityClaimsFull timeWork from homeFlexible hoursHelping Hand Healthcare Services, Inc
Longview, WA5 days ago$20 - $24 per hour
...HGB Program Quality Assurance Specialist The HGB Program Quality Assurance Specialist... ...and completely prior to claim submission. This position... ...final quality checkpoint by auditing medical documentation,... ...improvements. Maintain detailed QA audit logs and reporting....QualityClaimsHourly payPart timeWork at officeHealthGrades Analytics
Houston, TX2 days ago$170.6k - $250k
...intelligence platforms that create scalable, high-quality synthetic driving environments for... ...Who are you? You are a recognized expert in both deep learning and autonomous vehicle... .... Offers of employment and any related claims are subject to the successful completion...Remote workQualityClaims- ...in translation, localization, editorial QA, content quality, or linguistic review (or equivalent).... ...checking habits and comfort validating claims using reputable sources when required by... ...Comfort working independently in a remote, asynchronous environment with reliable...Remote workQualityClaimsHourly payFor contractors
SME Careers
United States2 days ago - ...accuracy with ICD-10, CPT and HCPCS. The role emphasizes documentation quality and coding specificity in a hospital setting. The candidate should have coding experience, be capable of auditing orders and claims, and work with physicians to resolve issues. #J-18808-Ljbffr...Remote jobQualityClaims
- ...editing, localization, translation, content QA, journalism, education, or related... ..., unnatural word order, hallucinated claims, English- or German-influenced... ...directed, and able to deliver consistent quality in an hourly, remote contractor workflow across time zones....Remote workQualityClaimsHourly payFor contractorsShift work
SME Careers
United States4 days ago - Liberty Mutual Insurance in Tampa, FL is seeking a Senior Claims Specialist for our Personal Lines Casualty Team. You will manage attorney-represented... ...with trial counsel, managing reserves, and ensuring quality service while adhering to regulatory requirements in a hybrid...Remote jobQualityClaims
- ...seeking experienced finance, audit, insurance, compliance, and... ...our on-call AI Evaluation Specialists network. This remote, project-based role... ...thinking, and providing high-quality feedback across multiple domains... ...banking, FP&A, fixed income, claims auditing, forensic #J-1880...Remote jobQualityClaimsFlexible hours
$128k - $192k
...Senior Staff Attorney for insurance defense, fully remote from Florida. Responsibilities include providing top-quality legal representation in auto and general... ...Doctorate, at least 7 years of experience in handling claims, and proven trial expertise. Competitive...Remote jobQualityClaims- ...Description English Language Expert Job Type: Contractor Location: Remote Job Overview We are... ..., evaluate reasoning quality, and provide precise, actionable... ...or inaccurate claims. Edit and revise AI-generated... ..., annotation, editorial QA, localization QA, or...Remote workQualityClaimsHourly payFor contractors
YO AI Labs
Austin, TX10 days ago - ...Physics Expert (Condensed Matter / Magnetic Materials) is a remote review track for evaluating... ...uses scientific specialists to grade outputs... ...or experimental claims. Flag dimensional... ...reviewer-quality scores in inter-rater... ...textbook methods. Audit a 25-row batch...Remote workQualityClaimsHourly payFor contractors10 hours per week
AuraOne Human Data
Remote24 days ago - ...Coding Subject Matter Expert (SME) to serve as... ...to keep claims accurate and compliant... ...Provide coding guidance, QA feedback, and informal... ...Support denial and audit response related to... ...productivity and quality standards for escalated... ...office or remote home office environment...Remote workQualityClaimsWork at officeHome office
Healthrise
Farmington, MI12 days ago - ...Physics Expert (Postdoc / Junior Professor) Role Type: Contractor Location: Remote (US, Canada, UK focused) Micro1 is engaging Physics... ..., and perform through high-quality, real-world input. No prior... ...or counter-check scientific claims as appropriate. # Deliver structured...Remote workQualityClaimsFor contractors
micro1
United States2 days ago - ...difference? Join Pennsylvania's premier Quality Improvement Organization and step into a... ...traditional bedside setting to review and audit claims, support program integrity initiatives,... ...outcomes for vulnerable populations Remote work enjoy the convenience and balance of...Remote jobQualityClaimsWork from home
$15 - $18 per hour
...Research & Writing Associate (LLM) to conduct rigorous research and create high-quality content for Large Language Models (LLMs). This part-time remote position involves verifying AI-generated claims, rewriting content, and producing clear summaries. Ideal candidates have a...Remote jobQualityClaimsHourly payPart time- ...a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct CCIs, MUE edits... ..., and support denial management with a focus on high-quality coding and compliant billing practices. #J-18808-Ljbffr...Remote jobQualityClaims
- ...medical documentation into DRG-driven codes for inpatient claims. This 100% remote role supports accurate coding across hospital records. Responsibilities... ..., adhering to regulatory guidelines and hospital quality measures, with emphasis on accuracy and timely delivery....Remote jobQualityClaims
- ...powered by both on-site and remote agents, leveraging... ...a Subject Matter Expert (SME) who will bring advanced... ...resource for both Specialists and Team Leads. In... ...role in maintaining high-quality standards, supporting... ...Process Outsourcing (BPO), Claims Processing,...Remote workQualityClaimsFull timeContract workTemporary workCasual workWork at officeLocal area
MCI Careers
Wichita, KS5 days ago - ...responses and/or generate high-quality bilingual training... ...while providing expert feedback that helps models... ...an hourly paid, fully remote contractor role with flexible... ..., editorial QA, content quality, or linguistic... ...and comfort validating claims using reputable sources...Remote workQualityClaimsHourly payFor contractorsFlexible hours
- A leading medical claims company based in the United States is seeking a Clinical Reviewer to evaluate and ensure the accuracy of medical... ...scheduling to align with your own availability while ensuring high-quality service to clients. #J-18808-Ljbffr Dane Street, LLCRemote jobQualityClaimsExtra incomeWork at officeFlexible hours
- ...Coding Auditor to review inpatient hospital claims, assign ICD-10-CM, ICD-10-PCS and DRG... ...ensure accurate reimbursement.You will audit coding quality, resolve provider disputes, and... ...accuracy while supporting cost reduction. Remote work with occasional travel to Humana offices...Remote workQualityClaims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote QA Specialist - Claims Quality & Audit Expert. Be the first to apply!
Related searches
- qa associate New York, NY
- quality assurance associate New York, NY
- qa specialist New York, NY
- quality assurance specialist New York, NY
- software quality assurance specialist New York, NY
- quality compliance specialist New York, NY
- quality management specialist New York, NY
- quality assurance auditor New York, NY
- quality auditor New York, NY
- warehouse quality control associate New York, NY