Remote QA Specialist - Claims Quality & Audit Expert
Xceedance
- 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
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$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- ...Zenith American Solutions is seeking a Quality Assurance Specialist to audit and adjust healthcare claims, ensuring accuracy and compliance with internal policies and... ...10/HCPCS knowledge and strong Excel skills. Some remote work flexibility may be required. #J-18808-Ljbffr...Remote workQualityClaims
- ...provider is seeking an experienced Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims for reimbursement accuracy, conducting coding audits, and ensuring proper assignment of medical codes. Applicants should have relevant...Remote workClaims
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...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$65k - $90k
Dane Street is seeking a Clinical (RN) QA Specialist in Washington, D.C. to ensure accuracy and compliance in long-term disability claims. This role involves assessing physician reports and providing excellent customer service by managing complex cases. Ideal candidates...Remote jobClaims- ...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
- ...ensure accurate coding of outpatient hospital services and timely claim submission. You will apply ICD-10-CM, CPT, and HCPCS codes based... ...payer and university guidelines. The role emphasizes coding quality, compliance, and productivity to support revenue integrity. Ideal...Remote jobQualityClaims
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$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- 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
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- ...seeking an Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims and ensuring accurate coding and reimbursement.... ...with substantial experience in coding audits. Strong attention to detail, excellent communication...Remote workClaims
$60.54k - $92.01k
...Strategic Support and Audit Division Worksite Address... ...THE POSITION Become a Quality Assurance Specialist with the Department of General... ...indexes, subject matter experts, reports, and data analysis... .../education). If you are claiming education in your answers to...Remote workQualityClaimsPermanent employmentFull timePart timeWork at officeLocal areaWork from homeMonday to Friday3 days per week$71.1k - $97.8k
...Inpatient Medical Coding Auditor to analyze clinical data and ensure accurate coding for reimbursement. This remote position involves reviewing inpatient hospital claims, requiring RHIA, RHIT, or CCS certification. Ideal candidates will have experience in medical coding and...Remote workClaims- ...Inpatient Medical Coding Auditor to review hospital claims and ensure accurate coding and reimbursement. This role offers a remote work environment with flexible hours and... ...RHIT, or CCS, along with experience in coding audits. The successful candidate will play a crucial...Remote workClaimsContract workFlexible hours
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$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
- Biology AI Subject-Matter Expert is a remote review track for... ...AuraOne uses scientific specialists to grade outputs the... ..., or experimental claims. Flag dimensional, methodological... .... Maintain reviewer-quality scores in inter-rater... ...textbook methods. Audit a 25-row batch for...Remote workQualityClaimsHourly payFor contractors10 hours per week
- ...difference? JoinPennsylvania's premier Quality Improvement Organization and step into adynamic... ...bedside setting to review and audit claims, supportprogram integrity initiatives, and... ...outcomes for vulnerable populations Remote work - enjoy the convenience and balance...Remote workQualityClaimsFull timeTemporary workWork at officeWork from home
- ...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
- ...difference? JoinPennsylvania's premier Quality Improvement Organization and step into adynamic... ...bedside setting to review and audit claims, supportprogram integrity initiatives, and... ...outcomes for vulnerable populations Remote work - enjoy the convenience and balance...Remote workQualityClaimsFull timeTemporary workWork at office
- 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
- ...Medicine is seeking a highly motivated Coding Quality Assurance Specialist to support the Coding Services team. This position can be performed 100% remotely, making it ideal for out-of-state candidates. The role includes auditing coders, providing education based on audits...Remote jobQuality
- A healthcare leader in the U.S. seeks a Medical Coding Auditor to review medical claims and ensure compliance with coding guidelines. This remote position requires a strong understanding of ICD-10 and CPT coding principles, as well as the ability to work independently...Remote jobClaims
- Gainwell is seeking a Medical Claims Auditor to review and analyze medical claims for accuracy... ..., and proper coding. The role emphasizes auditing provider submissions, validating ICD-10/... ...detail, and capable communication in a remote work environment. #J-18808-Ljbffr...Remote jobClaims
- UnitedHealth Group is seeking a Clinical DRG RN auditor to audit MS-DRG and APR-DRG coding for inpatient claims, ensuring correct DRG assignments and reimbursement... ..., and detailed rationales for audit findings. Remote work within the United States is supported. Qualified...Remote jobClaims
$120k - $140k
...mission to modernize insurance. Claims processing (i.e. should we pay... .... As a Product Subject Matter Expert for Workers’ Compensation, you... ...are made? What does a high-quality, defensible Workers’... ...Team events & Offsites: We're remote, but we regularly get together...Remote workQualityClaimsFull timeTemporary workWork from homeHome office$59.3k - $80.9k
A leading healthcare company is looking for a Medical Coding Auditor to review claims and ensure compliance with coding guidelines. This remote position requires strong experience in outpatient specialty surgeries and relevant certifications. The role mandates independent...Remote jobClaims
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