Remote Hospital Claims Coding Auditor - Compliance & QA
BlueCross BlueShield of Tennessee
BlueCross BlueShield of Tennessee, Inc. is looking for a Coding Auditor to join their Facility Audit Department in Chattanooga, TN. This role involves reviewing hospital claims to ensure compliance and appropriate reimbursement. Candidates must have a Bachelor's degree and at least 2 years of coding/auditing experience, along with an active AHIMA certification or the willingness to obtain one. The position supports the use of Enterprise-AI tools and includes responsibilities such as communicating audit results and developing audit policies. This is a remote-first role with potential relocation assistance available. #J-18808-Ljbffr
- ...Coding Auditor Location: Miramar, Florida At Memorial, we are dedicated... ...to analyze and resolve claim denials that are rejected by... ...queries and assesses for compliance with AHIMA query standards.... ...experience. Other Information: For Hospital Coding: Registered Health...Remote workClaimsWork experience placementInternshipWork at officeShift work
- ...Sr Coding Compliance Auditor Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit... ...2,300 clinics, care sites and 158 hospital-based locations, in addition to its... ...on provider communication, and claims denial resolutions. Communicates denial...Remote workClaimsFull timeWork at office
$58k - $114.9k
...Permanent Full Time Title Remote MSDRG Auditor Category Analytics... ...the CGI Healthcare Compliance, DRG Validation Team,... ...determine the accuracy of coding and reimbursement for... ...) on paid claims on behalf of the client... ...discharge status codes, Hospital Acquired Conditions (...Remote workClaimsPermanent employmentFull timeWork at officeLocal area- ...Job Description The Auditor/Educator Inpatient Coding performs internal Inpatient... ...coding assignments is in compliance with the official coding guidelines... ...& Reporting, and American Hospital Association Coding Clinic... ...methodologies and claims processing. Ability to...Remote workClaimsFull timeWork at office
$71.1k - $97.8k
...first The Inpatient Medical Coding Auditor extracts clinical... ...auditor to review inpatient hospital claims for proper reimbursement, handle... ...Job Description WORK STYLE: Remote/work at home. While this is... ...take affirmative action, in compliance with Section 503 of the Rehabilitation...Remote workClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Clinical Appeals Auditor (RN) In... ...research, analyzes claims data, applies... ...harassment and other compliance and policy/... .../ICD-10/MS-DRG coding may be... ...independently in remote setting with minimum... ...Insurance Company or hospital or other... ...performed by others (QA function,...Remote workClaimsFlexible hours
- ...Billing Compliance, Senior Auditor Reporting to the Manager of Billing... ...related to coding, billing, documentation... ...resolve risks affecting claim payment, in partnership... ...(Evanston, IL and remote) Full Time/Part Time... ...workflows affecting hospital and physician billing...Remote workClaimsFull timeContract workPart timeMonday to Friday
- A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to join their remote workforce. The role involves reviewing inpatient hospital claims and ensuring correct payments while operating in a metrics-driven environment. Candidates should...Remote workClaims
- ...A leading health services company is seeking an Inpatient Medical Coding Auditor to review hospital claims. This remote position requires expertise in medical coding, specifically MS-DRG. The ideal candidate will hold a relevant certification with at least four years of...Remote workClaimsFlexible hours
- ...A leading health services provider is seeking an experienced Inpatient Medical Coding Auditor to work remotely. This position involves reviewing hospital claims for accuracy and ensuring correct coding practices are followed. Candidates must have RHIA, RHIT, or CCS certification...Remote workClaimsFlexible hours
- ...A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work remotely. You will review inpatient hospital claims to ensure proper reimbursement and manage provider disputes in a metrics-driven environment. The ideal candidate holds a relevant...Remote workClaimsFlexible hours
- ...in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves reviewing inpatient hospital claims for proper reimbursement and requires strong qualifications... ...CCS certification with MS-DRG experience. This remote position allows for flexible work hours and...Remote workClaimsFlexible hours
- ...healthcare services provider is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information... ...and ensuring proper reimbursement for inpatient hospital claims. Ideal candidates will have at least four years of experience...Remote workClaimsContract work
- ...A leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for correct reimbursement and managing provider disputes. Candidates should have RHIA, RHIT or CCS Certification and MS-...Remote workClaims
- ...Focused on Coding & Clinical Chart Validation, the full-time Certified Coding Auditor will conduct audits of outpatient and specialty claims, ensuring coding accuracy and compliance with medical necessity and treatment appropriateness. Key responsibilities Audits outpatient...Remote workClaimsFull time
- A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be responsible for reviewing and coding inpatient hospital claims, ensuring accuracy for reimbursement. The ideal candidate will have a strong...Remote workClaimsWork from home
- MedPOINT Management is seeking a Hospital Claims Auditor responsible for ensuring the quality of claims processes and compliance with health plan and hospital regulations... ..., along with expertise in medical coding and contracting. This is a remote position. #J-18808-LjbffrRemote workClaims
- ...leading healthcare services firm is seeking an experienced Inpatient Medical Coding Auditor to extract clinical information and assign medical codes for inpatient hospital claims. This remote role involves reviewing claims for reimbursement accuracy and handling provider...Remote workClaims
- ...A leading health insurance company is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims and ensuring accurate coding and reimbursement. Candidates should hold an RHIA, RHIT, or CCS certification with substantial...Remote workClaims
- A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement from the comfort of your home. This crucial role involves extracting clinical information from medical records, assigning...Remote workClaims
$71.1k - $97.8k
...leading health insurance provider is seeking an experienced Inpatient Medical Coding Auditor to join their team. This remote position involves reviewing and auditing inpatient hospital claims, ensuring proper reimbursement, and maintaining accurate coding standards. Strong...Remote workClaims- ...A major healthcare services provider is seeking an Inpatient Medical Coding Auditor to review hospital claims for reimbursement accuracy. This remote role requires strong attention to detail and certifications (RHIA, RHIT, CCS). Candidates should have experience in medical...Remote workClaims
- ...A leading health insurance 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...Remote workClaims
- ...seeks an experienced Inpatient Medical Coding Auditor to extract clinical information and... ...processes. This role involves reviewing hospital claims and making crucial coding decisions while... ...communication skills. The position is remote, but may require occasional travel for...Remote workClaims
$71.1k - $97.8k
...leading healthcare company is seeking an 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...Remote workClaims- ...A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to work remotely, reviewing inpatient hospital claims for proper reimbursement and ensuring accurate coding. Responsibilities include analyzing medical records and contributing to...Remote workClaimsWork at office
- ...MS-DRG and APR-DRG coding methodologies, the... ...Licensed Clinical Auditor RN will conduct audits of inpatient claims, validate coding... ...overpayments while working remotely from anywhere in... ...assignments and compliance with coding... ...coding experience in a hospital environment 2+...Remote workClaimsFull time
- ...full-time Clinical DRG Validation Auditor will lead audits of hospital billing and coding practices, develop audit forms,... ...DRG assignment, all while working remotely from New Jersey, Pennsylvania, or... ...coordinate referrals for improper claim payments Compile audit...Remote workClaimsFull time
- ...Working remotely, the full-time Clinical Validation Auditor RN will apply expert knowledge... ...-DRG and APR-DRG coding methodologies to audit inpatient claims, validate ICD-10... ...code assignments and compliance with coding... ...coding experience in a hospital environment 2+ years...Remote workClaimsFull time
- ...This award recognizes hospitals and health systems nationwide... ...The Coding Auditor works under the general... ...points. Auditors evaluate compliance with all coding guidelines... ...Facility outpatient surgical claims experience highly... ...Angeles, CA, 90048, US (Remote) Overtime Status...Remote workClaimsLocal areaShift work
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