Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Hospital Claims Coding Auditor - Compliance & QA in Chattanooga, TN vacancy
  •  ...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 work
    Claims
    Work experience placement
    Internship
    Work at office
    Shift work

    Memorial Healthcare System

    United States
    1 day ago
  •  ...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 work
    Claims
    Full time
    Work at office

    CommonSpirit Health

    United States
    1 day ago
  • $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 work
    Claims
    Permanent employment
    Full time
    Work at office
    Local area

    CGI Njoyn

    Atlanta, GA
    4 days ago
  •  ...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 work
    Claims
    Full time
    Work at office

    Centra Health

    United States
    2 days ago
  • $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 work
    Claims
    Bi-weekly pay
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Monday to Friday

    Humana

    Carson City, NV
    1 day ago
  •  ...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 work
    Claims
    Flexible hours

    Performant Healthcare, Inc.

    United States
    1 day ago
  •  ...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 work
    Claims
    Full time
    Contract work
    Part time
    Monday to Friday

    Endeavor Health Services

    Evanston, IL
    1 day ago
  • 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 work
    Claims

    Humana

    Columbia, SC
    2 days ago
  •  ...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 work
    Claims
    Flexible hours

    Humana

    Denver, CO
    4 days ago
  •  ...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 work
    Claims
    Flexible hours

    Humana

    Baton Rouge, LA
    4 days ago
  •  ...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 work
    Claims
    Flexible hours

    Humana

    Jackson, MS
    4 days ago
  •  ...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 work
    Claims
    Flexible hours

    Humana

    Olympia, WA
    4 days ago
  •  ...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 work
    Claims
    Contract work

    Humana

    Richmond, VA
    4 days ago
  •  ...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 work
    Claims

    Humana

    Pierre, SD
    4 days ago
  •  ...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 work
    Claims
    Full time

    Virtual Vocations Inc

    United States
    1 day ago
  • 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 work
    Claims
    Work from home

    Humana

    Carson City, NV
    1 day ago
  • 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-Ljbffr
    Remote work
    Claims

    MedPOINT Management

    Los Angeles, CA
    4 days ago
  •  ...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 work
    Claims

    Humana

    Hartford, CT
    4 days ago
  •  ...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 work
    Claims

    Humana

    Raleigh, NC
    4 days ago
  • 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 work
    Claims

    Humana

    Montgomery, AL
    3 days ago
  • $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 work
    Claims

    Humana

    Des Moines, IA
    4 days ago
  •  ...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 work
    Claims

    Humana

    Honolulu, HI
    4 days ago
  •  ...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 work
    Claims

    Humana

    Concord, NH
    4 days ago
  •  ...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 work
    Claims

    Humana

    Phoenix, AZ
    4 days ago
  • $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 work
    Claims

    Humana

    Cheyenne, WY
    4 days ago
  •  ...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 work
    Claims
    Work at office

    Humana

    Jefferson City, MO
    4 days ago
  •  ...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 work
    Claims
    Full time

    Virtual Vocations Inc

    United States
    1 day ago
  •  ...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 work
    Claims
    Full time

    Virtual Vocations Inc

    United States
    3 days ago
  •  ...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 work
    Claims
    Full time

    Virtual Vocations Inc

    United States
    16 hours ago
  •  ...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 work
    Claims
    Local area
    Shift work

    Cedars-Sinai

    United States
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Hospital Claims Coding Auditor - Compliance & QA. Be the first to apply!