Remote Outpatient Coding Auditor - Payment Integrity
Med Review Inc
A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced knowledge of outpatient coding and payment methodologies, along with at least 3 years of relevant experience. The position offers competitive salary options and comprehensive benefits including health insurance and a 401(k) plan. #J-18808-Ljbffr
$100k - $102.5k
...we are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient... ...medical claims to ensure coding accuracy, compliance, and... ...adaptability to regulatory changes Remote Work Requirements High speed...Remote work- ...will I be doing in this role? The Coding Auditor works under the general direction of the... ...Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM),... ...RHIT required upon hire. Facility outpatient surgical claims experience highly preferred...Remote workLocal area
$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare Position... ...auditing role will focus on Coding & Clinical Chart Validation... ...knowledge of medical claims billing/payment systems provider billing...Remote workHourly payFull timeContract workWork at officeImmediate start$58.4k - $107.74k
...Clinical Provider Auditor II - Payment Integrity SIU This role enables associates to work virtually full-time, with the exception of required in... ...aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations...SuggestedFull timeWork experience placementWork at officeLocal area$79.2k - $143.4k
A prominent academic health system is seeking a remote Outpatient Second Level Reviewer. This role involves auditing and reviewing compliant coding, training staff, and maintaining data integrity. Candidates should have a Bachelor’s degree or equivalent experience in auditing...Remote job$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates will have... ...From-Home Job Responsibilities: Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS...Remote workImmediate startWork from home- ...Xtend Healthcare is seeking a DRG Revenue Integrity Auditor to perform DRG validation and chart... ...records. You will apply ICD-10-CM/PCS coding guidelines to ensure accurate classifications... ...and compliant documentation. This remote role offers a salaried schedule, opportunities...Remote work
- ...A health information management provider is seeking Remote Outpatient & Surgery Coding Auditors. Candidates must have at least 3 years of medical coding auditing experience, preferably with VA, and should be able to communicate effectively. The role offers flexibility...Remote workFor contractorsRelocation package
$46.99k - $122.4k
...Program Integrity Auditor We're building a world of health around every individual — shaping a more connected, convenient and compassionate... .... The Auditor must have the ability to determine correct coding and appropriate documentation during the review of medical records...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$80k
...Medical Program Integrity Auditor Minimum Salary US-MA-Westborough Job Location... ...month, all other aspects of the job are remote. Responsibilities Responsibilities... ...Stay current with regulatory updates, coding changes, and industry standards....Remote workFull timeWork at officeShift work$80k - $90k
...expertise across the payment continuum,... ...Clinical Appeals Auditor (RN) is responsible... ...ICD-9/ICD-10/MS-DRG coding may be necessary.... ...independently in remote setting with minimum... ...in an inpatient or outpatient setting, is required... ...Confidentiality and Integrity of Sensitive,...Remote workFor contractorsImmediate startHome officeFlexible hoursShift work- ...Pharmacy Auditor - Payment Integrity Complex and Clinical Audit Location: This role requires associates to be in-office 1 - 2 days per week... ...audit management. Identifies potential documentation and coding errors by recognizing aberrant coding and documentation...Full timeContract workTemporary workWork at officeLocal area2 days per week1 day per week
- ...Clinical Provider Auditor II - Payment Integrity SIU Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration... ...in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations...Full timeTemporary workWork at officeLocal area2 days per week1 day per week
- ...Clinical Provider Auditor II - Payment Integrity SIU Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration... ...in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations...Full timeTemporary workWork at officeLocal area2 days per week1 day per week
- ...and long-term success. Responsibilities Perform coding quality audits and reviews on a variety of facility outpatient records, including but not limited to Same Day... ...educational seminars to clients and staff. Work remotely from a home office on a PRN basis....Remote workReliefWork from homeHome office
- ...Fraud, Waste, and Abuse Auditor Under the general direction of the Associate Director... ...month, all other aspects of the job are remote. Responsibilities Ensure compliance... ...Stay current with regulatory updates, coding changes, and industry standards. Identify...Remote workWork at office
- ...Outpatient Coder (Remote) Full-time • Work From Home Must have Surgical/OBS coding experience and documented billing edit experience... ...Reviewing codes with revenue integrity for NCD/LCD coverage Reviewing... ...Combining codes for payment window encounters Initiating...Remote workFull timeWork from home
- ...career, it's a calling MO-REMOTE Worker Type: Regular... ...has experience with inpatient coding and auditing. RHIT, RHIA, and... ...(AHIMA) ~Or ~Certified Outpatient Coder (COC) - American Academy... ...rated based on FTE). Flexible Payment Options: our voluntary...Remote workHourly payFlexible hoursShift workDay shift
- ...collaboration, innovation, responsibility, integrity, quality and trust that are integral to... ...reports on the accuracy of procedural billing, payment consideration and accuracy in... ...correct interpretation and application of codes, modifiers and payment rules. The incumbent...Remote work
$30.5k - $42.5k
...The Medical Claims Auditor is responsible for reviewing... ...claims, validating coding accuracy, and identifying... ...verify correct billing and payment data. Identify and... ...) to ensure claims integrity. Support process improvements... ...this role This is a remote position for candidates...Remote workFull timeMonday to FridayFlexible hours$73.35k - $113.25k
...Description Job Description The Payment Integrity Analyst (Team Lead) assists... ...review, hospital outpatient; trend analysis of internal... ...healthcare policies. This is a remote position. ESSENTIAL... ...of claims processing, ICD-10 Coding, DRG Validation, Coordination...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$68.57k - $104.84k
...Quality Control/Clinical Auditor. The Diagnostic... ...validation (clinical/coding) reviews of medical records... ...necessity rules. This is a remote position. ESSENTIAL... ...in healthcare payments. We are a stable and growing... ..., Excellence, Integrity and Teamwork (ACE-IT!)...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Corporation is seeking a Senior Inpatient Auditor to enhance our Payment Integrity team. This vital role focuses on conducting MS-DRG and APR-DRG coding reviews aimed at maximizing accuracy... ...superior coding knowledge. This fully remote position supports a dynamic...Remote job
- ...Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in EST or CST and must... ...someone with a strong background in claims, medical coding, or payment integrity systems. You will… Analyze...Remote workContract work
$85k - $90k
...TREND Health Partners is a tech-enabled payment integrity company. Our mission is to facilitate... ...parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review... ...level of care. This role will apply coding and clinical principles based on...Remote workWork at office- ...ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for... ...Association of Professional Coders (AAPC) required. Outpatient - Registered Health Information Technician (...Remote job
- ...Summary Provides lead level analyst support for health plan payment integrity activities. Partners with leaders and functional... ...integrity. • Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification...Remote workTemporary workWork at office
- ...Now Hiring – Coding Educator & Auditor Revenue Integrity University Health is one of the largest employers... ...skills. Provides onsite and remote quality assurance reviews/audits with... ...least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding...Remote workFull timeWork at officeLocal areaImmediate start
$68.57k - $104.84k
...Clinical Review QC Auditor CERIS in Fort Worth,... ...validation (clinical/coding) reviews of medical records... ...rules. This is a remote position. Essential... ...transparency in healthcare payments. We are a stable and... ..., Excellence, Integrity and Teamwork (ACE-IT!)...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst... ...subject matter expert, blending deep coding domain expertise with advanced analytics... ...with Medical Directors and internal auditors (RNs/Coders) to ensure clinical appropriateness...Remote workLocal area
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