Remote Provider Data & Claims Auditor
CorVel Corporation
- Remote job
CorVel Corporation's CERIS division is seeking a Provider Management Analyst to verify provider information and requests for documentation used to audit claims, including itemized bills, medical records, and UB04s/HCFA forms. The role emphasizes accuracy of patient, provider, and client data to ensure proper delivery of requests. This is a remote position; candidates should be able to work independently, have strong analytical skills, attention to detail, and proficient MS Office capabilities. #J-18808-Ljbffr CorVel Corporation
- ...experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes, and ensure... ...with HIPAA-compliant data, and delivering precise coding... ...from home. The position is remote with occasional travel to Humana...Remote workDataClaims
- ...growing managed service provider delivering innovative... ...experienced Medical Coding Auditor to support our... ...as is familiarity with data entry in a physician billing... ...billing platforms and claim workflows-how coding feeds... ...exerting up to 10 pounds of force. #LI-RemoteRemote workDataClaims
$21 - $30 per hour
...Assurance Partner This is a remote position. Job Title:... ...count on us to process claims quickly and accurately.... ...standards, by providing feedback from audits and... ...as a claims examiner or auditor with self-funded health... ...Ability to collect data and draw valid conclusions...Remote workDataClaimsTemporary workFlexible hours- Overview Remote or Onsite Opportunity!Opportunities for you!... ...We know that our ability to provide the highest level of care is... ...Responsibilities The Senior Auditor oversees and performs... ...revenue cycle, cost reporting, claims, provider data, health plan, or clinical experience...Remote workDataClaims
$68.9k - $99.62k
...Position Summary The Coding Auditor conducts quality audits to ensure that medical diagnostic... ...& Responsibilities : Audits data, claim submissions, and member medical records... ...representing Healthfirst will readily provide you with the name and contact information...Remote workDataClaimsTemporary workWork experience placement$46.99k - $122.4k
...Program Integrity Auditor We're building a world of health around... ...transportation, and other healthcare providers. The Auditor must have the... ...of funds or rebilling of claims, and referral to state regulators... ...and interpreting claims data, as well as medical records and...Remote workDataClaimsHourly payFull timeMonday to FridayFlexible hours- ...a talented individual for a remote Outpatient Coding Auditor (Professional and Facility),... ...which review services are being provided. This involves accessing... ...modifier codes. • Review claims to validate submitted codes and abstracted data including but not limited to...Remote workDataClaimsContract workWork at officeShift work
$50k - $55k
...Summary The Medical Claims Auditor is responsible for reviewing... ...This role involves auditing provider-submitted claims, validating... ...correct billing and payment data. Identify and document discrepancies... ...in this role This is a remote position for candidates residing...Remote workDataClaimsFull timeMonday to FridayFlexible hours$90k - $159k
...to improve efficiency, strengthen controls, and resolve data integrity issues. Provide ad hoc analysis and reporting support to internal stakeholders... ...the hiring process. If you are contacted by someone claiming to represent us from a different email address, please...Remote workDataClaimsFull time$70 - $90 per hour
...and evaluation methodology. Provide clear, rubric-based written... ...quality and rigor. Assess ML claims against supporting evidence and... .... Strong understanding of data-quality rigor, including leakage... ...experience. Work Terms Remote, United States. Hourly...Remote workDataClaimsHourly pay$71.1k - $97.8k
...Inpatient Medical Coding Auditor extracts clinical information... ...of situations or data requires an in-depth evaluation... ...inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented... ...an impact WORK STYLE: Remote/work at home. While this...Remote workDataClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$26.72 - $29.26 per hour
...are seeking a Compliance Auditor to join our team. This is a remote position with 25% travel... ...focused audits based on data mining and analytic findings... ...documentation to ensure claims meet payer requirements... ...Merakey is a non-profit provider of developmental, behavioral...Remote workDataClaims$52.69 - $69.82 per hour
...Day - 08 Hour R2658919 Remote USA 108610021 Admin Compliance... ...and Coding Compliance Auditors conduct audits and... ...involves analyzing data, collaborating with relevant... ...billing errors before claims submission, ensuring... ...assess their effectiveness. Provide feedback to Billing and...Remote workDataClaimsHourly payFull timeWork experience placementWork at office- ...AuditorApplyremote type: Remote USlocations: Remote - USAtime... ...driven **Medical Coding Auditor** to join our positive,... ...coding denials and provides needed corrections of these claims when applicable, and performs... ...degree of accuracy regarding data entry* Exceptional...Remote workDataClaimsWork at officeLocal areaFlexible hours
$58k - $90k
...Clinical Documentation Integrity & Claims Auditor based in the United States. This is a fully remote opportunity supporting clinical... ...with clinical documentation, provider, coding, and operational teams... ...Apply Through Jobgether? Data Privacy Notice: By submitting...Remote workDataClaimsFull time- ...appropriateness, quality, and compliance of services rendered by providers. This role involves claims analysis, provider audits, fraud detection, and... ...regulations. Key Responsibilities: Analyze claims data, medical records, and provider documentation to identify...Remote jobDataClaimsWork at office
$58k - $90k
...Documentation Integrity (CDI) & Claims Auditor will report to the manager,... ...of diagnoses. Provider Queries: Initiate queries for... ...salary annually #LI-EM1 #LI-REMOTE The pay range listed for this... ...care platform merges advanced data and AI access with world-class...Remote workDataClaimsFull timeContract workInternship$38.46 - $52.4 per hour
...Remote Chicago - 550 Van Buren North Carolina... ...and reduce the cost of providing patient care. Investing... ...The Inpatient Coding Auditor will be responsible for... ...is initiated before the claim is rebilled to the insurance... ...could impact quality data and hospital reimbursement...Remote workDataClaimsHourly payPermanent employmentFull timeWork at officeLocal areaImmediate startFlexible hoursDay shift- ...looking for a detail-oriented Claims Auditor to join our team in Sherman... ...agreements Review and analyze claims data to identify billing errors,... ...with claims processing and provider relations teams to resolve... ...healthcare industry. This is a remote position. #J-18808-Ljbffr...Remote workDataClaimsWork at office
- ...19 years in a row for providing the highest-quality medical... ...role? The Coding Auditor works under the general... ...encounter type, abstracted data elements, missed query... ...outpatient surgical claims experience highly preferred... ..., CA, 90048, US (Remote) Overtime Status NONEXEMPT...Remote jobDataClaimsLocal areaShift work
$50k
...analysis and interpretation of data. Analyze management and... ...applicable laws and rules and provide management with summarized findings... ...50,000.04. This is a non-remote on-site position located in... ...requirements. Candidates claiming Veterans’ Preference must attach...Remote workDataClaimsFull timeWork at officeFlexible hours$75k - $115k
...On. Hybrid schedule: 2 days remote / 3 in‑office Predictable hours... ...The Internal Auditor provides independent, objective assurance... ...levels Evaluate areas such as: Claims, underwriting, finance, and other... ...with Microsoft Office tools and data analysis techniques Bachelor'...Remote workDataClaimsWork at officeHome officeWeekend work- UnitedHealth Group seeks an Evaluation & Management Medical Coder to provide coding and auditing services to providers across the U.S. The... ...offices, documentation guidance, and auditing of outpatient claims. Training is provided virtually from home, with full-time hours...Remote jobClaimsFull time
- ...affiliates, Interactive Brokers provides automated trade... ...days in office /1 day remote) About your Team:... ...are seeking an Internal Auditor for our Greenwich Connecticut... ...and escheatment claims from states. Qualifications... ...in Finance/Accounting, Data Science or other...Remote workDataClaimsTemporary workWork at officeWorldwideFlexible hours
$83.6k - $114.95k
...Description: Senior Medical Auditor At Solventum, we... ...health, material and data science that change patients... .... Work location: Remote Travel: May include... ...schemes that falsely claim to represent Solventum... ...considered if you do not provide your education and work...Remote workDataClaimsFull timeH1bRelocation packageFlexible hours$52k - $60k
...healthcare bills. Centivo is seeking a Claims Auditor who will be responsible for conducting... ...performance improvement plans, and providing data to support service level agreements (SLAs... ...applicants will be considered for remote positions. Centivo Values Resilient...Remote workDataClaimsWork at officeImmediate start- ...Evaluation & Management Medical Coder to provide coding and auditing services for providers... ..., educate provider offices, and audit claims to ensure proper coding. The role requires... ...telecommunication with physicians and staff and supports remote work within the U.S. The position is full...Remote jobClaimsFull time
- ...DRG Auditor The DRG Auditor is responsible for reviewing... ...post-billed inpatient claims to identify and... ...digital platforms, EMRs, and data systems. ~ Must have... ...office-based or remote, depending on company policy... ...and we are dedicated to providing them with the tools, resources...Remote jobDataClaimsFlexible hours
$24 - $28 per hour
..., analytical Sr. Internal Auditor who brings strong claims or audit experience and a... ...If you enjoy digging into data, identifying trends, and working... ..., frequency limits, and provider compensation schedules to... ...opportunity to: Work remotely in a supportive, mission-...Remote workDataClaimsWork at officeImmediate startRelocationVisa sponsorshipFlexible hours$100k
...apply for the Premium Auditor role at Brown & Joseph... ...powerhouse in their own right, providing specialized expertise... ...’s records, gather data to determine correct classifications... ...$150,000.00 4 days ago REMOTE -Audit Senior - ( must... ....00 2 weeks ago Senior Claim Benefit Specialist -...Remote workDataClaimsWeekly payFull timeLive inImmediate startWork from homeHome office2 days per week
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