Remote Medical Coding Auditor & Claims Investigator
Health Care Service Corp.
Health Care Service Corporation is seeking a role focused on auditing clinical, billing, coding, and cost reviews to validate claims and inform pre/post payment decisions. The position involves researching information, documenting findings, and coordinating with medical directors, customer service, network management, pricing and other departments.
The job emphasizes adherence to accreditation standards and regulations, with emphasis on communication with physicians and providers, and
#J-18808-Ljbffr- HCSC is seeking a claims auditing professional to review clinical, billing, coding, and cost-setting reviews pre- and post-payment... ..., and consult with special investigations and affordability teams as... ...to obtain) are required, with remote-friendly #J-18808-Ljbffr Human...Remote job
- ...Colorado, United StatesCompany: HumanaPosted: 2026-08-11The Senior Medical Coding Professional, Outpatient at Humana is responsible for coding-... ...accuracy, and ensuring outpatient coding compliance. This remote role reports to the Manager, Payment Integrity and requires collaboration...Remote work
$32 - $37 per hour
Risk Adjustment Coding AuditorOverviewWe are seeking a detail-oriented Risk Adjustment Coding Auditor to support the accuracy, integrity, and... ...will conduct audits, review medical record documentation, identify... ...TypeThis is a fully remote position.Application DeadlineThis...Remote workContract workTemporary workWork at office$55.9k - $123.5k
...auditing clinical, billing, coding and lowest cost... ...post payment utilizing medical, contractual, legislative... ...to validate claims submitted and billed.... ...consulting with special investigation and the affordability... ...Certification #LI-MW2 #LI-Remote Are you being...Remote workFull timeWork from home- ...HumanaPosted: 2026-08-12A 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...Remote work
- ...Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type:... ...We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty... ...clinical documentation before claims are submitted to ensure accurate coding...Remote workHourly payPart timeWork at officeWork from homeMonday to FridayFlexible hours
- ...Outpatient Coding Auditor It takes great medical minds to create powerful solutions that solve some of healthcare... ...to perform reviews of multiple claim types to provide a flexible workforce... ...You Should Expect In This Role Remote (work from home) environment within...Remote workContract workWork from homeFlexible hours
- ...Seeking an experienced Coding Auditor, the full-time remote position will perform routine audits of professional coding across multiple specialties,... ...compliance issues Required qualifications: Minimum 3-5 years of medical coding auditing experience Strong knowledge of CPT, ICD...Remote workFull time
- 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
- ...Inpatient Coding Auditor Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient... ...quality of physician documentation within the body of the medical record to support code assignments. What you will do in...Remote workTemporary workWork from homeFlexible hours
- A healthcare provider is seeking a Remote Medical Coding Auditor to conduct audits of medical claims and records. The role requires CPC certification and a minimum of 5 years of coding experience. Responsibilities include preparing reports on compliance issues, assisting...Remote work
- 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 workFlexible hours
- A healthcare services provider is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information from... ...ensuring proper reimbursement for inpatient hospital claims. Ideal candidates will have at least four years of experience...Remote workContract work
$56.17k - $70.22k
...Job Description Job Description UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires...Remote workPermanent employmentFull timeFor contractorsLive inWork from homeRelocationRelocation packageDay shift- ...quality assessment audits, the full-time Certified Medicare Coding Auditor will work remotely to ensure accurate data submission to CMS, assist in risk... ...years of Medicare Risk Adjustment coding experience in a medical group or health plan setting High School Diploma or GED;...Remote workFull time
- 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-DRG...Remote work
$71.1k - $97.8k
...for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and... ...opportunities for improvement Investigate and resolve provider disputes with... ...information.Travel: While this is a remote position, occasional travel to...Remote workFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayShift work$34.59 - $51.89 per hour
...Inpatient Coding Auditor Hourly Wage Estimate: $34.59 - $51.89 / hour Learn more about the benefits offered for this job. The estimate... ...quality of physician documentation within the body of the medical record to support code assignments. What you will do in this...Remote workHourly payTemporary workWork from homeFlexible hours$68k - $120.5k
...Coordinate and conduct medical billing audits for the... ...medical billing, coding and documentation for... ...opportunity is currently remote (work from home, in or... ...spreadsheets, of all ongoing investigations. 7. Follow up on... ..., PFS and University Auditor as needed. 8. Conduct...Remote workFull timeWork at officeWork from home- A leading healthcare company is seeking an Inpatient Medical Coding Auditor to join their team remotely. The role involves reviewing inpatient hospital claims for proper reimbursement, analyzing medical data, and ensuring accuracy in coding. Candidates should have relevant...Remote work
$53.1k - $72.5k
...of our caring community The Medical Coder extracts clinical... ...procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient... .... The Medical Coding Auditor confirms correct CPT coding assignments... ...an impact WORK STYLE: Remote, work at home. While this is a...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Inpatient Coding Auditor & Educator Our client is seeking an experienced Inpatient Coding Auditor & Educator to support coding quality... ...AHIMA credential. Responsibilities Audit inpatient medical records for coding accuracy, compliance, and reimbursement....Remote work
$71.1k - $97.8k
...Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate... ...your skills to make an impact WORK STYLE: Work at home, remote. While this is a remote position, occasional travel to...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayFlexible hours- ...Job Description Job Description Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors... ...strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical...Remote workFor contractors
- ...About the Role As a Medical Coding Auditor, you will be responsible for conducting routine and focused... ...policies. Review medical records, claims data, and provider documentation to... ...comfortable working independently in a remote setting, yet you value being part of a...Remote workFull time
- ...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...Remote work
- ...Job Description Job Description Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical... ...systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is...Remote workFor contractors
- ...Medical Auditor Role Type: Contractor Location: Remote Scope of Work Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy and compliance. Identify trends, gaps, and potential risks in coding practices, providing...Remote workFull timeFor contractors
- ...Focusing on Coding & Clinical Chart Validation, the full-time Clinical Coding Auditor will analyze and audit inpatient claims, ensuring coding accuracy and appropriateness of treatment settings while utilizing proprietary auditing tools. Key responsibilities Analyzes...Remote workFull time
$80k - $95k
...Remote DRG Validation Auditor Insight Global is seeking a remote DRG Validation Auditor... ..., and/or inpatient coding and has a high level of understanding... ...for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client...Remote work
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