Remote Health Care Coding & Claims Auditor
HCSC
- Remote job
Health Care Service Corporation seeks an Auditor to review clinical, billing, and coding and confirm lowest-cost setting reviews for services pre- and post-payment, using medical, contractual, legislative and policy data to validate claims. The role requires coordinating with medical directors, customer service, pricing and database teams, documenting findings, and advising on affordability of care. A Bachelor’s degree and certification are required, with several years in claims processing and #J-18808-Ljbffr HCSC
$59.3k - $80.9k
...Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided... ...Information WORK STYLE: Remote/Work at home; minimal travel may... ...we serve to achieve their best health – delivering the care and service...Remote workClaimsFull timeTemporary workApprenticeshipWork from home$71.1k - $97.8k
...Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from... ...to review inpatient hospital claims for proper reimbursement, handle... ...make an impact WORK STYLE: Remote/work at home. While this is...Remote workClaimsBi-weekly payContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient medical records, ensuring clinical... .... The role emphasizes ICD-10 coding expertise and DRG validation... ...extensive experience in claims auditing and clinical documentation...Remote jobClaims
- UnitedHealth Group is seeking a Clinical DRG RN auditor to apply expert MS-DRG/APR-DRG coding knowledge and ICD-10 guidelines in inpatient claims audits. This remote role allows telecommuting from anywhere in the U.S. with a sign-on bonus for external applicants. Responsibilities...Remote jobClaimsRelocation package
- ...intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure compliance and high-... .... The role emphasizes strong clinical judgment, coding accuracy, and regulatory awareness. You will review claims...Remote jobClaimsWork from home
- ...seeking a Medical Review Nurse for remote work in the US. You will be... ...performing audits on medical claims, ensuring adherence to... ...and collaborating with other auditors. An associate or bachelor's nursing... ...Ideal candidates will have strong coding knowledge and excellent...Remote jobClaims
$71.1k - $97.8k
...Become a part of our caring community Humana, a Fortune... ...Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement... ...inpatient coding audits in a health insurance or hospital... ...Travel: While this is a remote position, occasional travel...Remote workClaimsFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayShift work$36 per hour
...worksite location as needed. Remote ok, but hybrid preferred Pay:... ...Groups (DRG), Adaptive Predictive Coding (APC), and Never Events for... ...Coordinates rate adjustments with claims areas and provides monthly and... ...Associate Degree - Nursing or Health Information Management or...Remote workClaimsWork experience placement$55.9k - $123.5k
...auditing clinical, billing, coding and lowest cost setting... ...to validate claims submitted and billed. Conducting... ...the affordability of care area as needed.... ...URAC, NCQA standards and health insurance legislation.... ...Certification #LI-MW2 #LI-Remote Are you being referred...Remote workClaimsWork from home- ...HumanaPosted: 2026-08-17A leading health services company is seeking... ...Inpatient Medical Coding Auditor to perform coding audits and... ...provider reimbursements. This remote position requires certifications... ...proficiency in MS-DRG coding, claims interpretation, and Microsoft...Remote workClaimsWork at officeFlexible 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
$30.5k - $42.5k
...leading healthcare solutions provider is looking for a Medical Claims Auditor to work remotely from Texas. The ideal candidate will review and analyze medical claims for accuracy and compliance, validate coding, and identify errors. With at least three years of relevant...Remote workClaims$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS... ...that delivers care, aided by technology... ...will directly improve health outcomes by connecting... ...MS-DRG and APR-DRG coding/reimbursement... ...auditing of inpatient claims. Employing both industry... ...independently in a remote environment and...Remote jobClaimsHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- ...Review Nurse - CMS/RAC Auditor, Government Audits Remote - US Machinify is a... ...transparency, and efficiency to health plan clients across... ...performs medical claims audit reviews for... ...-10, CPT-4 or HCPCS coding. Knowledge of insurance... ...providing direct care in an inpatient or outpatient...Remote jobClaimsContract workFor contractorsFor subcontractorWork at office
- 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
$70.8k - $123.8k
Clinical Nurse Auditor Position Description... ...commercial and government health plans. Your... ...inpatient and outpatient claims, evaluate medical... .... This position is remote within the United... ...by documenting coding-related findings in... ...of recent Intensive Care Unit (ICU) or Critical...Remote workClaimsWork at officeLocal area$20 - $36 per hour
...global organization that delivers care, aided by technology to help... ...team will directly improve health outcomes by connecting people... ...Medical Coder, you will provide coding and coding auditing services directly... ...~10-20%: Audit outpatient claims to validate reported services,...Remote jobClaimsHourly payMinimum wageFull timeTemporary workWork experience placementLive inWork at officeLocal areaShift work$85k - $95k
RCM Healthcare Services is seeking a DRG Coding Reviewer to support inpatient coding validation... ...and payment integrity initiatives. This remote, full-time role offers a salary of $85,00... ..., and PTO. You will review inpatient claims to validate ICD-10 coding and DRG...Remote jobClaimsFull time- ...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... ...and comprehensive benefits including health insurance and a 401(k) plan. #J-18808-Ljbffr...Remote jobClaims
- Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The... ...by SIU management. The ideal candidate will review claims, abstract codes, and prepare written summaries while maintaining...Remote jobClaims
- ## Medical Coding AuditorApplyremote type: Remote USlocations: Remote - USAtime... ...patients at the center of care.**A Culture of... ...driven **Medical Coding Auditor** to join our... ...corrections of these claims when applicable, and... ...including a company Health Savings Account contribution...Remote workClaimsWork at officeLocal areaFlexible hours
- Elevance Health, a leading health services company, seeks a Clinical Provider Auditor II to evaluate fraud and abuse risks in claims and medical records, ensuring compliance... ...hybrid in-office and remote collaboration within a... ...5+ years in medical coding/auditing with fraud,...Remote workClaimsWork at office
$38.46 - $52.4 per hour
...better consumer outcomes. Health systems, hospitals and... ...of providing patient care. Investing in new partnerships... ...future. The Inpatient Coding Auditor will be responsible for... ...initiated before the claim is rebilled to the... ...standards #LI-CM1 #LI-Remote The estimated pay range...Remote workClaimsHourly payPermanent employmentWork at officeLocal areaImmediate startFlexible hoursDay shift- ...Nurse Auditor Lewiston, ID Exp 5-7 years This position can... ...and report on post payment claims audits and performs related special... ...search). Familiarity with health care documentation systems.... ...hospital quality management, coding or medical auditing experience...Remote workClaimsWork at office
- ...Description Description The Coding Auditor is a professional auditing... ...routine coding reviews to ensure health records align accurately with... ...and codes billed on a claim to a medical record. ~Compare... ...development initiatives ~ Remote work eligible REMOTE WORK...Remote workClaimsHourly payFlexible hours
$70k - $80k
...individual for an Outpatient Coding Auditor, Senior Associate who is... ...perform reviews of multiple claim types to provide a flexible workforce... ...expect in this role Remote (work from home) environment... ...you bring together people who care deeply about making healthcare...Remote workClaimsFull timeContract workWork from homeFlexible hours- ...Title Healthcare Compliance Auditor Job Description This... ...include conducting billing and coding audits, and communicating results... ...and billing for medical claims. Knowledge of medical terminology... ...(CCS) through American Health Information Management Association...Remote jobClaimsWork experience placementWork at office
$31.2 - $40.56 per hour
Baptist Health is the region's largest not-for-profit healthcare organization... ...00 outpatient centers, urgent care facilities and physician... ...continuous education to Coding Staff. Additionally, this individual... ...in outpatient or inpatient claims processing and data collection...Remote jobClaimsLocal area$90k - $105k
...individual for a Clinical DRG Auditor who is responsible for... ...validation (clinical/coding) reviews of medical... ...codes for inpatient claims. Consistently achieves... ...expect in this role Remote within the U.S. May... ...bring together people who care deeply about making...Remote workClaimsFull timeContract workFlexible hours$70k - $85k
...clients to focus on quality of care and healthier lives for all. Medical Coding Auditor - Inpatient (Remote) Location: Remote. Full‑time.... ...software and electronic health record (EHR) systems. Required... ...chart review for all provider/claim types. Experience coding for...Remote workClaimsFull timeWork at officeHome office
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