Remote Health Plan Claims Auditor Compliance & Audits

Good Samaritan Society

Good Samaritan Society in Marshfield, WI is seeking a Claims Auditor responsible for performing payment and compliance audits on health insurance claims. The role requires analyzing errors and providing management with reports for process improvement. Applicants should possess a high school diploma, three years of relevant experience, and proficiency in CPT, ICD, and HCPCS coding. The position offers a flexible work schedule and an attractive benefits package. #J-18808-Ljbffr

Apply

Vacancy posted 4 days ago

Similar jobs that could be interesting for youBased on the Remote Health Plan Claims Auditor Compliance & Audits in Marshfield, WI vacancy

Remote MSDRG Auditor
...Remote MSDRG Auditor The DRG Validation Auditor is a member... ...of the CGI Healthcare Compliance, DRG Validation Team,... ...to beneficiaries of health plans, including Commercial... ...underpayments) on paid claims on behalf of the... ...provided specific to audit processes, coding and...
Remote work
Claims
Health Insurance
Contract work
Work at office
CGI
United States
4 days ago
Remote Clinical Auditor I: Medical Records & Coding
$64k - $93k
Join WellSense Health Plan as a Clinical Auditor I, where you'll conduct detailed audits of medical records to ensure accurate reimbursement and compliance with regulations. This remote role is vital in maintaining quality... ...and experience in claims auditing. The compensation...
Remote job
Claims
Health Insurance
WellSense Health Plan
Boston, MA
12 hours ago
Medical Review Clinical Appeals Auditor (RN)
$80k - $90k
...transparency, and efficiency to health plans. Deployed by over 75... ...on medical review audit work completed by the... ...research, analyzes claims data, applies knowledge... ...-harassment and other compliance and policy/procedures... ...work independently in remote setting with minimum supervision...
Remote work
Claims
Health Insurance
Flexible hours
Performant
Florida, NY
3 days ago
Medical Program Integrity Auditor
...Waste, and Abuse Auditor Under the general... ...desk and onsite audits across various provider... ...types to ensure compliance with federal and... ...including data mining, claims analysis, and... ...aspects of the job are remote.... ...degree in business, health care administration...
Remote work
Claims
Health Insurance
Work at office
UMass Chan Medical School
United States
4 days ago
Remote Medical Coding Auditor (CPC, CCS-P, or CPMA)
...Remote Medical Coding Auditor (CPC, CCS-P, or CPMA) Crossroads Treatment... ...Auditor Conducting audits of claims and patient records... ...proposals and plans. Tracking completion... ...of findings and any compliance issues identified... ...understanding of Mental Health / Opioid Addiction...
Remote work
Claims
Health Insurance
Temporary work
Monday to Friday
Shift work
Crossroads Services
Greenville, SC
4 days ago
Inpatient Medical Coding Auditor
$71.1k - $97.8k
...and help us put health first The... ...Medical Coding Auditor extracts clinical... ...inpatient hospital claims for proper... ...impact WORK STYLE: Remote/work at home. While... ...MS-DRG coding/auditing experience... ...bonus incentive plan. This incentive... ...affirmative action, in compliance with Section 50...
Remote work
Claims
Health Insurance
Bi-weekly pay
Contract work
Temporary work
Apprenticeship
Work at office
Work from home
Home office
Monday to Friday
Humana
Jackson, MS
4 days ago
Internal Auditor
$24.5 - $29 per hour
...Liberty Dental Plan, we are committed... ...the oral health of the communities... ...As an Internal Auditor, you play a critical... ...accuracy, compliance, and continuous... ...improvement across our claims and provider... ...high-volume audits (approx. 1,250/... ...expenses.Remote or hybrid work...
Remote work
Claims
Health Insurance
Work at office
Immediate start
Relocation
Visa sponsorship
Flexible hours
Liberty Dental
Tustin, CA
2 days ago
Sr. Internal Auditor
$24 - $28 per hour
...integrity, strengthen compliance, and improve how... ...At Liberty Dental Plan, our Internal Audit team plays a... ...analytical Sr. Internal Auditor who brings strong claims or audit... ...opportunity to: Work remotely in a supportive, mission... ...to support mental health and well-being....
Remote work
Claims
Health Insurance
Work at office
Immediate start
Relocation
Visa sponsorship
Flexible hours
Jobs for Humanity
United States
5 days ago
Coding Auditor/Educator
...hybrid (3 days on site, 2 remote) Key Functions 1. Medical record auditing. a. Performs initial... ...to ensure compliance with third party and regulatory... ...Assures compliance with all health plan requirements as related... ...the processing of claims, collections of accounts...
Remote work
Claims
Health Insurance
Monday to Friday
Shift work
The Menninger Clinic
Houston, TX
a month ago
Remote Health Claims Auditor
...Tokio Marine HCC is seeking a full-time Claims Auditor to work remotely in Georgia. The role involves investigating... ...issues. Key responsibilities include auditing submitted claim documents, interpreting health coverage plans, and effectively resolving processing issues...
Remote work
Claims
Health Insurance
Full time
HCC Insurance Holdings, Inc. trading as Tokio Marine HCC
New York, NY
3 days ago
Remote Medical Coding Auditor - CPT/ICD-10 Expert
$59.3k - $80.9k
...U.S. healthcare company is seeking a Medical Coding Auditor to review medical claims and ensure compliance with coding guidelines. This role involves analyzing... ...years of relevant experience. This position offers a remote work style with competitive benefits and a salary...
Remote work
Claims
Humana
Maryland
4 days ago
Program Integrity Auditor
$46.99k - $122.4k
...Program Integrity Auditor We're building a world of health around every individual... ...include reviews/audits of provider records... ...funds or rebilling of claims, and referral to... ...member for a health plan(s) which currently... ...rules. Maintain compliance with company policies...
Remote work
Claims
Health Insurance
Hourly pay
Full time
Temporary work
Local area
Monday to Friday
Flexible hours
CVS Health
United States
1 day ago
Senior Auditor, Healthcare Claims - Remote & Quality
Curative is seeking a Senior Auditor, Healthcare Claims responsible for leading audits and ensuring compliance for its Health Plan. This role impacts operational excellence by improving... ...healthcare accessible while working remotely. We offer competitive benefits,...
Remote job
Claims
Health Insurance
Curative
Austin, TX
4 days ago
Remote Part-Time Physician Auditor - Claims & Compliance
...J29, Inc is seeking a part-time Physician Auditor to perform blinded Independent Review clinical evaluations while adhering to Medicare... ...U.S., and familiarity with peer review processes. This is a remote position, creating a flexible work environment. #J-18808-Ljbffr...
Remote work
Claims
Contract work
Part time
Flexible hours
J29, Inc
Millersville, MD
2 days ago
Coding & Compliance Auditor
$20.78 - $36.53 per hour
...Job Title Remote Position Pay Range:... ...for performing E/M audits, summarizing the results... ...support for Claims Resolution Specialists... ...to Manager/Compliance Officer. Maintain... ...Disaster Recovery Plan. Maintain all company... ...assigned to the Auditor Queue. Audit...
Remote work
Claims
American Oncology Network LLC
United States
13 hours ago
Tax Auditor
$62.16k - $118.56k
...Tax and Revenue Division: Compliance Administration Opening Date... ...: Office of Tax and Revenue, Audit & Criminal Investigation Administration... ...the time of application, may claim a hiring preference over a non... ...Insurance ~ Retirement Plans (401(a), 403(b) & 457(b)) ~...
Remote work
Claims
Health Insurance
Permanent employment
Full time
Temporary work
Work at office
Local area
Flexible hours
Office of the Chief Financial Officer, Washington, DC
Washington DC
2 days ago
Attorney Auditor
$70k - $75k
...Services & Insurance Attorney Auditor ** This is a fully remote position, and candidates... ...with law firms to discuss compliance with client's billing... ...assistance, flexible spending or health savings account, and other... ...world's leading risk and claims administration partner,...
Remote work
Claims
Local area
Work from home
Flexible hours
Sedgwick
Dayton, OH
5 days ago
Remote Attorney Auditor: Invoicing & Compliance
A leading claims administration firm is seeking an Attorney Auditor to review legal and non-legal invoices for accuracy. The position is fully remote, inviting candidates from across the United States... ...independently, ensuring compliance with client billing guidelines...
Remote job
Claims
Sedgwick
Providence, RI
1 day ago
Risk Adjustment Compliance Auditor (Remote)
$64.38k - $96.58k
...Company Overview Alignment Health is breaking the mold in conventional... ...Summary Alignment Health is seeking a remote Risk Adjustment Compliance Auditor to support auditing and compliance activities... ...CMS guidelines within a health plan, IPA, or managed care environment...
Remote work
Health Insurance
Full time
Local area
Monday to Friday
Flexible hours
E2E Alignment Healthcare USA, LLC
California, MO
5 days ago
Remote Attorney Auditor: Invoicing & Compliance
A leading risk and claims administration partner is seeking an experienced Attorney Auditor. This fully remote position allows candidates from all 50 United States to apply.... ...review legal and non-legal invoices, ensuring compliance with client billing guidelines. A Judis...
Remote job
Claims
Sedgwick
Denver, CO
4 days ago
Compliance Auditor -Remote
$37.84 - $58.75 per hour
...Providence is calling for Compliance Auditor - Remote The Revenue Cycle Compliance... ...Hospital Auditor conducts audits to evaluate compliance with... ...from American Health Information Management Association... ...Union, location, time-off plan policies, availability of health...
Remote work
Health Insurance
Minimum wage
Full time
Work at office
Local area
Shift work
Providence Health & Service
Albuquerque, NM
3 days ago
COMPLIANCE AUDITOR
$90k - $100k
...Compliance Auditor Help Protect the Integrity of Healthcare Join C2Q Health Solutions and play a critical role in promoting... ..., and compliance audits across healthcare... ...of the annual audit plan. Design and execute... ...work schedule with 2 remote workdays per week after...
Remote work
Health Insurance
Temporary work
C2Q Health Solutions
Brooklyn, NY
5 days ago
Claims Auditor- Remote
American Health Plans Franklin, TN 37067, USA American Health Plans, a division of Franklin, Tennessee... ...Job Duties Conduct pre‑pay and post‑pay audits to ensure accurate claims payments and denials Ensure regulatory compliance and overall quality and efficiency by...
Remote job
Claims
Health Insurance
Full time
Temporary work
Work at office
Local area
2 days per week
3 days per week
American Health Plans
Franklin, TN
4 days ago
Customer Care Auditor - Claims
$21.17 - $28.59 per hour
...Responsibilities Provides audit results to... ...correspondence, initial claims, and other... ...ensure consistency and compliance with client... ...internet installed for remote/teleworker. Key... ...vested. Three medical plans (including... ...company contribution to Health Savings Accounts for...
Remote work
Claims
Health Insurance
Hourly pay
Immediate start
Matrix Absence Management, Inc.
Phoenix, AZ
12 hours ago
Remote Attorney Auditor: Legal Billing & Compliance Pro
$70k - $75k
A leading risk and claims administration partner is seeking an Attorney Auditor to review legal invoices, ensuring compliance with client billing guidelines. This fully remote position requires a Juris Doctorate and five years of insurance defense or complex litigation...
Remote job
Claims
Sedgwick
Fort Worth, TX
1 day ago
Inpatient Coding Compliance Auditor - HIM - FT - Days - Remote Eligible
...Coding Auditor Location: Miramar, Florida... ...to improving the health, well-being and, most... ...Responsible for auditing coded inpatient or... ...support the strategic plan and vision of the... ...and resolve claim denials that are rejected... ...and assesses for compliance with AHIMA query...
Remote job
Claims
Work experience placement
Internship
Work at office
Shift work
Memorial Regional Hospital
Hollywood, FL
2 days ago
Internal Auditor
$58.8k - $94.08k
...Conduct comprehensive claims audits to ensure compliance with fee schedules, benefit plans, contractual obligations, service-level... ...administers a diverse portfolio of health insurance products, including... ...preferred:Certified Internal Auditor (CIA) certificationCertified Healthcare...
Claims
Health Insurance
Contract work
Work at office
Mercy Health System
Janesville, WI
2 days ago
Remote Clinical Auditor I - Coding & Compliance
$64k - $93k
Join WellSense Health Plan as a Clinical Auditor I, where you will perform detailed audits of medical records to ensure accuracy and compliance within a supportive team environment. This role offers a comprehensive salary range of $64,000 - $93,000 based on qualifications...
Remote job
Health Insurance
WellSense Health Plan
Oklahoma City, OK
12 hours ago
Medical Compliance Auditor
...Medical Compliance Auditor We are searching for a Medical Compliance... ...approve or deny medical claim appeals and perform clinical audits of medical records... ...Assess the treatment plan, clinical information, and... ...1996, Texas Children's Health Plan is the nation's first...
Claims
Health Insurance
Full time
Work at office
Local area
Shift work
Texas Children's Hospital
Houston, TX
3 days ago
Remote Inpatient Coding Auditor (MS-DRG)
A leading health insurance company is seeking an experienced Inpatient Medical Coding Auditor to work remotely. Responsibilities include reviewing inpatient hospital claims for reimbursement, extracting clinical information, and assigning medical codes. A minimum of 4...
Remote work
Claims
Health Insurance
Humana
Washington DC
3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Health Plan Claims Auditor Compliance & Audits. Be the first to apply!