Remote Outpatient Facility Auditor - APC Reimbursement Expert
ExlService Holdings, Inc.
- Remote job
EXL Health is seeking an experienced Outpatient Facility Auditor to join a remote team focused on facility-based outpatient claims and APC reimbursement. The role emphasizes CPT/HCPCS coding, APC payment methodologies, and CMS OPPS compliance for infusion services, outpatient surgeries, and interventional radiology. The position offers 100% remote work in the United States with travel up to 10% for team meetings and limited client onsite engagements. #J-18808-Ljbffr ExlService Holdings, Inc.
- EXL Health is seeking an experienced Outpatient Facility Auditor with APC reimbursement expertise to audit hospital outpatient facility claims (UB-04), focusing... ...payment methodologies, and CMS OPPS guidelines. This remote role is US-based and allows you to work from home...Remote jobReimbursementFacilitiesWork from home
- EXL Health seeks a Remote Certified Outpatient Facility Auditor to review hospital outpatient facility claims and APC reimbursement. You will audit CPT/HCPCS coding, APC packaging, and UB-04 reporting to ensure compliant reimbursement for infusion therapy, outpatient surgeries...Remote jobReimbursementFacilities
- ...is seeking a Medical Coding Auditor to review medical claims against... .... The role supports APC/outpatient coding, uses encoders, and performs... .... You will work remotely with potential occasional travel... ...Friday, and focus on Outpatient Facility/APC coding teams with emphasis...Remote jobFacilitiesMonday to Friday
- ...coaching others. In the role of Outpatient Coding Auditor, you will be responsible... ...Practical knowledge of reimbursement systems, including Prospective... ...Payment Classification (APC). Creates clear and accurate... ...Outpatient Clinic for Facility and Pro-fee services is preferred...Remote workReimbursementFacilitiesTemporary workWork experience placementWork at office
- ...Outpatient Coding AuditorCGI is one of the largest... ...Outpatient Coding Auditor to join our... ...documentation, and reimbursement expertise to conduct... ...findings.This is a fully remote position open to... ...across outpatient facility, professional, and... ...Classifications (APCs), NCCI edits, and...Remote workReimbursementFacilitiesWork at officeLocal area
$70k - $90k
Are you an experienced Outpatient Facility Auditor with strong APC reimbursement expertise in hospital‑based outpatient services? Do you enjoy analyzing APC groupings... ...a highly skilled auditor to join our growing remote outpatient auditing team, where your work will focus...Remote workReimbursementFacilities$70k - $90k
...Are you an experienced Outpatient Facility Auditor with strong APC reimbursement expertise in hospital-based outpatient services? Do you enjoy analyzing APC groupings... ...a highly skilled auditor to join our growing remote outpatient auditing team, where your work will focus...Remote workReimbursementFacilitiesFull time$65k - $75k
...Are you a skilled Outpatient Auditor with deep expertise in... ...compliance, and appropriate reimbursement? If so, EXL Health is... ...welcome you to our remote auditing team! As a... ...guidelines, and APC reimbursement to review... ...bundling rules, and UB‑04 facility coding requirements....Remote workReimbursementFacilitiesFull timeContract work- ...health goals. Across the reimbursement cycle, our scalable... ...success. JOB SUMMARY: Facility Outpatient Coding Quality Specialist (Auditor) Experience with the... ...preferred This is a REMOTE position. Must live in... ...Understand hospital APC assignment and associated...Remote workReimbursementFacilitiesFull timeLive inWork at officeImmediate start
$36 per hour
...transforming healthcare. Remote (United States) |... ...an experienced Outpatient Coding Compliance Auditor to join our remote... ...acute care outpatient facility coding to ensure... ...compliance, and appropriate reimbursement. The ideal... ...accuracy, including OPPS, APC assignments , and...Remote workReimbursementFacilitiesHourly payPart timeWeekday work- Humana is seeking a Medical Coding Auditor for the Outpatient Facility/APC Coding Team. You will verify and review codes, analyze documentation, and ensure... ...CPT/HCPCS coding while supporting QA initiatives. This remote role may require occasional travel to Humana offices...Remote jobFacilities
- Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote, nationwide role. You will review and audit outpatient coding accuracy... ...feedback to coding staff to improve documentation and reimbursement outcomes. The role requires strong knowledge of ICD-10...Remote jobReimbursement
- Cognizant is seeking an Outpatient & Multispecialty Medical Coding Auditor to audit facility outpatient and ProFee coding across multiple specialties. Remote within the United States. You will interact... ..., compliant coding and reimbursement. The role emphasizes audits across...Remote jobReimbursementFacilities
- ...code accuracy and support compliance and reimbursement. Train coding staff and improve quality... ...(CPC, COC, CCS, RHIT, RHIA). 2+ years outpatient hospital coding/auditing experience.... ...Excel, and communication skills. Fully remote role for US-based candidates. Collaborative...Remote jobReimbursementFacilities
- CorroHealth Inc. is seeking a Facility Outpatient Coding Quality Specialist (Auditor) to perform retrospective analyses... ...CPT, CMS and AHA guidelines. This REMOTE role requires residency in the... ...billing codes to ensure compliant reimbursements. #J-18808-Ljbffr CorroHealth...Remote jobReimbursementFacilities
- ...Healthcare Solutions, Inc. is seeking a Remote Part-Time Outpatient Coding Compliance Auditor to perform comprehensive audits of acute care outpatient facility coding. The ideal candidate will... ...regulatory compliance, and proper reimbursement while reviewing CPT, ICD-10-CM,...Remote jobReimbursementFacilitiesPart time
- ...financial health goals. Across the reimbursement cycle, our scalable solutions... ...success is our success. Job Summary Facility Outpatient Coding Quality Specialist (Auditor) Experience with the following:... ...RHIT, RHIA preferred. This is a REMOTE position. Must live in the...Remote workReimbursementFacilitiesLive inImmediate start
- ...will I be doing in this role? The Coding Auditor works under the general direction of... ...and research, accurate billing and reimbursement of services rendered which overall improves... ..., RHIA or RHIT required upon hire. Facility outpatient surgical claims experience highly...Remote jobReimbursementFacilitiesLocal area
- CorroHealth, Inc. is seeking a Facility Outpatient Coding Quality Specialist (Auditor) for a remote role open to candidates in the United States. The role focuses... ...to ensure compliant coding and optimal reimbursements. You will review diagnoses and procedures, mentor...Remote jobReimbursementFacilities
$39 - $40 per hour
About the role As an Outpatient & Multispecialty Medical Coding Auditor, you will make an impact by auditing both facility outpatient and professional... ...requirements, this is a remote position open to qualified... ..., compliance, and reimbursement integrity. Audit professional...Remote jobReimbursementFacilitiesTemporary workWork at office$38 per hour
Remote Inpatient/Outpatient Coding Auditor VISN 7 Health Information Management Services - Remote United States... ...States Supporting VISN 7 medical facilities Fully remote coding and auditing... ...II, DRG, modifier, bundling, reimbursement, documentation, and compliance requirements...Remote jobReimbursementFacilitiesHourly payFull timeContract workPart timeLocal areaShift work$26.55 - $49.39 per hour
...accuracy, documentation alignment, and reimbursement integrity across inpatient and/or outpatient service lines. Performs... ...review, modifier validation, and APC assignment review. Applies... ...Screening Clearinghouse : This facility is an equal opportunity employer...Remote workReimbursementFacilitiesFull timeWork experience placementLocal areaShift work- Humana is seeking a Medical Coding Auditor to review medical claims against records... ...(ICD-10-CM, CPT, HCPCS) and accurate APC assignments for outpatient services. The role emphasizes... ...participate in process improvements. Remote work with occasional travel for training...Remote job
- ...Outpatient Coding Auditor It takes great medical minds to create powerful solutions... ...level of understanding in reimbursement guidelines specifically an... ...of the EAPG, ASC and APC payment systems. What You... ...Expect In This Role Remote (work from home) environment...Remote workReimbursementContract workWork from homeFlexible hours
$31.2 - $40.56 per hour
...4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across... ...will serve as an expert in Outpatient Prospective... ...current audits on accuracy of APC, ASC or MS-DRGs as well... ...optimize APC, ASC or DRG reimbursement.Estimated pay range for this...Remote jobReimbursementFacilitiesLocal area$31.06 - $46.59 per hour
...Compliance, Senior Auditor Reporting to... ...that impact payer reimbursement for medical services... ...(Evanston, IL and remote) Full Time/Part... ...group and all system facilities. Analyze source... ...Manuals, and DRG/APC/RBRVS/other... ...patient experiences and expert care close to home...Remote workReimbursementFacilitiesHourly payFull timeContract workPart timeFor contractorsMonday to Friday$50.5k - $72.2k
Coding Auditor, Senior Associate Location: Remote - United States Work Arrangement... ...in either facility-based inpatient coding and/or outpatient coding edits and a... ...of understanding of reimbursement guidelines, specifically... ...APR-DRG, ASC, and APC payment systems. Responsibilities...Remote workReimbursementFacilitiesFull timeContract workWork from homeFlexible hours- ...financial health goals. Across the reimbursement cycle, our scalable solutions... ...success is our success. Facility Outpatient Coding Quality Specialist (Auditor) This is a REMOTE position. Must live in the... ...processes Understand hospital APC assignment and associated...Remote jobReimbursementFacilitiesLive inWork at officeImmediate start
- Humana Inc. seeks a Medical Coding Auditor for the Outpatient Facility/APC Coding Team. You will verify code accuracy against medical records, review... ...HCPCS knowledge, and experience with operative reports. Remote work with occasional travel for training. #J-18808-Ljbffr...Remote jobFacilities
- ...Repayment Assistance & Reimbursement Programs Family-... ...And more LOCATION: Remote This position is remote... ...a compliance plan for outpatient coding and reimbursement... ...The Outpatient Coding auditor will assist the Coding... ...assure accurate codes, APC assignment, and accurate...Remote jobReimbursementCasual workShift work
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