Remote Medical Billing & Claims Auditor
Neara
- Remote job
A healthcare technology firm is seeking an experienced Medical Bill Reviewer to work remotely from New York. The role involves reviewing medical claims, analyzing patient records, and ensuring compliance with coding guidelines. Candidates should have at least 3 years of experience, certifications in relevant fields, and knowledge of billing compliance standards. The company offers competitive pay and benefits, contributing to an innovative team focused on modernizing healthcare auditing processes. #J-18808-Ljbffr Neara
$30.5k - $42.5k
...career development. Summary The Medical Claims Auditor is responsible for reviewing and analyzing... ..., a solid understanding of medical billing and coding, and experience with... ...should expect in this role This is a remote position for candidates residing in Texas...Remote workClaimsFull timeMonday to FridayFlexible hours$58k - $78k
...Requirements RESPONSIBILITIES Audit medical records to identify missed... ...that result in missed billing opportunities. Perform... ...knowledge of CMS requirements claims processing, billing/coding guidelines... ...opportunities The Auditor, Revenue Optimization is...Remote workClaimsFull timeFlexible hours- ...Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness... ...procedures. Detect discrepancies in provider billing and recommend adjustments to ensure proper...Remote jobClaimsTemporary workCasual workWork at office
$60.1k - $85.8k
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex... ...individual for a Lead Associate, Itemized Bill Review Quality Auditor to perform reviews of medical records, healthcare claims, itemized medical bill, and UB-04 forms to...Remote jobClaimsFull timeWork from homeFlexible hours- ...healthcare costs. The Medical Review Nurse - CMS /... ...primarily performs medical claims audit reviews for... ...of experienced medical auditors and coders performing... ...Payers. You will work remotely in a fast paced and dynamic... ..., DRG and medical billing experience for an...Remote workClaimsFull timeFor contractorsWork at office
$33 - $46 per hour
...Utilization Review Nurse Auditor Fully Remote Mount Laurel, NJ 08054 Salary... ...and approving care that is medically necessary and appropriate according... ...examinations, peer reviews, bill reviews, Medicare compliance... ..., law firms, third-party claim administrators and...Remote workClaimsHourly payFull timeLocal areaMonday to Friday$24 - $43 per hour
...Medical Coding AuditorOptum is a global organization that delivers care,... ...Growing together.The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to... ...environmentDetermines accuracy of medical coding/billing and payment recommendation for...Remote workClaimsHourly payMinimum wageFull timeContract workWork experience placementLocal area- ...intelligence from 10M+ processed claims, and expert human-in-the-... ...The Coding Denials Auditor provides analysis of coded medical services, reports, records, and billed charges, etc. to determine appropriateness... ...and skill set to work remotely. To perform this job...Remote workClaimsFull timeFlexible hours
- ...HumanaPosted: Humana Inc. is seeking a Senior Medical Coding Outpatient Auditor to lead coding-focused audit... ...Integrity.The role involves researching claims anomalies, applying CPT/HCPCS... ...analytics teams to improve audit strategies. Remote work with occasional travel is...Remote workClaims
- ...HealthPosted: 2026-10-07Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and ensure accurate MS-DRG/AP-DRG assignments... ...The role focuses on generating high-quality recoverable claims and performing clinical reviews to assess coding accuracy...Remote workClaimsRelocation
$30.5k - $42.5k
...A 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$92.88k - $160.22k
...On Bonus: $1,500 DRG Coding Auditor - MS-DRG and APR-DRG Virtual... ...responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company,... ...knowledge of medical claims billing/payment systems provider...ClaimsFull timeWork experience placementWork at officeLocal areaRelocation package- ...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 workClaims
- ...Responsible for conducting quality audits of claims processes, the full-time Claims Auditor will work remotely to identify trends and exceptions, provide feedback to management, and recommend improvements to enhance service quality. Key responsibilities Perform routine...Remote workClaimsFull time
- ...outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties... ...: Perform remote billing and coding audits to ensure... ...documentation supports medical necessity and the E/M,... ...both UB-04 and CMS 1500 claims data, as well as understanding...Remote workClaimsWork at officeLocal area
- ...Cycle Managed Services Coding Auditor based in the United States.... ..., compliant, and high-quality medical coding across multiple professional... ...consulting environment. This remote opportunity is ideal for an... ...Understanding of denial management, claims appeals, reimbursement...Remote workClaimsHourly payWork from homeFlexible hours
- ...provided by our expert, compassionate medical care team at 11 hospitals and nearly... ...and Responsibilities As a Coding Auditor, you will be a central figure... ...proactively resolving medical coding claim defects before billing. You will play a vital role in optimizing...Remote workClaimsWork at office
- ...solvers on a mission to increase medical practice success and improve... ...Summary:Medical Coding Auditors are responsible for ensuring... ...needed corrections of these claims when applicable, and performs... ...processes as well as attending remote coding sessions with the global...Remote workClaimsFixed term contractWork at officeFlexible hours
- Overview Remote or Onsite Opportunity!Opportunities for you! Consecutively... ...The Senior Auditor oversees and performs financial... ...revenue cycle, cost reporting, claims, provider data, health plan, or... ...Schedule: DaysFacility: Community Medical Centers - Corporate Offices (CMC...Remote workClaims
$28k
...Senior Premium Auditor (Workers' Compensation) | 100% Remote Opportunity General Summary Under minimal supervision, determine the premium... ...as appropriate. Analyze and review claims to verify employment, proper classification coding and...Remote workClaimsWork from home- ...Health Plan is seeking a Clinical Auditor I to perform detailed... ...chart audits, verifying that medical documentation supports paid charges... ...staff to ensure accurate billing and compliance with policy. You... ...professional, and ancillary claims, identify discrepancies, and...Remote jobClaims
- Humana seeks a Medical Coding Auditor to review medical claims against records, ensuring accurate CPT/HCPCS/ICD-10-CM coding. You will interpret guidelines... ...reduction, and support APC outpatient coding teams. Remote with occasional travel for training/meetings. Requires...Remote jobClaims
- Elevance Health in Mason, Ohio is seeking a Clinical Provider Auditor I to review claims for compliance and identify fraud opportunities. This role... ...visits within commuting distance. You will analyze medical records and coding, collaborate with the SIU, and stay current...Remote jobClaimsFull time
- ...seeking a Provider Management Analyst to verify provider information and document requests for auditing claims, including itemized bills and medical records. This is a remote position, with responsibilities spanning data accuracy, confidentiality, and effective...Remote jobClaims
$80 - $85 per hour
Swipejobs is seeking an experienced attorney, claims professional, or litigation cost... ...outside counsel invoices. The focus is on billing compliance, accurate coding, and cost containment... ...vehicle claims. This contract role is remote (EST preferred), with flexible schedule...Remote jobClaimsHourly payContract workImmediate startFlexible hours- ...Coding Auditor Department: SIU Employment Type... ...align accurately with billed ICD-10-CM, CPT, HCPCS,... ...foundation in primary medical coding and a keen eye for... ...and codes billed on a claim to a medical record.... ...development initiatives ~ Remote work eligible REMOTE...Remote workClaimsHourly payFull timeFlexible hours
$32.32 - $53.32 per hour
...Coding Auditor Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building... ...accurate and timely reimbursement by proactively resolving medical coding claim defects before billing. You will play a vital role in optimizing our revenue...Remote workClaimsFull timeFor contractorsWork at officeLocal area- ...classified as hybrid, onsite or remote. While the majority of our... ...limited to: Customer Service, Claims Processors, and Correspondence... ...JOB The Clinical Trainer and Auditor is responsible for planning, developing... ...and models ~ Knowledge of medical and care management models ~...Remote workClaimsFull timeWork experience placement1 day per week
- Overview The Healthcare Delivery Auditor supports Central Health’s... ...documentation, provider billing practices, and care coordination... .... This includes reviewing medical records (chart audits) to ensure... ..., aligns with billing claims, and meets regulatory and policy...ClaimsFull timeLocal area
- ...Conducting audits of billing, documentation, insurance claims, and regulatory compliance activities, the full-time Audit Specialist will ensure adherence... ...of 6 months of experience in healthcare auditing, medical billing, or compliance Experience with Medicare, Medicaid...Remote workClaimsFull time
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