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
$60.1k - $98.7k
...right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is a fully remote position where you’ll use your clinical... ...judgment to review medical records, validate billed DRG codes, and help identify overpayments...Remote workClaimsFull time$50k - $65k
...As a DME Auditor , you’ll use your deep understanding of Durable Medical Equipment (DME) , Medicare , Medicaid... ...review professional claims and ensure proper... ...services were provided as billed for Hospital Bill... ...working independently in a remote environment. Strong...Remote workClaimsFull timeContract work$39.52k
...seeking a specific stop loss claim auditor intern to joining our... ...consistency in our approach to medical claim auditing. Efficient planning... ...auditing. The position is remote and approximately 20 hours per... ...claims processing or medical billing concepts. Experience using...Remote workClaimsHourly payInternshipWork at officeFlexible hours$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- ...information and manage documentation requests to audit medical claims, including itemized bills and medical records. The role emphasizes data accuracy... ...maintaining strict PHI/PII confidentiality. This is a remote position with cross-team collaboration. Key duties include...Remote jobClaims
$57.4k - $99k
...Outpatient Facility Coding Auditor integrates medical coding principles and objectivity... ...to determine potential billing/coding issues, and quality... ...spreadsheets, account, and claim examples of root cause... ...client experiences.This is a remote position; however, candidates...Remote workClaimsTemporary workWork at officeLocal area$95k
...Overview This DRG Validation Auditor role is focused on our Cross Claim Clinical Reviews (CCCR).... ...determinations without a medical record. The ideal... ...knowledge of medical claims billing/payment systems provider... ...candidate is selected. #LI-Remote #LI-JB1 #senior...Remote workClaimsHourly payFull timeReliefWork at officeImmediate startShift workNight shiftWeekend workAfternoon shift- ...Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and... ...by providers. This role involves claims analysis, provider audits, fraud detection... ...audits, and recipient interviews. Review billing practices for upcoding, duplicate billing...Remote jobClaimsWork at office
- ...healthcare costs. The Medical Review Nurse II -... ...primarily performs medical claims audit reviews. As a MR... ...experienced medical auditors and coders performing... ...Payers. You will work remotely in a fast paced and dynamic... ..., DRG and medical billing experience for an Insurance...Remote workClaimsFull timeFor contractorsWork at office
$107k - $119k
...educating and mentoring the auditor and providing... ...HH, DME, Hospice, and medical necessity. Train Clinicians... ...of setting, potential billing/coding issues, and... ...quantity (i.e. hit rate, # claims written, ID per hour).... ...candidate is selected. #LI-Remote #LI-JJ1 #Senior...Remote workClaimsHourly payContract workFor contractorsWork at officeImmediate start$90k - $105k
...for one of our other Medical Review Nurse roles, which... ...(SNF) medical claims audit reviews. As a MR... ...of experienced medical auditors performing retrospective... ...Payers. You will work remotely in a fast-paced and dynamic... ...the Uniform Medical Billing Form (UB-04) and application...Remote workClaimsFull timeFor contractorsWork at office$58k - $78k
...Auditor, Revenue Optimization Sunrise,FL - USA Responsibilities Audit medical records to identify missed charges, incorrect coding, and... ...that result in missed billing opportunities. Perform Root... ...knowledge of CMS requirements claims processing, billing/coding guidelines...Remote jobClaimsFlexible hours- Randstad NV is seeking a Certified Medical Coder for a 3-6 month contract with a 100% remote setup. The role focuses on verifying the accuracy of itemized claim reviews in line with payment, coding, and billing guidelines. Strong collaboration with stakeholders is essential...Remote jobClaimsContract work
- ...Now Hiring: Remote CPMA Educator & Auditor With minimal supervision directly supports... ...on documentation, coding, billing, and coding compliance... ...as low performers; perform medical record and billing reviews of denied and appealed claims and takes appropriate action...Remote jobClaimsFull timeImmediate startShift workNight shift
- ...applying for one of our other Medical Review Nurse roles,... ...Clinical Appeals Auditor (RN) is responsible for... ...conducts research, analyzes claims data, applies knowledge... ...it relates to medical billing. Demonstrated ability... ...work independently in remote setting with minimum supervision...Remote jobClaimsImmediate startFlexible hours
- Utilization Review Nurse Auditor (33034)# Utilization... ...Nurse Auditor (33034)Fully Remote • Mount Laurel, NJ 0805... ...approving care that is medically necessary and... ...examinations, peer reviews, bill reviews, Medicare compliance... ...law firms, third-party claim administrators and...Remote workClaimsLocal areaMonday to Friday
$24 - $43 per hour
...start Caring. Connecting. Growing together.The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by... ...accuracy of medical coding/billing and payment recommendation for claimsThis could...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 workClaimsFlexible hours
$31.06 - $46.59 per hour
...among other factors. Billing Compliance, Senior Auditor Reporting to the Manager... ...payer reimbursement for medical services. The Senior Auditor... ...resolve risks affecting claim payment, in partnership with... ...Hybrid (Evanston, IL and remote) Full Time/Part Time: Full...Remote workClaimsHourly payFull timeContract workPart timeFor contractorsMonday to Friday$24 - $43 per hour
Medical Coding Auditor Optum is a global organization that delivers care, aided by technology to help... ...HCPCS, and modifiers assigned to codes on claims in a telecommuting work environment Determines accuracy of medical coding/billing and payment recommendation for claims...Remote workClaimsHourly payMinimum wageFull timeContract workWork experience placementLocal area$66.12k - $89.48k
...Regulatory Billing Auditor (100% Remote) The Regulatory Billing Auditor supports compliant charging... ...the MaineHealth system by conducting medical audit reviews and analyses of clinical... ...improvement clinical practice payer claims adjudication and/or compliance Two to...Remote workClaimsFull timePart timeImmediate startFlexible hours$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- ...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
- ...Seeking a detail-oriented Inpatient Coding Auditor, Senior Associate to perform remote audits of medical records, ensuring accurate coding in compliance with regulatory... ...standards while cross-training to review multiple claim types Assist in training and mentoring new Coding...Remote workClaimsFlexible hours
$45k - $58k
...EXL Health is hiring a Pharmacy Auditor I. This is a full-time, work from home opportunity... ...skills, and qualifications) Location: 100% Remote (US Based) Up to 10% annual travel (for... ...desk audits by reviewing prescription claims and supporting documentation to determine...Remote workClaimsFull timeWork from home$67.23k - $110.91k
...our expert, compassionate medical care team at 11 hospitals and... ...As a Coding Auditor, you will be a central figure... ...proactively resolving medical coding claim defects before billing. You will play a vital role... ...and efficiency. As a remote employee, we will provide you...Remote workClaimsWork at officeWork from home- ...as they seek an experienced Coverholder Auditor to deliver audits of US coverholders on behalf... ..., ideally an ex-underwriter or claims manager, who can evidence every finding against... ...information requests. Conduct on-site and remote fieldwork, testing underwriting, claims,...Remote workClaimsContract workWork at officeImmediate start
- ...Performing various audits of claims payments and denials, the full-time Claims Auditor will ensure accuracy and regulatory compliance while working remotely. Key responsibilities Conduct pre-pay and post-pay audits to verify claims payments and denials Utilize knowledge...Remote workClaimsFull time
$67k - $76k
...: Work Arrangement : Remote Compensation Range: $67... ...Your Mission: As our next Medical Coding Auditor , you will be responsible for... ...coding within a physician billing environment. You’re confident... ...of billing platforms and claim workflows—how coding feeds...Remote workClaimsFull time$60.1k - $98.7k
...In this fully remote position as a Skilled Nursing Facility auditor you will apply your expert clinical knowledge to validate the accuracy of billed charges to ensure the integrity of the paid claim including coding validation, payment accuracy, contractual requirements...Remote workClaimsDaily paidFull timeContract work
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