Field Provider Auditor I — Claims Compliance & Coding
Elevance Health
Elevance Health is seeking a Clinical Provider Auditor I to support Payment Integrity and Behavioral Health. The role is field-based in Maryland with travel to client sites and occasional office attendance for meetings or training. Responsibilities include examining claims for compliance, pre‑payment review of medical records, and collaboration with the Special Investigation Unit. Minimum requirements include an AA/AS and 1 year of related medical coding or auditing experience, plus #J-18808-Ljbffr Elevance Health
$34.18 - $51.27 per hour
HIM CODING COMPLIANCE AUDITOR Baltimore, MD SINAI CORPORATE HLTH INFORMATION MNG Full-time - Day shift... ...Levindale and Grace Medical Center by providing appropriate and timely access to... ...; requires knowledge of a specialized field. Seven (7)+ years of experience. Certifications...FieldFull timeRemote workShift workDay shift$71.1k - $97.8k
...community The Inpatient Medical Coding Auditor extracts clinical information... ...auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented... ...to take affirmative action, in compliance with Section 503 of the...ClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$70k - $75k
...Services & Insurance Attorney Auditor ** This is a fully remote... ...of our clients for services provided to insurance carriers,... ...communicate with law firms to discuss compliance with client's billing... ...the world's leading risk and claims administration partner, which...ClaimsLocal areaRemote workWork from homeFlexible hours$18 - $22 per hour
...Are you an experienced Medical Claims Adjuster in the Annapolis, MD... ...accepted business practices. Reviews providers' disputes and appeals for... ...competitive insurance claims field. Qualifications Verifiable... ...of ICD-9-CM, CPT, HCPCS, RBRVS coding schemes Experience with different...FieldClaimsHourly pay- ...have a strong background in ICD-10-CM and CPT-4 coding with auditing experience. Key responsibilities include auditing hospital coding for compliance and reimbursement, serving as a subject matter expert, and providing training for new coding specialists. Candidates should...SuggestedRemote jobFull timeFlexible hours
- Datavant is seeking a remote Inpatient Auditing Specialist to support coding quality and compliance across the healthcare ecosystem. You will help ensure accurate audits while providing support and education to coders on best practices. Ideal candidates will have over 5...Remote jobFlexible hours
$88k - $132k
...Zuora, owning platform administration and providing daily system support for Billing,... ...solutions that support business growth and compliance. Job Description And Requirements Who We... ...Information Systems, Finance, or a related field, or equivalent experience 5+ years of...FieldRemote workHome office- ...JHHP has become a leader in provider-sponsored health plans and is... ...growth. Position Summary The Compliance Senior Health Data Analyst is... ...incidents, and member requests for claims and healthcare information,... ...or closely related analytic field is required. Bachelor’s...FieldClaimsWork experience placement
$68k - $85k
...will evaluate, inspect, audit, and determine the effectiveness of compliance and store operational tasks. This individual will visit store... ...must effectively establish strong credibility with the Monro Field Teammates and Field Leadership. Maintaining a positive and constructive...FieldWork at officeFlexible hours$26.66 per hour
...and/or level. Job Summary The Physician Compliance Auditor II audits and evaluates compliance... ...tools, compiles data, reports findings, and provides recommendations and training. Audits may include documentation and coding accuracy for outpatient, inpatient, and emergency...Work experience placementImmediate startRemote work- ...This position is responsible for providing specialized analytics and data... ...Provide ad‑hoc reporting and claims analysis to support... ...professional designation in a related field is strongly preferred. Equivalent... ...(required) and strong SQL coding skills (preferred), with the ability...FieldClaimsWork experience placement
$20.02 - $25.78 per hour
...administrative processes that healthcare providers utilize to capture, bill, and... ...appealing denied and rejected claims Preparing, reviewing, and... ...'s degree in business related field preferred, or equivalent work... ...~ Familiarity with ICD-10 coding ~ Competent with computer...FieldClaimsHourly payTemporary workWork experience placementLocal areaImmediate startRemote workFlexible hours$175k - $300k
...subject‑matter expertise in the field of employment law (primarily... ..., termination decisions, and compliance with local, state, and... ...the firm. Responsibilities Provide expert legal counsel on complex... ...retaliation and wrongful termination claims; wage and hour disputes; and...FieldClaimsFull timeContract workTemporary workLocal area$25.39 - $40 per hour
...Modification) diagnosis codes and Current Procedural... ...complexity and ensures compliance with coding guidelines,... ...policies, as well as ensures claims meet medical necessity... ...or other healthcare providers for clarification or... ...informatics, or related field. Degree must be obtained...FieldClaimsHourly payShift work$46.99k - $122.4k
...internal and external teams that provide data, inputs, and subject... ...organization of evidence for audit, compliance, or regulatory follow‑up... ..., scope, or required fields and support resolution of identified... ...with medical and/or pharmacy claims data Education Bachelor's...FieldClaimsRemote jobFull timeLocal area$134.62k - $201.25k
...Position Summary The Field Reimbursement Manager (FRM) serves as the subject... ...a crucial liaison between healthcare providers (HCPs), internal teams, and external... ..., coverage, reimbursement processes, claims submissions, and coding requirements Analyze payer criteria...FieldClaimsTemporary workLocal areaFlexible hours- ...enterprise safety strategy, ensures compliance with all applicable... ...advisor to senior leadership and field management in support of... ...Enablement and Safety Culture Provide guidance, tools, training, and... ...providers to reduce loss exposure, claims, and business disruption....FieldClaimsTemporary workLocal area
$115k - $125k
...construction department, providing managerial oversight of... ...to maintain cost compliance, proper allocation of resources... ..., state and federal codes/regulations. This... ...orders. Perform routine field inspections to ensure compliance... ...lists, release of claims, asset information, and...FieldClaimsContract workTemporary workFor subcontractorLocal area- ...accurate, properly supported, and coded to the correct account, fund,... ..., and unapplied receipts. Provide regular updates to the CFO on... ...Track cash needs for operating, claims, payroll, trustee, or other... ...business administration, or related field; equivalent work experience...FieldClaimsWork experience placementRemote work
$135k - $216k
...Health Solutions team, Benefits, Claims & Integrity Solutions... ...partners on policy interpretation, compliance requirements, and operational... ...regulatory environment and provide recommendations to proactively... ..., Government, or related field. 12+ years of experience in...FieldClaimsContract workFor contractorsShift work$169.4k - $279.6k
...Overview The annual base salary range provided for this position is a nationwide market... ...Bachelor’s degree in technology-related field or equivalent, with 8 to 10 years of architecture... ...Hands-on experience with agentic coding tools such as Claude Enterprise/CLI/Code,...FieldClaimsTemporary workWork experience placementLocal area$145.5k - $205k
...public benefit purpose is to provide a brighter future for patients... ...Director, Corporate Compliance - Operations is an experienced... ...information systems or related field with 12+ years of relevant experience... ...Anti-Kickback Statute, False Claims Act, Foreign Corrupt Practice...FieldClaimsWork at officeRemote work- ...Senior Casualty/Property Liability Adjuster to manage liability claims in the Washington DC/Baltimore area. This field‑based position involves evaluating coverage, determining liability, and ensuring compliance with legal requirements. The ideal candidate will demonstrate...FieldClaims
$43.89k - $102.08k
...documentation issues to help ensure compliance and operational excellence.... ..., and develop colleagues by providing guidance, support, and best‑... ...receivable, health plan claims processing or adjudication, or... ...related healthcare insurance field. 1+ year of leadership experience...FieldClaimsHourly payFull timeTemporary workWork at officeLocal area- ...through education, monitoring, and compliance efforts. The Safety and... ...programs at assigned DC location s Provides training and direction to DC... ...for human/asset protection/claims Communicate with all DC Team... ..., training , or related field preferred or amount of relevant...FieldClaimsWork at officeFlexible hoursAfternoon shift
- 6AM City, LLC is looking for a HIM Coding Compliance Auditor based in Baltimore, MD with an emphasis on coding accuracy and compliance. This role involves reviewing outpatient records, advising on audit records, and educating HIM staff. Candidates must have at least seven...Remote jobFull timeDay shift
$31.5 - $42 per hour
...supervision of the Manager of Coding and Data Quality accurately... ...reimbursement, research, statistics and compliance to federal and state... .... Sends coding queries to providers and communicates with CDIS' when... ...code assignments to prevent claim denials, billing errors, and...ClaimsFull timeWork at office- ...drives encounter data quality, compliance, and operational performance.... ..., quality, and compliance. Provide coaching, training, and... ...experience in Medicare and Medicaid claims, encounters, auditing, or... ...Operations or other related fields. Prior demonstrated experience...FieldClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome office
$121.1k - $181.13k
...oversight of external service providers. Key Responsibilities... ...internal policies, SOPs, and compliance standards. Establish and monitor... ...in life sciences or related field preferred. Minimum 4+ years... ...application processing fee, even if claimed you will be reimbursed, this...FieldClaimsContract workTemporary workWork at officeLocal areaFlexible hours- ...A leading claims adjusting firm in Arnold, Maryland is seeking Independent Insurance Claims Adjusters. This role is pivotal... ...are an experienced Licensed Claims Adjuster or new to the field, training is provided to help you excel. Seize the chance to thrive in this dynamic...FieldClaimsFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Field Provider Auditor I — Claims Compliance & Coding. Be the first to apply!

