Senior Coding Auditor - Remote | Payment Integrity
Oscar Health
A health insurance company is seeking a Senior Specialist, Coding Auditor to join their Payment Integrity team. This remote position involves supporting issue resolution, ensuring claims repayment quality, and assisting in root cause analysis. Candidates should have 1+ years of coding or auditing experience and a CPC designation. The role offers a competitive salary and comprehensive benefits including medical, dental, and unlimited vacation. #J-18808-Ljbffr
- ...A 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 work
$65.41k - $85.85k
...Job Description Hi, we're Oscar. We're hiring a Senior Specialist, Coding Auditor to join our Payment Integrity. Oscar is the first health insurance company built... ...Payment Integrity. Work Location: This is a remote position, open to candidates who reside in: Tempe...Remote workSeniorFull timeWork experience placementWork from homeHome office- ...seeking a dedicated and detail-oriented Senior Integrity Auditor to join our Compliance team. This... ...Perform audits and reviews in areas such as coding, billing, medical record documentation... ...- DRG, APC, and ASC payment methodologies - Ability to perform claims...Senior
$211.55k - $317.33k
...leading healthcare technology firm seeks a Senior Medical Director to provide strategic oversight for pre-payment edits and improve payment integrity. The role involves collaboration with... ...skills, and proven leadership. This remote position offers a competitive salary range...Remote workSenior- ...Commence seeks a Healthcare Program Integrity Solutions Consultant to enhance commercial... ...demands expertise in healthcare fraud, payment integrity operations, and the ability to... ...position offers a competitive salary, and remote opportunities are available in many states...Remote workSenior
- ...organization is seeking a DRG Revenue Integrity Auditor to perform validation and quality audits... ...conducting chart reviews, ensuring accurate coding, and training new hires. Ideal... ...analytical skills. This position allows for remote work, maintaining competitive...Remote work
$142k - $213k
...in the workplace: * Integrity * Accountability *... ...Build, lead and manage Payment Integrity operations, including... ...including clinical and coding audits, fraud, waste... ...and opportunities to senior leadership * Drive... ...Salary range will vary for remote positions outside of...Remote workSeniorContract workWork from homeVisa sponsorshipWork visaFlexible hours- ...Billing Compliance, Senior Auditor Reporting to the Manager of Billing... ...and investigations related to coding, billing, documentation, and... ...resolve risks affecting claim payment, in partnership with... ...Location: Hybrid (Evanston, IL and remote) Full Time/Part Time: Full-...Remote workSeniorFull timeContract workPart timeMonday to Friday
$51.06 - $73.9 per hour
...Senior Manager Payment Integrity SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief... ...Range: $51.06 to $73.90 per hour Work Mode: Mostly Remote Medical Benefits Paid Sick Time Excellent 401(k)...Remote workSeniorHourly payTemporary workWork at office- ...Today, we're a profitable, remote-first company with 220+ people... ...We’re building JimdoPay—an integrated payment solution that enables solopreneurs... ...and many more. As a Senior Backend Engineer, you’ll join... ...application security and secure coding principles What We...Remote workSeniorSelf employmentWork at office
$160k - $225k
...Join Mizuho as a Senior Solutions Architect - Payment Systems! In this role you will... ..., covering application, integration, data, infrastructure, and... ...than managing day-to-day coding Participate in architecture... ...opportunities for remote work depending on the nature...Remote workSeniorWork at officeLocal areaWorldwide- ...Career Connections, LLC is seeking a Senior Mulesoft Developer for a fully remote role in the USA. This position involves... ...MuleSoft Platform and migrating legacy integrations. Ideal candidates will have at least 6 years of coding experience, strong knowledge of the Anypoint...Remote workSenior
$75k - $100k
Senior Analyst, Edits | Payment Integrity (Remote) Position Description CGI is seeking a results-oriented Senior... ...subject matter expert, blending deep coding domain expertise with advanced... ...with Medical Directors and internal auditors (RNs/Coders) to ensure clinical...Remote workSeniorLocal area- ...Senior ServiceNow IT Asset Management (ITAM) Integration Contractor LOCATION: US or Canada Remote WORK HOURS: US EST Time Zone Summary Primary Focus: ServiceNow ITAM (HAM & SAM) ↔... ...—the ideal candidate must be capable of coding, configuring, and troubleshooting integrations...Remote workSeniorFor contractors
$70k - $85k
...expertise across the payment continuum, delivering... ...records to ensure accurate coding of diagnoses,... ...team.* Ability to work remotely from a home office without... ...the Confidentiality and Integrity of Sensitive,... ...WRITINGThe **Medical Coding Auditor-Inpatient** #J-18808-Ljbffr...Remote workFor contractorsWork at officeWork from homeHome officeShift work- ...Medical Coding and Billing Compliance Auditor Location: Remote Division: Coding Compliance About the... ...accuracy, documentation integrity, ensuring compliance with... ...coding rules, HCC payment methodologies, and other... ...ICD-10-CM guidelines. Seniority level Not Applicable Employment...Remote workFull timeWork at officeLocal area
- ...JOB SUMMARY: The DRG Revenue Integrity Auditor (DRG - A) performs Diagnostic Related Group (DRG) validation and quality audits on Inpatient... ...charts capture the patient’s true clinical picture from the codes assigned by the facility’s coders in compliance with federal...Remote workWork experience placementWork at officeImmediate startRelocation package
$90k - $115k
...intelligence company with expertise across the payment continuum, delivering unmatched value,... ...reviews, including clinical and coding assessments, of medical records and related... ...documentation, ultimately contributing to the integrity and efficiency of the payment process....Remote workContract workWork experience placementFlexible hours- ...intersection of Compliance, Payment Integrity, and Data... ...Role As a Medical Claims Auditor within our Special Investigations... ...will have a broad coding knowledge base,... ...results. Work closely with senior team members and... ...flexible time‑off policy. Remote‑first culture supports...Remote workWork at officeFlexible hours
$37.75 - $40.25 per hour
...are currently looking for a Senior Payment Accuracy Specialist in United... ...core of healthcare payment integrity, combining advanced audit expertise... ...to work with data and coding tools to drive accurate... ...family support benefits. Fully remote work setup with required secure...Remote workSeniorHourly payFull timeHome office$64.83k - $85.09k
...Description Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team.... ...-Pay). Work Location: This is a remote position, open to candidates who... ...edits. Research industry standard coding rules, summarize and provide input...Remote workSeniorFull timeContract workWork at office$50k - $55k
...Medical Claims Auditor (Remote - Texas) Great companies need great teams... ...claims, validating coding accuracy, and identifying errors... ...verify correct billing and payment data. Identify and document... ...contracts) to ensure claims integrity. Support process improvements...Remote workFull timeMonday to FridayFlexible hours- ...Senior Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in EST or CST and must be comfortable working... ...background in claims, medical coding, or payment integrity systems. You will...Remote workContract work
$69.4k - $99.2k
...help build your skills and capabilities. Summary The Payment Integrity Analytics, Senior Analyst plays a critical, client-facing role supporting... ...interaction with state Medicaid and OIG stakeholders Fully remote opportunity with the option to work anywhere within the...Remote workSeniorFull timeWork at officeFlexible hours$190k - $210k
...hospitals translate care into payment. Founded by physicians in 20... ...smarterdx.com/careers. Senior Integration Engineer (Client-Facing)You... .... **This role is fully remote within the US** What You’ll... ...and network teams, CDI and Coding leaders, and implementation...Remote workSeniorFull timeImmediate startDay shift$117.51k
...Senior Manager, Payment Integrity Operations Job Category: Management/Executive Department: Office of CSC Excellence Location: Los Angeles... ...prospective review programs including clinical editing, code auditing, algorithm-driven controls, and provider...SeniorDaily paidFull timeContract workWork at office- ...divh2Program Integrity Medical Coding Reviewer III/h2pThe Program Integrity Medical Coding Reviewer III generates comprehensive and concise in... ...documentation requirements./liliResponsible for making claim payment decisions on a wide variety of claims including highly...Remote job
$54.52k - $83.26k
...Address Location Address: Remote Office, Santa Fe, NM 87... ...Hiring: Profee Remote Auditor/Educator Summary Build... ...of the Coding and documentation quality... ...action to ensure accurate payment of claims; coordinate review... ...by a sense of honesty, integrity, and the ability to inspire...Remote workFull timeTemporary workWork at officeImmediate startShift workNight shift$92.7k - $139.1k
...work arrangements that include remote and hybrid opportunities and... ...the organization, you're an integral part of our team and your input... ..., in-depth analysis of claim payments and its methodology,... ...contracts, BCBSRI policy, national coding guidelines and industry standards...Remote workContract workWork at officeWork from homeFlexible hoursShift work2 days per week1 day per week- ...development, technical execution, and code quality across the Salesforce platform. The Senior Salesforce Developer brings... ...complex performance and integration challenges. The role works in partnership... ...clearance. WORK LOCATION: · Remote As part of the application process...Remote workSenior
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