Remote Medical Claims Auditor - Coding & Denials Expert
Gainwell Technologies LLC
Austin, TX
- Remote job
Gainwell Technologies LLC is seeking a Medical Claims Auditor to review and analyze medical claims for accuracy and compliance. You will validate coding with ICD-10, CPT, and HCPCS guidelines and interpret EOBs and UB-04 forms to ensure correct billing. In this remote Texas role, you will identify discrepancies such as duplicates, upcoding, or unbundling, communicate findings to the claims team, and support CMS, Medicaid, and payer contract guidelines to improve claim integrity and reduce errors. #J-18808-Ljbffr Gainwell Technologies LLC
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Medical Claims Auditor - Coding & Denials Expert in Austin, TX vacancy
- ...intelligence from 10M+ processed claims, and expert human-in-the-loop... ...claims as well as denials for all payer classes.... ...Position Summary The Coding Denials Auditor provides analysis of coded medical services, reports,... ...and skill set to work remotely. To perform this job successfully...Remote workMedicalClaimsFlexible hours
- ...intelligence from 10M+ processed claims, and expert human-in-the-loop... ...claims as well as denials for all payer classes.... ...Summary The Coding Denials Auditor provides analysis of coded medical services, reports, records... ...and skill set to work remotely. To perform this job...Remote workMedicalClaimsFull timeFlexible hours
- ...MedicinePosted: 2026-10-05ModMed, based in Boca Raton, FL, seeks a Medical Coding Auditor to ensure BOOST client coding complies with ICD-10-CM, HCPCS... ...rules and modifier usage. You’ll conduct reviews, perform denial management coding, and provide QA feedback to global coding...Remote workMedical
ModMed
Boca Raton, FL1 day ago - ...quality of care provided by our expert, compassionate medical care team at 11 hospitals... ...As a Coding Auditor, you will be a central figure... ...resolving medical coding claim defects before billing. You... ...review coding-related claim denials, providing expert guidance...Remote workMedicalClaimsWork at office
Virginia Mason Franciscan Health - St. Joseph Medical Center
United States2 days ago - ...Managed Services Coding Auditor based in the United... ...and high-quality medical coding across multiple... ...coding-related denials. The role combines... ...environment. This remote opportunity is ideal... ...subject matter expert for assigned clients... ...management, claims appeals, reimbursement...Remote workMedicalClaimsHourly payWork from homeFlexible hours
- ...taught them how to code. This \"for... ...mission to increase medical practice success and... ...Summary:Medical Coding Auditors are responsible... ...also performs as a denial management coder,... ...corrections of these claims when applicable,... ...well as attending remote coding sessions...Remote workMedicalClaimsFixed term contractWork at officeFlexible hours
ModMed
Boca Raton, FL2 days ago $30.5k - $42.5k
...development. Summary The Medical Claims Auditor is responsible for reviewing... ...claims, validating coding accuracy, and identifying errors... ...claims lifecycle , including denials management and appeals. Advanced... ...in this role This is a remote position for candidates...Remote workMedicalClaimsFull timeMonday to FridayFlexible hoursGainwell Technologies
United States1 day ago$32.32 - $53.32 per hour
...Coding Auditor Inspired by faith. Driven by innovation. Powered by humankindness... ...reimbursement by proactively resolving medical coding claim defects before billing. You will... ...and review coding-related claim denials, providing expert guidance on corrections to prevent...Remote workMedicalClaimsFull timeFor contractorsWork at officeLocal areaCommonSpirit Health
United States3 days ago- ...Healthrise is seeking a Coding Subject Matter Expert (SME) to serve as an... ...to keep claims accurate and compliant... ...specialty. • Support denial and audit response related... ...knowledge of NCCI edits, medical necessity... ...professional office or remote home office environment...Remote workMedicalClaimsWork at officeHome office
Healthrise
Farmington, MI2 days ago - ..., LLC (“IES”) is seeking a Medical Coding Auditor with emphasis on surgical services... ...), and contributes to clean claim submission and optimal... ...work in either a hybrid or remote setting. If remote, must reside... ...claim submission and reduce denials. Audit coding accuracy...Remote workMedicalClaimsFull timeWork at officeLocal areaFlexible hoursNight shift
Integrative Emergency Services
Dallas, TX26 days ago - UnitedHealth Group seeks a Senior Medical Coder to perform... ...accurate CPT and E/M coding for maximum reimbursement and minimal denials. This role supports coding... ...within charge review, claim edits, and denials, helping... ..., 8am-5pm. Location: Remote Nationwide—telecommute from...Remote jobMedicalClaimsMonday to Friday
- CommonSpirit Health is seeking a Coding Auditor to ensure accurate and timely reimbursement by proactively resolving medical coding claim defects before billing. You will play a vital... ...research and review coding-related claim denials, provide guidance on corrections, and...MedicalClaims
- ...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...Remote workMedicalClaimsRelocation
Elevancehealth
New York, NY21 hours ago $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 workMedicalClaimsGainwell Technologies
United States1 day ago- ...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 workMedicalClaims
Med Review Inc
New York, NY4 days ago - Kerae Medical is seeking a DME Medical Billing Specialist to join our team. You will be... ...medical equipment services, ensuring accurate coding, claim submission, and follow-up to maximize... ..., manage pre-authorizations, resolve denials, communicate with patients about coverage...MedicalClaims
- TEKsystems is seeking three Medical Billers to support accounts receivable follow-up, denial resolution, and claims management during a system transition in South Miami, FL.... ...familiarity with 1500/UB claim forms, and CPC/Coding certifications are a plus. #J-18808-Ljbffr...MedicalClaimsContract work
$64k - $93k
...Summary The Clinical Auditor I performs... ...review, comparing medical documentation with... ...billed charges on paid claims, the auditor utilizes... ...industry standard coding rules. Our... ...in You Full-time remote work Competitive... ...communicated audit denial rationale is clear...Remote workMedicalClaimsFull timeContract workWork at officeFlexible hours- UT Southwestern Medical Center in Dallas seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals within the Revenue Cycle Department. The... ...does not involve direct billing or coding responsibilities. The successful candidate...Remote jobMedicalClaims
- CHS Corporate is seeking a Remote Physician Pro Fee Coding Specialist (Denials for OBGYN) to review medical records and assign CPT, HCPCS, and ICD-10 codes for professional... ...audits, support provider education, resolve claim edits, and collaborate with physicians and revenue...Remote jobMedicalClaims
$85k - $90k
...seeking a Data Mining Senior Auditor to join our Payment... ...data mining strategies, claims analysis, audit... ...platforms. Knowledge of coding edits, reimbursement methodologies, and medical claims payment systems.... ...work independently in a remote environment. Preferred...Remote workMedicalClaims$36 - $40 per hour
...own path. We’re a remote-first staffing and... ...industry. Our team of experts have placed... ...fulfillment in your coding career. If you are an Appeals and Denials Nurse looking for a... ...health patients with medical needs) Analyzes work... ...representatives to resolve claim issues. Identifies,...Remote workMedicalClaimsPermanent employmentFull timeWork visaNorwood
New York, NY2 days ago- ...Neolytix is looking for a Medical Billing Specialist to accurately post medical charges and payments, manage claims with insurance companies, and ensure compliance with regulations in a rewarding role that offers the opportunity to work from home. Responsibilities include...Remote workMedicalClaims
Neolytix LLC
New York, NY9 hours ago - Optum is seeking a Medical Coder to join our team. The role involves coding CPT, HCPCS and ICD-10 for various professional charges, working with clinical staff... ...Responsibilities include preparing and transmitting claims, resolving coding questions with providers, staying...Remote workMedicalClaims
Reliant Medical Group
United States1 day ago - UT Southwestern Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department... ...to review, research, and resolve claim denials and appeals for various insurers... ...knowledge of CMS 1500, ICD-9, CPT coding are highly valued. #J-18808-Ljbffr...Remote jobMedicalClaimsWork at officeWork from home
- UnitedHealth Group's Optum unit is hiring a Clinical DRG RN auditor. You will apply MS-DRG/APR-DRG knowledge, ICD-10 guidelines, and AHA guidelines to audit inpatient claims and identify overpayments. This remote role allows telecommuting from anywhere in the U.S. with a...Remote jobClaims
- ...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...Remote jobMedicalClaims
- ...Compliance Auditor The Compliance Auditor is responsible... ..., including billing, coding, and healthcare service... ...healthcare compliance, medical billing, and coding... ...regulations, including false claims act, stark law (self-... ...in the office and remote/telework May involve...Remote workMedicalClaimsWork at officeLocal area
Pediatric Associates Family of Companies
United States7 hours ago - ...talented individual for a remote Outpatient Coding Auditor (Professional and Facility... ...performing coding reviews of medical records and/or other... ...modifier codes. • Review claims to validate submitted codes... ...hire coding assessment • Expert level knowledge of outpatient...Remote workMedicalClaimsContract workWork at officeShift work
Jzanus Consulting, Inc.
United States1 day ago - Gainwell Technologies LLC is seeking a Coding Auditor to review medical record documentation for accuracy of principal and secondary diagnosis and... ..., while meeting productivity and quality standards. This remote role offers flexible hours and opportunities for professional...Remote jobMedicalFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Claims Auditor - Coding & Denials Expert. Be the first to apply!
