Remote Behavioral Health Investigator & Coding Auditor
Centene Corp.
- Remote job
Centene Management Company LLC is seeking a remote credentialed reviewer to conduct comprehensive medical record audits across providers, suppliers, and pharmacies. You will verify services against claims, ensure coding accuracy and medical necessity, and support the Special Investigations Unit with findings and recommendations. The role requires a Master’s Degree with 2+ years of clinical experience and an active behavioral health license; auditing and coding background is preferred. #J-18808-Ljbffr Centene Corp.
- ...seeking a qualified professional for a remote Investigative Auditor role focused on reviews of medical... ...in the healthcare system. Requires a behavioral health license and experience in utilization management, auditing, and coding. The role emphasizes verification of medical...Remote job
$56.2k - $101k
...inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies... .... Key Details : This is a remote position. Candidates must hold an...Remote workFull timePart timeWork at officeFlexible hours- Humana is seeking an experienced Outpatient Behavioral Health Coding Auditor to handle provider disputes in a metrics-driven environment. This remote role supports the Disputes Team in ensuring accuracy, timeliness, and quality of coding dispute outcomes for behavioral...Remote job
$59.3k - $80.9k
...is looking for an experienced medical coding auditor to handle provider disputes in a result... .... This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI... ...information Travel: While this is a remote position, occasional travel to Humana'...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork experience placementWork at officeWork from homeHome officeFlexible hours$60.2k - $107.4k
...will directly improve health outcomes by connecting... ...the flexibility to work remote* as you take on some... ...gathered to determine behavior and understand provider... ...with clinical coding consultant to apply knowledge... ...articulate behavior through an Investigation Summary and compliance...Remote workMinimum wageFull timeWork experience placementLocal area- ...Physician Coding Auditor Physician Coding Auditor is responsible for reviewing and accurately... ...on the unique needs of the client remotely and on-site; Communicate with the... ...profee areas is a PLUS: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery...Remote workPermanent employmentLocal areaFlexible hours
- Remote opportunity Independence Physician Management (IPM) was formed in 2012 as the... ...clinics within the Acute Care and Behavioral Health Divisions. A subsidiary of UHS, IPM operates... ...Coder Certification Required The Coding Auditor is responsible for determining that ICD...Remote workLive inWork at officeLocal area
- ...Description Purpose: Work Remote Position (Pay Range: $21.5178-... ...information to assist the Trinity Health leadership team achieve... ...Vision, Actions & Promise in behaviors, practices & decisions. Work Focus... ...Integrity & Compliance Program & Code of Conduct, as well as other...Remote jobFull timeWork experience placementLocal areaShift workDay shift
- ...Essential Functions Our Trinity Health Culture: Knows, understands,... ...Vision, Actions & Promise in behaviors, practices & decisions. Work Focus... ...& Compliance Program & Code of Conduct, as well as other policies... ...Professional Medical Auditor (CPMA), Certified Risk Coder (...Remote jobFull timeCasual workLocal areaShift work
- ...You’ll Work Virginia Mason Franciscan Health brings together two award winning health... ...Summary and Responsibilities As a Coding Auditor, you will be a central figure ensuring accurate... ...accuracy and efficiency. As a remote employee, we will provide you with the equipment...Remote workWork at officeWork from home
- ...Job Type Full-time Description University Health Network is seeking a Full-Time Coding Auditor. Candidate must be located in the Knoxville, TN region . This is a remote position with occasional on-site meetings. Candidate must be able to maintain...Remote workFull timeWork at officeWork from homeMonday to Friday
$67k - $76k
...delivering innovative technology solutions to health systems, beginning in New York and... ...Job Requistion: Work Arrangement : Remote Compensation Range: $67,000.00 - $7... ...Your Mission: As our next Medical Coding Auditor , you will be responsible for reviewing...Remote workFull time$79.7k - $105.48k
...Country-wide Remote US-Nationwide-FIELD Full time... ...contributes to Cardinal Health Ethics & Compliance promotes... ..., and conducts investigations to resolve ethics and compliance... ...The Compliance Auditor is responsible for conducting coding, documentation audits to...Remote workFull timeTemporary workLocal areaImmediate startFlexible hours- ...Coding Auditor The Coding Auditor is a professional auditing role designed... ...coding reviews to ensure health records align accurately... ...Minimum of one year of investigative experience is required. Required... ...development initiatives ~ Remote work eligible REMOTE...Remote workHourly payFlexible hours
- ...Overview UnityPoint Health is seeking a Clinical Auditor – Coding, Professional Billing to support and enhance... ...encouraged to apply! Location: Remote - applicants must reside within... ...timeliness of the billing process Investigate, evaluate and identify...Remote workDaily paidTemporary workWork at officeMonday to Friday
- ...Documentation Integrity (CDI) Auditor Location: Fort Worth,... ...Arrangement: Hybrid Remote Assignment: 13-Week... ...understanding of medical and/or behavioral health documentation, ICD-10 and CPT coding, and regulatory... ...documentation as part of investigations involving potential...Remote workContract workWork at officeMonday to Friday
$65k - $75k
...Are you a skilled Outpatient Auditor with deep expertise in infusion services... ...you bring a strong commitment to coding accuracy, regulatory compliance, and... ...reimbursement? If so, EXL Health is excited to welcome you to our remote auditing team! As a Remote Certified...Remote workFull timeContract work- ...help clients exceed their financial health goals. Across the reimbursement cycle... ...JOB SUMMARY: Facility Outpatient Coding Quality Specialist (Auditor) Experience with the following:... ..., RHIT, RHIA preferred This is a REMOTE position. Must live in the United States...Remote workFull timeLive inWork at officeImmediate start
- ...You are a person who enjoys ensuring coding accuracy and solving documentation and compliance... ...others. In the role of Outpatient Coding Auditor, you will be responsible for quality... ...terminology; anatomy and physiology; and health record content. Comprehensive understanding...Remote workTemporary workWork experience placementWork at office
$52.79k - $76.46k
..., SCAN is a nonprofit health organization serving more... ...Job The Claims Auditor will perform... ...Knowledge of standard coding and reference materials... ...6 per hour Work Mode: Remote Annual bonus program Robust... ...in furtherance of an investigation, proceeding, hearing,...Remote workHourly payFull timeFor contractors$35 - $38 per hour
...Job Description Title : Risk Adjustment Coding Auditor Location : Remote Job Type : Contract (5 months) Compensation : $35.00 - $38.00 per hour (W2) Industry: Health Insurance --- About the Role Our client is...Remote workHourly payContract workWork at office$57.4k - $99k
...revenue cycle management solutions for health systems, including hospitals and affiliated... ...experience The Outpatient Facility Coding Auditor integrates medical coding principles... ...patient and client experiences. ~ This is a remote position; however, candidates must be...Remote workTemporary workWork at officeLocal area- Pre-Payment Clinical Auditor (RN/Medical Coder) |... ...Years of Experience | Remote | Contract Walker Healthforce... ...auditing, medical coding, payment integrity,... ...functions to investigate complex healthcare claims... ...Bonus If You Also Have Behavioral health coding and auditing...Remote jobWeekly payContract workImmediate startMonday to Friday
- ...Coding Quality Audit Inpatient Coordinator BJC HealthCare is hiring... ...: RHIT, RHIA, or CCS. Remote position. Remote eligible states... ...one of the largest nonprofit health care organizations in the United... ...The Inpatient Coding Quality Auditor is responsible for second level...Remote workFlexible hours
$77.1k - $92.52k
...Location: New York, NY Zip Code: 10041 Category:... ...Regular Full-Time Office: Remote Salary: $77,099.3... ...Medicare and Medicaid managed care health plans, are outstanding... ...Responsibilities: The SIU Fraud Investigator is responsible for...Remote workFull timePart timeWork at officeFlexible hours$25.1 - $40.25 per hour
...Now Hiring – Coding Educator & Auditor Revenue Integrity University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching... ...thinking skills. Provides onsite and remote quality assurance reviews/audits with appropriate...Remote workFull timeWork at officeLocal areaImmediate start- OU Health is seeking an Inpatient Coding Auditor to work from home, focusing on complex inpatient coding quality reviews across the HIM Coders department. The role supports DRG validation, pre-bill reviews, and ongoing training integration within the auditing team. The...Remote jobWork from home
- CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU) to ensure coding accuracy, documentation integrity and compliance across medical and behavioral health records. Required CPC certification...Full time
$24 - $43 per hour
...M&R Clinical Investigator Optum is a global organization that delivers care, aided by technology... ...do with our team will directly improve health outcomes by connecting people with the... ...and government compliance guidelines, coding requirements and policies. They must...Remote jobHourly payMinimum wageFull timeContract workWork experience placementLocal area$28 - $33 per hour
...Job description: Company: Covet Health Location: Remote Reports to: Claims Supervisor Covet Health is a modern, API-first TPA and benefits... ....Day-to-day processing of claims based on CPT, ICD-10, POS codes, provider types, etc. (Professional, Institutional, Mental...Remote workPermanent employmentFull timeWork experience placementMonday to Friday
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