Remote RN Medical Claims Auditor
Machinify Inc.
- Remote job
Machinify Inc. is seeking a Medical Review Nurse for remote work in the US. You will be part of a dynamic team, performing audits on medical claims, ensuring adherence to guidelines, and collaborating with other auditors. An associate or bachelor's nursing degree and experience in auditing or clinical documentation is required. Ideal candidates will have strong coding knowledge and excellent communication skills to document findings effectively. Machinify offers a commitment to equal opportunity and a supportive work environment. #J-18808-Ljbffr Machinify Inc.
- ...StatesCompany: HumanaPosted: 2026-08-05Humana Inc. is seeking a Senior Medical Coding Professional, Outpatient to lead coding-focused audit... ...outpatient coding and reimbursement guidelines.You will review claims, apply CPT/HCPCS guidelines, analyze reimbursement impact,...Remote workMedicalClaims
- A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work remotely. You will review inpatient hospital claims to ensure proper reimbursement and manage provider disputes in a metrics-driven environment. The ideal candidate holds a relevant...Remote workMedicalClaimsFlexible hours
- A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to join their remote workforce. The role involves reviewing inpatient hospital claims and ensuring correct payments while operating in a metrics-driven environment. Candidates should...Remote workMedicalClaims
$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 workMedicalClaims- A leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for correct reimbursement and managing provider disputes. Candidates should have RHIA, RHIT or CCS Certification and MS-DRG...Remote workMedicalClaims
- ...based in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves reviewing inpatient hospital claims for proper reimbursement and requires strong qualifications... ...certification with MS-DRG experience. This remote position allows for flexible work hours and...Remote workMedicalClaimsFlexible hours
$70k - $75k
...A leading risk and claims administration company is seeking a remote Attorney Auditor. In this role, you will review legal invoices and ensure compliance with billing... ...000 along with comprehensive benefits including medical, dental, and a flexible work environment. #J-188...Remote workMedicalClaimsFlexible hours- A leading health insurance company is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims and ensuring accurate coding and reimbursement. Candidates should hold an RHIA, RHIT, or CCS certification with substantial...Remote workMedicalClaims
- ...Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review hospital claims for proper reimbursement and resolve provider... ...records, validating codes, and collaborating across teams. Remote, with potential travel for training; 40 hours/week,...Remote workMedicalClaims
- ...Focusing on Coding & Clinical Chart Validation, the full-time Clinical Coding Auditor will analyze and audit inpatient claims, ensuring coding accuracy and appropriateness of treatment settings while utilizing proprietary auditing tools. Key responsibilities Analyzes...Remote workMedicalClaimsFull time
- ...A national healthcare organization is seeking an experienced Inpatient Medical Coding Auditor to review hospital claims and ensure accurate coding and reimbursement. This role offers a remote work environment with flexible hours and requires certification in RHIA, RHIT...Remote workMedicalClaimsContract workFlexible hours
- Overview Remote or Onsite Opportunity!Opportunities for you! Consecutively... ...The Senior Auditor oversees and performs financial... ...revenue cycle, cost reporting, claims, provider data, health plan, or... ...Schedule: DaysFacility: Community Medical Centers - Corporate Offices (CMC...Remote workMedicalClaims
$97.8k
...Comprehensive benefits package including medical, dental, vision, and 401(k) retirement savings... ...within a Fortune 100 company Flexible remote work environment with occasional travel... ...Responsibilities): Review inpatient hospital claims to ensure proper reimbursement and handle...Remote workMedicalClaimsImmediate startFlexible hours- ...Department Director, the Vendor Auditor is responsible for independently conducting claims and vendor performance audits to... ...actions. The Vendor Auditor analyzes medical, pharmacy, and PBM claims data... ...as needed. Benefits & Culture Remote Work from Home We are committed...Remote workMedicalClaimsFull timeLocal areaWork from homeDay shift
- ...Nurse Auditor Lewiston, ID Exp 5-7 years This position can... ...conduct and report on post payment claims audits and performs related... ...: Proven knowledge of medical and surgical procedures and other... ...Etc.: Registered nurse (RN) license (must have a current...Remote workMedicalClaimsWork at office
- ...Remote Medical Coding Auditor (CPC, CCS-P, or CPMA) Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are... ...the Life of a Medical Coding Auditor Conducting audits of claims and patient records to identify incorrect coding. Audits will...Remote workMedicalClaimsTemporary workMonday to FridayShift work
- ...Overview Compliance Auditor Full Time, 80 Per Hour... ...This position is Remote. Covenant Health Overview... ...( , and Covenant Medical Group ( , our area’s fastest... ...over or under payments of claim errors identified... ...certification), or current TN RN License with equivalent...Remote workMedicalClaimsHourly payFull timeDay shift
$46.99k - $122.4k
...Program Integrity Auditor We're building a world of health around every individual — shaping... ...for the review of records for medical, behavioral, transportation, and other healthcare... ..., recoupment of funds or rebilling of claims, and referral to state regulators for any...Remote workMedicalClaimsHourly payFull timeMonday to FridayFlexible hours- A leading healthcare company is seeking an Inpatient Medical Coding Auditor to join their team remotely. The role involves reviewing inpatient hospital claims for proper reimbursement, analyzing medical data, and ensuring accuracy in coding. Candidates should have relevant...Remote jobMedicalClaims
- ...Senior Auditor Employment Type: Full Time, Mid-level CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses...Remote workMedicalClaimsFull timeFlexible hours
$20.78 - $36.53 per hour
...Location: Remote Position Pay Range: $20.78 - $36.53 Position Summary... .... Provide coding support for Claims Resolution Specialists. Meet... ...timely manner as assigned to the Auditor Queue. Audit Request (... ...experience with E/M experience in a medical office preferred CPC and/or CCS...Remote workMedicalClaims$70k - $80k
...Outpatient Coding Auditor It takes great medical minds to create powerful solutions that solve some of healthcare... ...to perform reviews of multiple claim types to provide a flexible workforce... ...Should Expect In This Role: Remote (work from home) environment within the...Remote workMedicalClaimsFull timeContract workWork from homeFlexible hours- ...Coding Auditor Department: SIU Employment Type: Full Time Location:... ...strong foundation in primary medical coding and a keen eye for detail... ...procedures and codes billed on a claim to a medical record. Compare... ...development initiatives Remote work eligible REMOTE WORK REQUIREMENTS...Remote workMedicalClaimsHourly payFull timeFlexible hours
- ...Auditor Location US- ID 2026-1564 Remote Yes Overview JOB TITLE: Auditor AGENCY... ...example, Medicare billing and claims systems, or DoD inventory systems... ...pregnancy and childbirth or related medical condition or on any other basis...Remote workMedicalClaimsFull timeContract workInterim roleWork from homeHome officeFlexible hours
- UnitedHealth Group's Optum is seeking a Clinical DRG RN auditor to apply MS-DRG/APR-DRG coding and CMS guidelines to inpatient claims. Remote work is available nationwide; you will identify overpayments and document audit rationales to support findings. Requirements include...Remote jobClaims
$71.1k - $97.8k
...help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a... ...auditor to review inpatient hospital claims for proper reimbursement, handle provider... ...skills to make an impact WORK STYLE: Remote/work at home. While this is a remote position...Remote workMedicalClaimsBi-weekly payContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Senior Auditor Location US- ID 2026-1563 Remote Yes Overview JOB TITLE: Senior Auditor... ...example, Medicare billing and claims systems, or DoD inventory systems... ...and childbirth or related medical condition or on any other basis...Remote workMedicalClaimsFull timeContract workInterim roleWork from homeHome officeFlexible hours
- A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing and...Remote workMedicalClaimsFull time
- ...PURPOSE OF THE ROLE The Attorney Auditor reviews legal and non-legal... ...comprehensive benefits offering including medical, dental vision, 401K and PTO.... ...applications. This is a fully remote position, and candidates... ...the world’s leading risk and claims administration partner, which...Remote workMedicalClaimsLocal areaWork from home
- ...Manager to support workers’ compensation claims through clinical case management and care coordination. The role partners with medical providers, employers, claims professionals... ...safe return to work outcomes. This fully remote position requires availability to work a Pacific...Remote workMedicalClaims
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