Remote Medical Records Auditor III
Eightelevengroup
- Remote job
Medasource is seeking a Program Integrity Medical Record Reviewer III for a remote, contract-based position with potential for full-time employment. You will perform detailed line-level medical coding reviews of healthcare claims to ensure billed services are supported by medical records and comply with CMS, Medicare, Medicaid, and internal coding guidelines. The role involves identifying coding discrepancies, overpayments, and payment integrity concerns, collaborating with audit teams, #J-18808-Ljbffr Eightelevengroup
- Medasource is seeking a Program Integrity Medical Record Reviewer III for a remote contract role. You will conduct line-level medical coding reviews to ensure claims are supported by medical records and compliant with CMS, Medicare, Medicaid, and internal guidelines. The...Remote jobContract work
$60.1k - $98.7k
...details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is a fully remote position where you’ll use your clinical judgment to review medical records, validate billed DRG codes, and help identify...Remote workFull time$60.1k - $98.7k
Validate DRG codes from inpatient medical records. Identify coding discrepancies and potential overpayments. Work independently and meet quality... ...Excel, written communication, and analytical skills. Fully remote role within the US. Annual salary of $60,100-$98,700....Remote job$73k - $98.7k
...Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic, innovative... ...environment? EXL USA Healthcare is seeking a DRG Auditor III to join our team! This role offers a fully remote work experience with possible 10% travel per year....Remote workFull timeWork experience placementWork from homeHome office$68.57k - $104.84k
...DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups... ...(clinical/coding) reviews of medical records and/or other documentation.... ...medical necessity rules.This is a remote position.Essential Functions... ....For leveled roles (I, II, III, Senior, Lead, etc.) new...Remote workMinimum wageFull timeLocal areaFlexible hours$70k - $80k
Diagnosis Related Group (DRG) Auditor III Join to apply for the Diagnosis Related Group (DRG... ...join our team! This role offers a fully remote work experience with possible 10% travel... ...Inferred from the description for this job Medical insurance Vision insurance 401(k) Paid...Remote workFull timeWork experience placementReliefWork from homeHome officeRelocation package$31.06 - $46.59 per hour
...Billing Compliance, Senior Auditor Reporting to the Manager of... ...impact payer reimbursement for medical services. The Senior Auditor... ...Location: Hybrid (Evanston, IL and remote) Full Time/Part Time: Full-... ...billing data and related records) to ensure coding and billing...Remote workHourly payFull timeContract workPart timeFor contractorsMonday to Friday- Beth Israel Lahey Health in Boston seeks a Coding Validator III to perform quality reviews of medical records and validate ICD-10-CM, CPT, HCPC codes and modifiers with accuracy. Under the Director of Coding, you will audit PB data, ensure coding uniformity, and support...
- Southcarolinablues in Columbia, South Carolina seeks an Auditor III to perform financial, compliance, and operational audits across the organization. You will evaluate internal controls, identify risks, and develop audit programs; serve as Lead Auditor on complex engagements...Remote job
- CoventBridge Integrity Systems is seeking a Medicaid Medical Review RN (Medical Reviewer III) for remote work with potential on-site audits in Grove City, OH. The role focuses on clinical reviews of medical records during fraud investigations and applies Medicare/Medicaid...Remote job
- Elevance Health is seeking a DRG Coding Auditor to ensure accurate, compliant inpatient... ...-health care for our members. In this remote role, you will perform detailed retrospective... ...and prospective DRG audits, reviewing medical records and ICD-10-CM/PCS codes to validate MS-...Remote work
- Palmetto GBA, LLC in Alabama is seeking an Auditor III to lead internal and external audits, assess risks, test controls, and draft comprehensive reports for executive management. The role emphasizes accuracy, compliance, and process improvements across functions. Five...Remote jobFull time
- ...Outpatient Coding Auditor It takes great medical minds to create powerful solutions that solve some of... ...performing coding reviews of medical records and/or other documentation to determine... ...Should Expect In This Role Remote (work from home) environment within...Remote workContract workWork from homeFlexible hours
- ...Medical Billing AuditorWorking at Yale means contributing to a better... ...opportunity is currently remote (work from home, in or outside... ...documents, encounter forms, medical records and billing procedures. 4.... ...Officer, PFS and University Auditor as needed. 8. Conduct...Remote workWork from home
$71.1k - $97.8k
...Join Our Caring Community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology... ...Skills to Make an Impact Work Style: Remote/work at home. While this is a remote position...Remote workBi-weekly payContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$55.1k - $99k
...Clinical Coding Auditor & Trainer Location: Remote, NY, US (The Clinical Coding Auditor & Trainer position is primarily remote with a small travel... ...or equivalent experience ~4+ years of DRG and/or Medical Record Audit experience ~1 year of clinical experience in a...Remote workPermanent employmentFull time- ...HEDIS Reviewer III job at SGS Consulting. Remote. Job Responsibilities: Work from home in Michigan area. Position will potentially make onsite... ...needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters. Locate and review...Remote workLive inWork from home
- ...Seeking a detail-oriented Inpatient Coding Auditor, Senior Associate to perform remote audits of medical records, ensuring accurate coding in compliance with regulatory guidelines, while maintaining flexible hours and opportunities for career advancement. Key responsibilities...Remote workFlexible hours
$55.1k - $99k
...Job Overview Clinical Coding Auditor & Trainer – Remote, NY, US. The position is primarily remote with a small travel expectation (twice... ...Nursing or equivalent experience ~4+ years of DRG and/or Medical Record Audit experience ~1 year of clinical experience in a hospital...Remote workPermanent employmentFull time$67k - $76k
...Requistion: Work Arrangement : Remote Compensation Range: $67,000.00 -... ...Role: Your Mission: As our next Medical Coding Auditor , you will be responsible for reviewing... ...commitment to accuracy when reviewing medical records and assigning codes. Clear written and...Remote workFull time- ...the 2018 HEDIS audit, Position is responsible for performing medical record reviews and data extraction for the HEDIS audit. Prior... ...There is weekly onsite meeting which candidate must attend and remote other days. Riya Khem Life Science Recruiter Integrated...Remote workContract workWork from home
$79.7k - $105.48k
...Country-wide Remote US-Nationwide-FIELD Full time 201893... ...Job Summary The Compliance Auditor is responsible for conducting... ...position focuses primarily on Medical Oncology, Radiation Oncology... ...analyzing complex claims and medical records, possesses exceptional...Remote workFull timeTemporary workLocal areaImmediate startFlexible hours$60.1k - $98.7k
...In this fully remote position as a Skilled Nursing Facility auditor you will apply your expert clinical knowledge to validate the accuracy of billed charges to ensure the integrity of the paid claim including coding validation, payment accuracy, contractual requirements...Remote workDaily paidFull timeContract work- A leading healthcare provider is seeking a skilled Medical Records Outpatient Coder III. This remote position requires expertise in coding for emergency, same day surgery, and observation cases. The ideal candidate has a CCS certification and 5 years of outpatient coding...Remote jobWork from homeFlexible hours
- ...Coding Auditor The Coding Auditor is a professional auditing role... ...reviews to ensure health records align accurately with billed... ...strong foundation in primary medical coding and a keen eye for detail... ...development initiatives ~ Remote work eligible REMOTE WORK...Remote workHourly payFlexible hours
$50.7k - $85.9k
...Description Summary The Coding Compliance Auditor - Hospital, utilizing a strong coding... ...to determine if the information in the medical records is meeting set standards and... ...exposure to dust or extreme temperature. Remote The above statements are intended to...Remote workFull timeWork at office- ...SUMMARY: The Sr Compliance Auditor is responsible for auditing the... ...and procedure codes to records of patients, ensuring compliance... ...~ Prepares and reviews medical records to assess documentation... ...office equipment (in office or remote) ~ Communicate verbally...Remote workFull timeWork at officeLocal area
$97.76k - $116.48k
...Overview The Sr. Auditor, Quality Assurance position is responsible... ..., IRF, HH, DME, Hospice and medical necessity. Quality assurance... ...of audit, may review medical records and apply in-depth knowledge... ...a qualified candidate is selected. #LI-Remote#LI-JJ1#senior...Remote workHourly payWork at officeImmediate startFlexible hours- ...for increased financial success. This Remote position performs highly technical and... ...functions. The primary function of the Medical Auditor is to perform a review of patient encounters... ...Upon completion of medical record audit, compiles detailed findings and prepares...Remote workFull timeTemporary workLocal areaFlexible hours
- ...of absence. Position is eligible for remote work within the United States. Summary... ...The Provider Documentation and Billing Auditor is responsible for conducting independent... ...services billed are supported by the medical record and meet coding, billing, and medical necessity...Remote work
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