Remote Claims Clinical Documentation Reviewer
Arizona State Government
- Remote job
AHCCCS within the Arizona State Government is seeking a Claims Clinical Documentation Reviewer to assess clinical documentation supporting Medicaid services. You will apply state, federal, and AHCCCS policies to determine medical necessity and review patterns for quality of care. The role includes audits, PMMIS usage, and training development, with the option for a virtual office or telecommuting within Arizona. Strong communication and analytical skills are essential for success. #J-18808-Ljbffr Arizona State Government
$50 - $52 per hour
...Claims Clinical Documentation Reviewer Schedule: 5-10 hours per week. Resource can work any day of the week they are available and any time including weekends if they prefer. Remote position. Equipment is provided by facility. Base pay: $50.00/hr - $52.00/hr....Remote workClaimsPart timeWork at officeLong distance10 hours per week$68k - $71.03k
...Claims Clinical Documentation Reviewer Division of Fee for Service (DFSM) Job Location Address: 150 North 18th Avenue Phoenix, Arizona 85007. This position... ...affords employees flexibility, autonomy, and trust. Remote work is available within Arizona subject to prior authorization...Remote workClaimsFull timePart timeWork at officeLong distance- The Arizona State Government is seeking a Claims Clinical Documentation Reviewer to manage pre-payment claim reviews, ensuring compliance with healthcare laws and policies. The position offers a remote work option within Arizona and focuses on reviewing clinical documents...Remote jobClaims
- ...Clinical Documentation Improvement Specialist Make your clinical expertise count — beyond the bedside... ...the world. What You'll Do: Review inpatient medical records concurrently... ...clinical justifications for appealed claims Collaborate with coding teams to...Remote workClaims
$95.4k - $208.3k
...Angeles, CA, USA Onsite or Remote Flexible Hybrid... ...visibility As the Clinical Documentation Integrity Specialist - Medicare... ...including retrospective chart reviews. Travel to provider... ...Medicare Advantage billing/claims submission and other related...Remote workClaimsWork at officeMonday to FridayFlexible hoursAfternoon shift3 days per week$96k - $132k
...empathy, insight, and clinical intelligence, we collaborate... ...materials, some documents may still reflect legacy... ...is responsible for reviewing inpatient medical records... ...Work location: Remote-United States Travel... ...schemes that falsely claim to represent Solventum...Remote workClaimsH1bWork at officeRelocation packageFlexible hours- ...career progression) Obtain appropriate clinical documentation through extensive interaction with... ...prospective & sometimes retrospective quality reviews of ambulatory patient records,... ...compliance with reporting standards for claims submission. Identifies patterns &...Remote workClaimsFull timeLocal areaShift work
$30 - $40 per hour
...a Team of UM/Appeals LPNs // Fully Remote!! The Appeals Clinical Reviewer serves as an Appeals Utilization Review... ..., authorization decisions, and claims outcomes. This role applies clinical... ...and internal company policies. Document clinical reviews and appeal decisions...Remote workClaimsPermanent employmentContract workTemporary workWork at officeWork from homeMonday to Friday- ...Clinical Documentation Reviewer This is a remote position. Position Overview We are seeking a Clinical Documentation Reviewer to support TUWYN's contract with the VA Medical Center (Bay Pines). This role focuses on clinical documentation review (not improvement or integrity...Remote workContract workPart timeFor contractorsMonday to Friday
- ...It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Summary: Performs concurrent analytical reviews of clinical and coding data to improving physician documentation for all conditions and treatments from point of entry to discharge...Remote workHourly payFlexible hoursShift workDay shift
- SSM Health is seeking a Clinical Documentation Improvement professional to enhance the accuracy of physician documentation and ensure compliance... ...documentation guidelines. This role involves conducting reviews of clinical records, educating healthcare providers, and collaborating...Remote jobRelief
- ...Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity... ...-related injury claims. These programs provide compensation... ..., and supporting documentation. Assess adequacy of information... ...5 years of experience in clinical practice or case review....Remote workClaimsHourly payContract work
$110k - $140k
...Clinical Quality Reviewer - BCBA Onos Health's mission is simple but ambitious... ...and supporting clinical documentation for medical necessity and clinical... ...Experience analyzing claims, utilization, or outcomes data... ...(Financial District), remote-first culture Unlimited...Remote workClaimsWork at officeHome officeFlexible hours2 days per week3 days per week- ...Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent... ...Revenue Cycle Management • Insurance Claims Processing • Medical Coding • Healthcare... ...ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied...Remote workClaimsFull timeContract workPart timeFor contractorsWork from homeFlexible hours
- ...The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician’s notes, laboratory and... ...documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers. The coder shall provide experienced...Remote workClaimsContract workWork from home
- ...A remote healthcare solutions provider is seeking a detail-oriented Medical Coder to accurately... ...assign medical codes and support the claims process. The ideal candidate should have... ...involve collaborating with healthcare providers for accurate documentation. #J-18808-Ljbffr...Remote workClaims
- ...- Medical Coder II, Certified Shift - (Remote working after on-site training (2-4 weeks).... ...an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines...Remote workClaimsPermanent employmentFlexible hoursShift work
- ...Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote... ...contractor opportunity involving medical claim processing, coding, and administrative... ...appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on...Remote workClaimsFor contractorsWork from homeFlexible hours
- ...Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote... ...contractor opportunity involving medical claim processing, coding, and administrative... ...appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on...Remote workClaimsFor contractorsWork from homeFlexible hours
- ...Job Title Remote- 1st preference will be local to... ...guidelines, AHA Coding Clinic Ability to talk and... ...customer inquiries and claims. Maintain departmental... ...goals. Perform projects, review and handle reports as assigned... ...policy. Clearly document and key data in to the...Remote workClaimsFor contractorsWork at officeLocal area
- ...Forensic Medical Coder for a fully remote opportunity. This position supports insurance-related claim reviews through detailed analysis of medical records, billing documentation, and coding practices. The... ...can effectively interpret clinical information within a regulatory...Remote workClaimsLong term contractFull timeLocal areaImmediate startFlexible hoursWeekday work
- ...our dermatology clients. You’ll handle claims start to finish — coding, submission, follow... ...smoothly. What You’ll Do Review patient records and code dermatology procedures... ...Collaborate with providers to improve documentation accuracy. Maintain organized,...Remote workClaimsHourly pay
- ...codes and support the claims process. The ideal candidate... ...to ensure accurate documentation and compliance. Key... ...HCPCS codes based on clinical documentation. Enter and... ...HIPAA regulations. Review medical records for completeness... ...efficiently in a remote environment (if...Remote workClaimsImmediate start
- ...Woodlands, TX. Fully remote candidates will not be... ...procedures, and visit documentation using ICD-10, CPT, and... ...HCPCS coding systems • Review and audit daily charts... ...and submit insurance claims to payers in a timely... ...effectively with the clinical team to clarify coding...Remote workClaimsWork from homeMonday to FridayFlexible hours
- ...As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and... ...and retrospective claims. The Physician Reviewer will... ...contains adequate supporting documentation to substantiate the decision...Remote workClaimsExtra income
- ...revenue cycle—from coding and claim submission through payment... ...option: 3 days onsite / 2 days remote (after training) Must reside... ...City area Key Responsibilities Review medical codes (ICD-10, CPT,... ...regulations Maintain accurate documentation within the Electronic Medical...Remote workClaimsFull time
- ...benefit eligible position that is partial remote. Must be local in San Diego or willing... ...concurrent and/or retrospective claims data reviews for physician services, coding and abstracting... ...physicians and other staff to clarify documentation and may hold educational meetings with...Remote workClaimsFull timeLocal areaRelocationWeekend work
- ...that contradict requirements. This is a remote position. Must have Inpatient Coding... ...accurately, in accordance with regulatory and documentation standards and requirements, as well as... ...that patient services on the hospital claim. Comply with comprehensive internal...Remote workClaims
- .... We are currently seeking a Remote Medical Coder to join our team... ...you will be responsible for reviewing and analyzing medical records... ...medical professionals to clarify documentation and ensure accurate coding... ...accurate submission of coded claims Maintaining confidentiality...Remote workClaimsFull timeContract workFlexible hours
$35 - $40 per hour
...DRG assignments and abstract clinical data for billing and reporting purposes Review clinical documentation to ensure accurate code assignment... ...and mitigate coding-related claims edits Maintain... ...based on experience) ~ Fully remote opportunity with company-provided...Remote workClaimsHourly payLocal areaMonday to FridayFlexible hours
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