Remote Medical Coding Specialist: Claims Integrity & Audits
Shift Technology
Shift Technology in Boston is seeking a healthcare claims auditor and analyst to join our US Healthcare Payment Integrity and Customer Success team. You will validate edit logic, assist with audits, and help identify opportunities to reduce waste and recover overpayments for customers. You will work closely with senior specialists, product, and engineering to test new rules, document findings, and support post-pay processes while maintaining high accuracy and compliance with payer regulations. #J-18808-Ljbffr
$55k - $65k
...Certified Medical Coding SpecialistShift is the... ...transform underwriting, claims, and fraud and... ...Payment Integrity and Customer Success... ...closely with senior specialists, product, and technical... ..., assist with audits, and identify... ...highlight:Flexible remote and hybrid working...Remote workClaimsPermanent employmentFull timeApprenticeshipInternshipFlexible hoursShift work- A 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 workClaims
- ...seeking a Certified Medical Coder for a 3-6 month... ...contract with a 100% remote setup. The role focuses... ...accuracy of itemized claim reviews in line with payment, coding, and billing... ...billing practices, and auditing to support program integrity and audit guidelines....Remote jobClaimsContract work
$59k - $98k
...Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue... ...to pre-bill claim edits, hospital billing... ...position is 100% remote.Daily duties for... ...Initiatives (CCI)Medically Unlikely Edits (... ...billing and auditing experienceAssociate...Remote workClaimsFlexible hours$49k - $81k
...Revenue Integrity Coding and Billing Specialist- Remote Join to apply for the Revenue Integrity... ...are subject to pre-bill claim edits, hospital billing... ...Correct Coding Initiative, Medically Unlikely Edits (MUE),... ...Hospital medical billing and auditing experience Associate...Remote workClaimsFull timeTemporary workFlexible hours- ...Optum is seeking a Medical Coding Auditor to determine claim accuracy by comparing provider records with CPT/HCPCS coding. You will assess coding precision, ensure compliance, and provide detailed narratives. Candidates must demonstrate coder certifications and solid medical...Remote workClaims
- ...As a Medical Records Specialist you are the engine behind... ...overall operational integrity. Youll be... ...conducting routine audit readiness reviews... ...insurance updates manage claim hold protocols... ...medical billing/coding and EMR systems.... ...communication. Remote Work : No...Remote workClaimsFull timeWork at office
$52k - $62.4k
...upbeat and ambitious Remote Insurance Specialist Lead. US Oncology is... ..., to include the Code of Ethics and Business... ...co-workers including auditing work for accuracy and... ...Reviews reports for claim denials and works with... ...years combined automated medical billing and payment...Remote workClaimsFull timeTemporary workWork experience placementWork at officeFlexible hoursShift work- ...Job Description This is a remote position. Certified Medical Coder/Medical Record Audit Specialist - Behavioral Health Location... ...with strong Behavioral Health coding experience to support a state... ...auditing medical records and claims documentation for coding accuracy...Remote workClaimsContract work
- ...seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review... ...reviewing medical records and claims-related documentation for... ...and writing skills. This is a remote position with occasional travel...Remote workClaimsLocal area
- ...About Optima Medical Optima Medical is an Arizona... ...seeking a Medical Coding Specialist to join our team!... ...transition to a fully remote position after up... .... Assist with claim reviews, denials, and coding-related audits to optimize revenue integrity. Maintain up-to-date...Remote workClaimsLive inWork at office
- ...DISCOVER IES Integrative Emergency Services ("IES"... ...seeking a Certified Medical Coding Specialist with emphasis on surgical... ...contributes to clean claim submission and... ...through coding analysis, audits, and special projects... ...in either a hybrid or remote setting. If remote, must...Remote workClaimsWork at officeLocal areaNight shift
- ...Job Description Medical Transaction Posting & Billing Specialist – St. Petersburg, FL... ...timely medical billing, claims processing, payment... ...GED · Medical Coding Certification (CPC)... ...record that meets audit standards.... ...Prepare, and scan remote capture (deposit) and...Remote workClaimsWork at officeLocal area1 day per week
$54.08k - $58.24k
...partner is looking for a Medical Collections Specialist based in the United... ...up on outstanding claims, and work to resolve... .... You will work remotely in a fast-paced, metrics... ...regulations, coding guidelines, payer policies... .... Demonstrated integrity, adaptability, collaboration...Remote workClaimsHourly payFull timeWork at officeMonday to Friday- ...Medical Director, Clinical Payment IntegrityThe... ...Clinical Payment Integrity provides clinical... ...validation audits, appeals, disputes... ...clinical documentation, claims data, coding practices, and... ..., nurses, coding specialists, and other... ...capabilities.Fully Remote: This role is designated...Remote workClaimsWork at office
- ...Overview Turn accurate coding into cleaner claims, reliable data, and... .... Work Style: Remote Location... ...Reviews and analyzes medical records to assign appropriate... ..., ensuring the integrity of coded data for... .... Includes auditing coded data, training...Remote workClaimsFull time
- ...them with skilled remote professionals. We... ...core values of integrity, excellence, and... ...seeking an experienced Medical Billing Specialist to support U.S.-... ...billing cycle: claim submission,... ...submitted with correct coding, documentation,... ...documentation for audit readiness Accounts...Remote workClaimsFull timeWork at officeHome office
$23 - $26 per hour
...This is a remote based position. Applicants... ...about ensuring proper claim details, billing... ...understanding of medical billing processes,... ...Medical Billing Specialist, you will be responsible... ..., honesty, and integrity? If so, we cannot... ...procedure codes (CPT), diagnosis codes...Remote workClaimsFull timeTemporary work- ...CorVel Corporation is seeking a Payment Integrity Analyst to review pre and post pay claim audits, applying CMS guidelines and client policies. This is a remote position with responsibilities spanning audits, documentation review, and coordination with clinical teams....Remote workClaims
- ...Integrative Emergency Services, LLC is seeking a certified Medical Coding Specialist focused on surgical services. You will... ...professional services, audit records, ensure... ..., and support clean claim submission. The role... ...role allows hybrid or remote work with states IES...Remote workClaims
$23.34 - $31 per hour
Medical Accounts Receivable Billing Specialist As a recognized Hemophilia Treatment... ...denials (coding, medical necessity... ...to verify claim status, resolve... ...Collaborate with Revenue Integrity/Coding to... ...Friday. Hybrid/remote options based... ...month-end close or audits. The pay range...Remote workClaimsHourly payFull timeWork at officeMonday to Friday- ...reviewers, and payment integrity reviewers candidates to... ...review reports accompanying medical records to ensure that... ...information and coding are correct. You will communicate... ...are not met. Evaluates claims for conflict of... ...Experience working in a remote environment is preferred...Remote jobClaimsExtra incomeWork at office
- ...Saint Francis Health System seeks a Pro Fee Coding Specialist to review documentation and add or correct diagnosis and procedure codes based... ...coding knowledge and AHIMA/AAPC guidelines to ensure accurate claims. The ideal candidate will hold valid coding certifications...Remote workClaims
- ...Summary As a Billing & Coding Specialist, you are responsible... ...and submission of claims to insurance companies... ...Responsibilities Review medical records and... ...requirements. Participate in audits and prepare for external... ...An independent, integrated, and dedicated pediatric...ClaimsWork at office
$100k - $110k
...Payment Integrity Manager (RN) Fully remote, open to candidates located anywhere... ...outcomes, coding accuracy, and payment... ...leadership role in ensuring claims accuracy, driving... ...organization. Oversee audits and reviews focused... ...Revenue Integrity Medical Billing & Coding Auditing...Remote workClaims- TalentLNX LLC seeks a remote Clinical Claims Review RN to audit hospital claims line by line against medical records, ensuring charges are ordered, documented, and... ...nursing judgment with chart auditing, coding, and revenue integrity in a fully remote, direct-hire setting...Remote jobClaims
- ...Winning Assistants seeks a Medical Billing & Cross‑Coding Specialist (Oral Surgery) to manage billing workflows remotely. You will process claims, cross‑code dental and medical procedures, and review clinical documentation to ensure accurate submissions. This role...Remote workClaims
$21.65 per hour
.... As a Billing Specialist, you'll play an... ...supporting our integrated healthcare services... ...for medical, dental, and behavioral... ...to three (3) remote workdays per week... ...health claims.Work within queues... ...Support annual audits, HRSA audits, and... ...Medical billing or coding certification...Remote workClaimsWork at officeLocal areaMonday to Friday$41.2 - $62.17 per hour
...Description:The Revenue Integrity RN Charge/Coding Auditor is... ...consulting on clinical charge Audits for Intermountain... ...clinical charge audits of medical records on behalf of... ...as well for fully remote position.Essential FunctionsUse... ...of the healthcare claim denial process....Remote workClaimsHourly payWork at officeFlexible hours- ...Clinical Auditor (RN/Medical Coder) | 5 Years of Experience | Remote | Contract... ...experience in clinical auditing, medical coding, payment integrity, or related healthcare... ...complex healthcare claims, validate medical coding... ...and placement specialists Continuous, one-...Remote workClaimsWeekly payContract workImmediate startMonday to Friday
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