Remote Medical Claims Auditor I
Elevance Health, Inc.
- Remote job
Elevance Health is seeking a claims examiner/auditor to review claims for compliance and analyze medical records prior to payment, supporting fraud prevention. This role offers virtual full-time work with required in-person training sessions and flexibility within commuting distance. Candidates should have an AA/AS and at least 1 year of medical coding/auditing experience, with certification within a year. ICD-10/CPT/HCPC knowledge is preferred; behavioral health experience is a plus. #J-18808-Ljbffr Elevance Health, Inc.
$31.06 - $46.59 per hour
...Billing Compliance, Senior Auditor Reporting to the Manager of... ...impact payer reimbursement for medical services. The Senior Auditor applies... ..., and resolve risks affecting claim payment, in partnership with... ...: Hybrid (Evanston, IL and remote) Full Time/Part Time: Full-time...Remote workMedicalClaimsHourly payFull timeContract workPart timeFor contractorsMonday to Friday- ...Seeking a detail-oriented Inpatient Coding Auditor, Senior Associate to perform remote audits of medical records, ensuring accurate coding in compliance with regulatory... ...standards while cross-training to review multiple claim types Assist in training and mentoring new Coding...Remote workMedicalClaimsFlexible hours
$60.1k - $98.7k
...inpatient care and a passion for getting the 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...Remote workMedicalClaimsFull time- ...by our expert, compassionate medical care team at 11 hospitals and... ...Responsibilities As a Coding Auditor, you will be a central figure... ...resolving medical coding claim defects before billing. You will... ...accuracy and efficiency. As a remote employee, we will provide you...Remote workMedicalClaimsWork at officeWork from home
$67k - $76k
...Requistion: Work Arrangement : Remote Compensation Range: $67,000.00 - $... ...The Role: Your Mission: As our next Medical Coding Auditor , you will be responsible for... ...Understanding of billing platforms and claim workflows—how coding feeds into reimbursement...Remote workMedicalClaimsFull time- ...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... ...You Should Expect In This Role Remote (work from home) environment within...Remote workMedicalClaimsContract workWork from homeFlexible hours
- EnableComp LLC seeks a Coding Denials Auditor to analyze coded medical services, review claims, and determine coding appropriateness for outpatient and professional... ..., and familiarity with CAC/Encoder audits, with remote work options possible depending on client needs....Remote jobMedicalClaims
$50.7k - $85.9k
...Summary The Coding Compliance Auditor - Hospital, utilizing a strong... ...for admission and discharge claims in order to prevent loss of... ...determine if the information in the medical records is meeting set... ...dust or extreme temperature. Remote The above statements are intended...Remote workMedicalClaimsFull timeWork at office- A healthcare technology firm is seeking an experienced Medical Bill Reviewer to work remotely from New York. The role involves reviewing medical claims, analyzing patient records, and ensuring compliance with coding guidelines. Candidates should have at least 3 years of...Remote jobMedicalClaims
- Humana Inc. is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and accurate DRG assignments.... ...auditing, and cost-conscious payer processes in a remote work setting. Ideal candidates will hold RHIA/RHIT/...Remote jobMedicalClaims
- ...provider information and manage documentation requests to audit medical claims, including itemized bills and medical records. The role... ...clients while maintaining strict PHI/PII confidentiality. This is a remote position with cross-team collaboration. Key duties include...Remote jobMedicalClaims
- ...a CPC with 3+ years of coding and auditing experience to review claims for billing and coding issues in collaboration with SIU and Clinical... ...CMS/CCI knowledge and Medicare coding expertise. This is a remote-first opportunity with competitive compensation and benefits from...Remote jobMedicalClaims
- ...Coding Auditor The Coding Auditor is a professional auditing role... ...strong foundation in primary medical coding and a keen eye for detail... ...and codes billed on a claim to a medical record. Compare... ...career development initiatives ~ Remote work eligible REMOTE WORK...Remote workMedicalClaimsHourly payFlexible hours
- ...POSITION SUMMARY: The Sr Compliance Auditor is responsible for auditing... ...~ Prepares and reviews medical records to assess documentation... ...resource for documentation, coding, claim review process, and billing... ...equipment (in office or remote) ~ Communicate verbally...Remote workMedicalClaimsFull timeWork at officeLocal area
- Optum is hiring a Medical Coding Auditor to verify claims against medical records and ensure compliance with coding guidelines. This telecommuting role... ...and internal teams to maintain quality and production metrics in a remote, production-driven #J-18808-Ljbffr OptumRemote jobMedicalClaims
- DaMar Staffing offers a full-time remote Certified Medical Auditor (SC) role focused on validating DRGs, APCs, and Never Events while coordinating rate adjustments with claims teams. The position requires creating monthly and quarterly trend reports, managing records retrieval...Remote jobMedicalClaimsFull time
$97.76k - $116.48k
...Overview The Sr. Auditor, Quality Assurance position is responsible... ...ensuring that the audited claims meet quality standards necessary... ..., IRF, HH, DME, Hospice and medical necessity. Quality assurance... ...a qualified candidate is selected. #LI-Remote#LI-JJ1#senior...Remote workMedicalClaimsHourly payWork at officeImmediate startFlexible hours- Covet Health Inc. is seeking experienced claims professionals for a remote, full-time role. You will handle day-to-day processing and adjudication of medical claims, review documentation, and verify coverage according to plan rules. The position requires 4+ years in a...Remote jobMedicalClaimsFull time
- 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 jobMedicalClaimsContract work
$60.1k - $98.7k
...inpatient care and a passion for getting the 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...Remote workMedicalClaims- Humana is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims and ensure correct DRG assignments for proper reimbursement... ...payments and clear communication with internal teams. Remote/work-at-home arrangement with occasional travel to...Remote jobMedicalClaimsWork from home
- Humana Inc. seeks a Medical Coding Auditor for the Outpatient Facility/APC Coding Team. You will verify... ...CPT/HCPCS reviews to support correct claims payments. The role requires CPC/COC/... ...experience with operative reports. Remote work with occasional travel for training...Remote jobMedicalClaims
- Top Healthcare company is hiring Medical Coding Auditors to work Remotely! The Coding Auditor conducts risk-based prospective and retrospective audits... ...modifier usage *Proficiency in Epic charge review, claim/edit workflows, workqueues, coding documentation, and billing...Remote workMedicalClaimsContract workTemporary workWork experience placementLocal areaShift work
$60.1k - $98.7k
Validate DRG codes from inpatient medical records. Identify coding discrepancies and potential... ..., and analytical skills. Fully remote role within the US. Annual salary of $60,... ...Disclosed The company specializes in healthcare claims auditing and analytics, improving...Remote jobMedicalClaims- RADcube is seeking a Certified Medical Coder/Medical Record Audit Specialist with strong Behavioral... .... You will audit medical records and claims for coding accuracy and compliance, and... ..., AHIMA, and Indiana Medicaid standards. Remote role with occasional travel to Downtown...Remote jobMedicalClaims
- Humana Inc. is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement, handling provider disputes in a results-driven setting. This remote role may require occasional travel to Humana offices for training or...Remote jobMedicalClaims
- Medasource is seeking a Program Integrity Medical Record Reviewer III for a remote, contract-based position with potential for full-time employment. You... ...line-level medical coding reviews of healthcare claims to ensure billed services are supported by medical records...Remote jobMedicalClaimsFull timeContract work
- Cotiviti is seeking a Sr. Auditor, Quality Assurance to lead clinical quality reviews of daily audit work, determine medical necessity, and ensure adherence to established procedures... ...candidates have RN degree, 5+ years in claims auditing, and relevant coding credentials...Remote jobMedicalClaims
- WellSense Health Plan is seeking a Clinical Auditor I to perform detailed retrospective chart audits, verifying that medical documentation supports paid charges. This role... ...review outpatient, professional, and ancillary claims, identify discrepancies, and document...Remote jobMedicalClaims
$43.68k - $73.92k
...Location: Remote Position Hiring Range: $21.00 - $35.54 Position... ...Provide coding support for Claims Resolution Specialists. Meet with... ...manner as assigned to the Auditor Queue. Audit Request (Compliance... ...experience with E/M experience in a medical office preferred CPC and/or...Remote workMedicalClaimsFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Claims Auditor I. Be the first to apply!


