Remote Audit Specialist II - Healthcare Claims & Compliance
Health Care Service Corporation
Health Care Service Corporation is seeking an Audit Specialist II to execute audits and ensure compliance with performance guarantees. This remote role requires advanced knowledge of various healthcare reimbursement methodologies. The ideal candidate will have a Bachelor's degree and at least 2 years of audit experience, strong analytical skills, and proficiency in audit software and Microsoft Office. Join HCSC, where we invest in employee development and provide an extensive benefits package. #J-18808-Ljbffr
$41.7k - $92.8k
...Health Care Service Corporation is seeking an Audit Specialist Analyst II to lead internal and external audits, ensuring compliance with performance guarantees. Successful... ...two years of audit experience. The role is remote, emphasizing strong analytical and communication...Remote workClaims- ...Cotiviti, Inc. is seeking a full-time Remote Content Analyst II responsible for research and quality... ...Pharmacist) or a Bachelor's degree in healthcare. A minimum of 5 years clinical... ...proficiency in coding and familiarity with claims payment methodologies. #J-18808-Ljbffr...Remote workClaimsFull time
$41.7k - $92.8k
...development. Job Summary The Audit Specialist Analyst II is responsible for... ...audit findings, validating compliance with contractual performance... ...ancillary, and professional claims, as well as the ability to... ...This is a Telecommute (Remote) role. #LI-LI1 #LI-Remote...Remote workClaimsWork at office- ...Coder / Medical Record Audit Specialist Brijlent is... ...review, and billing compliance activities for Indiana... ...medical records and claims‑related documentation... ...writing skills. This is a remote position with occasional... ..., or related healthcare reimbursement experience...Remote workClaimsLocal area
$63.65k - $90.75k
...place to be within the healthcare industry. As a member of... ...Actuarial Analyst II position will serve as... ...and reporting to monitor claims and risk score trends,... ...including annual external audits, DOI audits, and various... ...with five 8-hour days**Remote Type**Hybrid**Work Location...Remote workClaimsFull timeWork at officeMonday to FridayFlexible hoursShift work$89.4k - $113.99k
...Internal Auditor II (Full-time Remote, North Carolina Based) The Internal Auditor... ...advisory, consultative, and audit work to include the... ...effectively employed and operate in compliance with the Institute of... ...particularly as they relate to claims processing, utilization reviews...Remote workClaimsFull timeContract workTemporary workWork at officeFlexible hours$26 - $30 per hour
Med A/Rx is seeking a Medical Coder II to work remotely. The successful candidate will be responsible for accurately coding healthcare claims, analyzing denials, and ensuring compliance with federal and state standards. Candidates must have at least five years of coding...Remote workClaimsHourly pay- ...commercial clients in compliance and program... ...solutions, audit, investigation,... ...and Compliance Specialist will be responsible... ...and healthcare industry standards... ...CM HCPCS level II and CPT codes.... ...Experience in reviewing claims for appropriate... .... ~ For remote work, required...Remote workClaimsFull timeContract workFor contractorsWork at officeFlexible hours
- ...System One is seeking a Healthcare Customer Service Advocate II to work in a remote capacity, supporting customers in a call center environment. Responsibilities include answering inquiries about benefits, claims, eligibility, and billing, alongside documenting interactions...Remote workClaimsPermanent employment
$60.78k
Appeals and Grievances Specialist II Job Category:... ...of complaints in compliance with Centers for... ...complex provider claim disputes. The... ...reviews and focused audits. Recommends opportunities... ..., a hybrid remote schedule,... ...Medicare, Medicaid, Healthcare, Insurance #J-18...Remote workClaimsFull timeLocal areaShift workWeekend work- A healthcare organization is seeking a detail-driven Sr... ...Internal Auditor to enhance compliance and service quality... ...will analyze claims data, ensure accurate... ...s degree and relevant audit experience. Employees... ...work environment with remote options and competitive...Remote workClaims
$23.69 - $32 per hour
A healthcare administrative support organization is seeking an Accounts Receivable Specialist II. This fully remote role involves following up on unpaid accounts, researching claim denials, and communicating with patients and insurance companies. Candidates should have...Remote workClaimsHourly pay- ...Systems Analyst II Rising Medical Solutions has an opening for a Systems Analyst II, and we want to hear... ...mean? Basically we are trying to fix a very broken healthcare system by reducing the cost of healthcare claims through bill review, case management, and...Remote workClaims
- ...Level II – Risk Adjustment Coding Specialist (Intermediate) Responsibilities: Abstract and assign ICD... ...level coders. Conduct retrospective audits of medical records to validate... ...coding accuracy, completeness, and claim submission quality. Perform comprehensive...Remote workClaims
- ...The CoventBridge Group is seeking a remote Data Analyst II to analyze healthcare claims data and support fraud detection efforts. Ideal candidates will have a strong background in SQL and Python with at least 2 years of relevant experience. The role emphasizes collaboration...Remote workClaims
- ...Appeal Specialist II - RN The Appeal Specialist II - RN reviews, analyzes... ...and regulatory compliance. This role logs and reviews... ...~2-4 years of experience in healthcare revenue cycle or business office... ...Understanding of insurance claims processing and denial management...Remote jobWork at office
- ...efficient, high-quality chat-based claims and inquiry support. This... ...team effectiveness, ensure compliance with claim handling standards... ...0.00 -- $104,100.00Team Lead II: $70,100.00 -- $110,400.00Associate... ..., HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star...Remote workClaimsWork at officeWork from homeVisa sponsorshipWork visa
- ...position that is partial remote. Must be local in San... ...publications. Becker’s Healthcare ranked Scripps Health on... .... The Coder II is responsible for ensuring... ...concurrent and/or retrospective claims data reviews for... ...coders as needed, ensuring compliance with all applicable regulations...Remote workClaimsFull timeLocal areaRelocationWeekend work
$62.78k - $120.51k
...model that balances in-person and remote work. Our hybrid approach... ...enhanced Massachusetts All-Payer Claims Database. You will be at the... ...required experience. Analyst II Applicant must have at... ...journey of meaningful impact in healthcare. We invite you to join CHIA, where...Remote workClaimsFull timePart timeWork experience placementWork at officeFlexible hours2 days per week$50k - $55k
...clinical excellence to healthcare. As such, we are a... ...Coordinator level II team member will... .... The Appeals Specialist level II performs... ...handled and resolved in compliance with timeliness... ...in inpatient claims, DRG and High-Cost... ...interruptions Remote Work Requirements...Remote workClaims$34.76k
...REGULATORY SPECIALIST II - 64080847 Date: Jun 2, 2026 The State Personnel... ...other positions who ensure compliance with regulations or rules... ...with no regular telework or remote option. The Benefits of... ...requirements. Candidates claiming Veterans’ Preference must attach...Remote workClaimsFull timeWork at officeImmediate startFlexible hours- Mitchell Martin Inc. is seeking a Remote Special Investigation Unit Investigator II to conduct complex investigations... ...fraudulent activities related to healthcare billing. Candidates should... ...conducting investigations, reviewing claims, preparing reports, and ensuring...Remote jobClaimsContract workWork at office
$35.82 - $50.24 per hour
...Represented Bodily Injury Claims Adjuster - PST/MST (Remote) page is loaded## Attorney... ....99/hrAdjuster Consultant II: $28.03 -- $43.70/hrAdjuster... ...of Federal Contract Compliance Programs.To view the FMLA... ...HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star...Remote workClaimsContract workCurrently hiringWork at officeVisa sponsorshipWork visa$68.5k - $104.1k
...adjusters supporting our West Coast claims operations. This role... ...-- $104,100.00 Team Lead II: $70,100.00 -- $110,400.00... ...the Office of Federal Contract Compliance Programs. To view the FMLA... ..., HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing...Remote workClaimsContract workWork at officeWork from homeVisa sponsorshipWork visa$50k - $65.3k
...commercial, or auto liability claims. Candidates must be able to... ...50,000 - $74,120 Auto Cons II: $56,000 - $82,500 Auto Sr... ...the Office of Federal Contract Compliance Programs. To view the FMLA... ..., HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star...Remote workClaimsContract workCurrently hiringWork at officeVisa sponsorshipWork visa$45 - $55 per hour
...Join to apply for the Healthcare Senior Business Analyst... ...collaboration between IT, compliance, clinical, and... ...Have GRC Exp is Required (Remote) Tempe, AZ $128,000.00-... ...Community Business Analyst II, Selling Partner Services... ...Business Analyst - Claims & Encounters Processing...Remote workClaimsFull timeContract work$250k
...advanced Homeowner's Claims. Determines coverage,... ...Responsible for creating or auditing a comprehensive... ...reviewing regulatory compliance and fair claims practices... ...is:Field Property Cons II: $56,000 - $82,500Field... ..., AHCP, NHIC, Healthcare Solutions Team, North...Remote workClaimsWork at officeWork from homeVisa sponsorshipWork visaRelocation package- ## Auto Field Claims Consultant I,II or SeniorApplyremote type:... ...Hybridlocations: USA - TX (Remote)time type: Full... ...for creating or auditing a comprehensive estimate... ...regulatory compliance and fair claims practices... ...HealthCompare, AHCP, NHIC, Healthcare Solutions Team,...Remote workClaimsHourly payContract workWork at officeWork from homeVisa sponsorshipWork visa
- ...time Certified Coder II (CPC or CCS) to... ...quadruple aim of healthcare: enhancing patient... ...at Location: Remote for someone located... ...documentation for compliance and completeness;... ...as needed Work claim edits, claim rejections... ...Certified Coding Specialist (CCS) or...Remote workClaimsFull timeTemporary workFlexible hours
- ...Acute Inpatient Coder II - San Diego... ...position that is partial remote. Must be local in... .... Becker's Healthcare ranked Scripps Health... .../or retrospective claims data reviews for physician... ...needed, ensuring compliance with all... ...Certified Coding Specialist (CCS) from American...Remote workClaimsFull timeLocal areaRelocationWeekend work
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