Remote Claims Auditor - Healthcare Compliance & QA
Scan-Health-Plan
- Remote job
SCAN Health Plan is seeking a Claims Auditor to perform audits of claims payments and denials, ensuring accuracy and regulatory compliance across California and beyond. The role supports pre-pay and post-pay reviews, and requires strong knowledge of CMS rules and COB/DOFR practices. The position offers remote work options, an annual bonus, a robust wellness program, comprehensive PTO, holidays, and a 401(k) plan. #J-18808-Ljbffr Scan-Health-Plan
$79.7k - $105.48k
...Country-wide Remote US-Nationwide-FIELD Full... ...89391 What Ethics & Compliance contributes to Cardinal... ...Summary The Compliance Auditor is responsible for... ...reimbursement methodologies, and healthcare compliance regulations... ...performs detailed claim reviews, identifies...Remote workClaimsFull timeTemporary workLocal areaImmediate startFlexible hours- ...The Marwood Group is a healthcare advisory services firm... ...compensation, and clinical compliance. Marwood operates at... ...outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties... ...UB-04 and CMS 1500 claims data, as well as understanding...Remote workClaimsWork at officeLocal area
- ...Management is seeking a detail-oriented Claims Auditor to join our team in Sherman Oaks, CA.... ...of claims processing within a dynamic healthcare management environment. If you have a sharp... ..., we want to hear from you! This remote position offers opportunities for advancement...Remote jobClaims
- SCAN Health Plan seeks a detail‑oriented Claims Auditor to conduct pre‑ and post‑pay audits, ensuring accurate payments and CMS compliance. The role requires experience with Medicare... ..., with proficiency in IKA and QNXT. Remote work is offered with a strong wellness and...Remote jobClaims
- SCAN Health Plan seeks a Claims Auditor to perform pre-pay and post-pay audits, ensuring accurate... ...and denials. You will work in a remote environment, applying CMS rules and COB... ...DOFR knowledge to improve processes and compliance. You will collaborate with the Claims Department...Remote jobClaims
$59.3k - $80.9k
...community The Medical Coding Auditor reviews medical claims submitted against medical... ...peer reviews to ensure compliance with coding guidelines and... ...impact WORK STYLE: Remote, work at home. While this... ...personal wellness and smart healthcare decisions for you and your...Remote workClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- Coding Compliance Auditor Immediate need for a talented Coding Compliance Auditor... ...and is located in US (Remote). Job ID:26-28929 Pay Range:... ...for the accurate coding of claims by providers. Under supervision... .... Our client is a leading Healthcare Industry and we are currently...Remote workClaimsContract workLocal areaImmediate start
- Thinkbrg is seeking a Senior Associate to join the Healthcare Transactions and Strategy group. You will perform medical record audits to assess coding accuracy and ensure compliant claims submission. The role includes developing audit methodologies, analyzing findings,...Remote jobClaims
- GeBBS Healthcare Solutions is seeking an experienced Professional Fee Inpatient & Outpatient Coding Auditor for a remote, part-time role (20 hours/week, Monday-Friday). You will audit professional... ...services, ensure accuracy and compliance with ICD-10-CM, CPT, HCPCS, and...Remote jobPart timeMonday to Friday
$33 - $46 per hour
...Utilization Review Nurse Auditor to join their team!... ...that all work is in full compliance with client... ...The position is 100% remote with a schedule of Monday... ...provider of innovative healthcare services including independent... ...firms, third-party claim administrators and government...Remote workClaimsHourly payFull timeLocal areaMonday to Friday- Optum is hiring a Medical Coding Auditor to verify claims against medical records and ensure compliance with coding guidelines. This telecommuting role allows you to work... ...teams to maintain quality and production metrics in a remote, production-driven #J-18808-Ljbffr OptumRemote jobClaims
- GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management... ...performance, maintain compliance, and enhance the patient... ...in transforming healthcare. Remote (United States) | Full-Time... ...Emergency Department Coding Auditor / QA Specialist to join our remote...Remote workHourly payFull timeWork at officeMonday to FridayFlexible hours
- ...Improvement / Quality Assurance / Compliance Registered Nurse (QI/QA/Compliance RN)The Quality Improvement... ...Program Requirements, Federal Tort Claims Act (FTCA) standards, Uniform Data... ...care in Alaska's rural, frontier, and remote healthcare environments.Essential Duties and...Remote workClaimsWork at office
- Billing and Coding Auditor Banyan Treatment... ...the accuracy and compliance of our billing practices... ...integrity of our claims processes and... ...Beach, FL), Hybrid or Remote (USA)Reports to:... ...audit reports and QA initiatives. Monitor... ...'s degree in Healthcare Administration, Business...Remote workClaimsFull timeWork experience placementWork at officeFlexible hours
$1,830 - $1,970 per week
...Registered Nurse Auditor (RN Auditor) – Remote Insurance Payer Audits Join our healthcare team as a remote Registered Nurse Auditor... ..., denial management, billing compliance, and charge capture validation... ...healthcare revenue cycle and claims review expertise. The...Remote workClaimsWeekly payFull timeLocal areaWork from homeShift work$66.12k - $89.48k
...Regulatory Billing Auditor (100% Remote) The Regulatory Billing Auditor supports compliant... ...for improvement and helps ensure compliance with healthcare regulations and organizational... ...improvement clinical practice payer claims adjudication and/or compliance Two...Remote workClaimsFull timePart timeImmediate startFlexible hours$38.61 - $55.86 per hour
...thorough and aligned with regulatory and compliance requirements. You Will Conducts detailed... ...on such topics as compliant delegated claims processing and the denial of claims with... ...Range: $38.61 to $55.86 per hour Work Mode: Remote/Field (This role requires driving in...Remote workClaimsHourly payContract workFor contractorsLocal areaFlexible hours$85k - $92k
...a real impact in healthcare quality? EXL Health... ...Coder to join our remote team! If you’re a... ...consistency of coding auditors to ensure audits... ...Manage assigned QA inventory and meet... ...with all company Compliance, Information Security... ..., the Medicare Claims Processing Manual,...Remote workClaimsFull timeLocal area- ...What you will be doing in this role:The Physician Compliance Auditor is responsible for reviewing and auditing claims, medical records, and charges to ensure... ...results feedback through the use of Teams or other remote meeting platforms. The Physician Compliance Auditor...Remote workClaims
- ...Performing various audits of claims payments and denials, the full-time Claims Auditor will ensure accuracy and regulatory compliance while working remotely. Key responsibilities Conduct pre-pay and post-pay audits to verify claims payments and denials Utilize knowledge...Remote workClaimsFull time
- ...Solutions is seeking a self-driven Clinical Quality Assurance Nurse Auditor (RN or LPN) to join our remote team. You will evaluate clinical information from providers and write high-quality reports in compliance with client contracts and regulatory standards. The position is...Remote workMonday 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 guidelines, while... ...while cross-training to review multiple claim types Assist in training and...Remote workClaimsFlexible hours
- ...Outpatient Coding Auditor It takes great medical minds to create... ...solutions that solve some of healthcare's most complex challenges.... ...perform reviews of multiple claim types to provide a flexible workforce... ...Expect In This Role Remote (work from home) environment...Remote workClaimsContract workWork from homeFlexible hours
$67k - $76k
...advancing rural and community healthcare, Xtensys is executing... ...Arrangement : Remote Compensation Range:... ...next Medical Coding Auditor , you will be... ...addressing identified compliance opportunities. Coding... ...billing platforms and claim workflows—how coding feeds...Remote workClaimsFull time$17.89 per hour
...Compliance Auditor Department: Compliance Employment Type: Full Time... ...communities we serve. *Remote position open to Missouri residents... ...review and resolution of claim rejections and reimbursement... ...with diverse groups in a healthcare environment Must be familiar...Remote workClaimsFull time$84.34k
Remote Health Insurance QA Analyst Introduction Join a forward-thinking health... ...strengthen our commitment to compliance, accuracy, and operational... ...in supporting efficient claims processing, streamlining policy... ...align with evolving healthcare regulations. This is a unique...Remote jobClaimsWork from homeHome officeFlexible hours$50.7k - $85.9k
...Job Description Summary The Coding Compliance Auditor - Hospital, utilizing a strong coding background... ...procedures for admission and discharge claims in order to prevent loss of revenue,... ...to dust or extreme temperature. Remote The above statements are intended to...Remote workClaimsFull timeWork at office- ...Outpatient Coding Remote - US Machinify is a leading healthcare intelligence company... ...accuracy, consistency, compliance, and adherence to... ..., monitors auditor performance, and promotes... ...Develops and maintains QA tools, scorecards,... ...services and claim types. Strong analytical...Remote workClaimsTemporary workFlexible hours
- ...Coding Auditor The Coding Auditor is a professional auditing role... ...Under direct supervision of Healthcare Fraud Shield SIU management,... ...procedures and codes billed on a claim to a medical record.... ...development initiatives ~ Remote work eligible REMOTE WORK...Remote workClaimsHourly payFlexible hours
- ...POSITION SUMMARY: The Sr Compliance Auditor is responsible for auditing... ...and educational programs for healthcare providers based on key audit... ...for documentation, coding, claim review process, and billing... ...office equipment (in office or remote) ~ Communicate verbally...Remote workClaimsFull timeWork at officeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Claims Auditor - Healthcare Compliance & QA. Be the first to apply!
- medical claims auditor Lakewood, CA
- implementation project manager remote Lakewood, CA
- remote medical billing part time Lakewood, CA
- clinical data coordinator remote Lakewood, CA
- remote web developer part time Lakewood, CA
- full time remote Lakewood, CA
- remote data analyst part time Lakewood, CA
- remote work Lakewood, CA
- remote database management Lakewood, CA
- remote software sales Lakewood, CA


