Hybrid Claims Auditor - Medicare/Medicaid
American Health Partners
American Health Partners seeks a skilled claims auditor to support Medicare/Medicaid processes in a hybrid role, with occasional on-site days at Franklin, TN as needed and some Indianapolis involvement. The role focuses on accurate payments and regulatory compliance. Requirements include 2+ years in complex claims processing/auditing, CMS rules expertise, and CPT4/ICD10/HCPCS coding proficiency, enabling thorough audits and collaboration with claim processors. #J-18808-Ljbffr American Health Partners
$71.1k - $97.8k
...The Inpatient Medical Coding Auditor extracts clinical... ...to review inpatient hospital claims for proper reimbursement, handle... ...Humana will provide Home or Hybrid Home/Office associates with... ...quality of life for people with Medicare and Medicaid, families, individuals, military...ClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...nursing home operators, these Medicare Advantage plans manage... ...pay audits to ensure accurate claims payments and denials Ensure regulatory... ...claims for Medicare and Medicaid plans Strong knowledge of CMS... ...automated claims processing systems Hybrid role that may require 2-3...ClaimsFull timeTemporary workWork at officeLocal area2 days per week3 days per week
$92.88k - $160.22k
...Elevance HealthPosted: 2026-08-19DRG Coding Auditor - MS-DRG and APR-DRGVirtual: This role... ...officePlease note that per our policy on hybrid/virtual work, candidates not within a reasonable... ...and generating high quality recoverable claims for the benefit of the company, for all...ClaimsFull timeTemporary workWork experience placementLocal area1 day per week$116.13k - $210.86k
...an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable... ...as required by law.Patient Safety DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG)...ClaimsDaily paidFull timeTemporary workWork experience placementWork at officeLocal area1 day per week- Liberty Mutual Insurance seeks a Senior Claims Specialist to join a Claims Team in a hybrid setting, balancing in-person collaboration with remote work for focused tasks. The role involves reviewing complex commercial property and casualty claims, evaluating liability and...ClaimsRemote work
- WorldTrips in Carmel, IN is seeking a CTP Claims Examiner to investigate, evaluate, and process travel insurance claims while delivering exceptional service. The hybrid role requires you to be in the Carmel office part of the week and supports a flexible work environment...ClaimsWork at officeFlexible hours
$38.46 - $52.4 per hour
...create your future. The Inpatient Coding Auditor will be responsible for the auditing of... ...action is initiated before the claim is rebilled to the insurance. Conduct... ...for Coding and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official Guidelines...ClaimsHourly payPermanent employmentFull timeWork at officeLocal areaImmediate startRemote workFlexible hoursDay shift- ...Job Description Job Description Overview The Medicaid Support Specialist provides expertise and assistance to field staff in Medicaid... ...role coordinates with operations, utilization management, and claims to prevent unnecessary costs. Responsibilities also include...ClaimsWork experience placement
- WPS Health Solutions is seeking a Medicare Pricing Analyst to research complex pricing and... ...CMS/MAC collaborations to enable timely claims processing. The ideal candidate has a health... ...analytical and organizational skills. Hybrid work options and a competitive benefits package...ClaimsRemote job
$86.56k - $129.84k
...Patient Safety DRG Clinical Validation Auditor Location: This role enables associates... ...office. Please note that per our policy on hybrid/virtual work, candidates not within a... ...review of Diagnosis Related Group (DRG) paid claims. How you'll make a difference:...ClaimsFull timeWork at officeLocal area$86.56k - $129.84k
...office. Please note that per our policy on hybrid/virtual work, candidates not within a... ...Patient Safety DRG Clinical Validation Auditor is responsible for auditing inpatient medical... ...of Diagnosis Related Group (DRG) paid claims. How you'll make a difference:...ClaimsFull timeTemporary workWork experience placementWork at officeLocal area1 day per week- ...data analytics firm, is seeking a Registered Nurse Clinical Auditor with extensive Behavioral Health experience to support IHCP medical... .... Requires active Indiana (or compact) RN license, 2+ years Medicaid claims/billing experience, and #J-18808-Ljbffr RADcube - A NLogix...ClaimsRemote job
- ...and point of care support. How you make a difference The Medicaid Support Specialist provides expertise and assistance to field... ...role coordinates with operations, utilization management, and claims to prevent unnecessary costs. Responsibilities also include supporting...ClaimsWork experience placement
- ...Record Audit Specialist to support coding accuracy, medical record review, and billing compliance for Indiana Medicaid programs. You will review records and claims documentation, identify discrepancies, and prepare audit reports while staying current with CPT/HCPCS/ICD-10...ClaimsRemote job
- ...Description This is a remote position. RN Clinical Auditor - Behavioral Health Location: Fully... ...compliance issues within psychiatric/BH claims Maintain detailed workpapers documenting... ...as needed Stay current on Indiana Medicaid behavioral health policy and regulatory updates...ClaimsContract workRemote work
$100k
...control prevention industry since 1945 and is seeking a Premium Auditor to grow our team. As a Premium Auditor, you will examine... ...results to the home office. Travel to multiple audit locations. Hybrid position - work from home and complete remote audits 2-3 days per...Weekly payLocal areaRemote workWork from homeHome office2 days per week3 days per week$44 - $46 per hour
A leading insurance services provider is looking for a Premium Auditor to join their team in Indianapolis. The role involves conducting... ...to detect fraud, and ensuring regulatory compliance. This hybrid position allows for work from home with travel to audit locations...Remote jobWork from home2 days per week- Amerisure Insurance is seeking a Claims - Liability Rotational Specialist to manage a rotating portfolio of mid-level to complex auto and general liability claims on a national basis. The role supports multiple teams and requires strong negotiation, litigation coordination...ClaimsContract work
- WorldTrips in Indiana is seeking a CTP, Claims Examiner to investigate, evaluate, and process travel insurance claims while delivering exceptional customer service. You'll work closely with claimants, healthcare providers, and internal teams to ensure claims are handled...Claims
- Liberty Mutual Insurance in Indianapolis is seeking a Commercial Insurance Claims Representative to review and process simple to straightforward claims within authority limits. The role emphasizes in-person collaboration with the team, while allowing remote work for focused...ClaimsRemote work
- Office of the Indiana Attorney General seeks an Medicaid Fraud Control Unit Investigator to examine provider fraud with emphasis on forensic accounting and white collar crime investigations. Candidates should have experience in forensic accounting or health care fraud...Work at office
- ...policyholders with service coordination. This role requires a 3-day hybrid on-site presence at one of Amerisure's offices and involves... ...ideal candidate will have 3 years of experience in underwriting, claims, or related areas, strong communication and organizational skills...Claims
- Renaissance Benefits is seeking a Dental Claims Specialist to analyze and adjudicate dental claims for accurate benefits administration... ...notes, and preparing complex service claims for processing in a hybrid Indianapolis setting. Prior dental insurance processing experience...Claims
- A healthcare organization is seeking a Certified Coding Auditor in Indianapolis to ensure coding precision and maintain documentation standards. The successful candidate will review coding accuracy, apply updates, and draft audit findings. Key requirements include a High...Claims
- Elevance Health is seeking a Patient Safety DRG Clinical Validation Auditor to audit inpatient medical records and ensure documentation... ...experience in DRG-related auditing. The candidate will analyze claims, generate detailed audit findings, and suggest process...ClaimsRemote job
- Amerisure Insurance seeks a Senior Workers’ Compensation Claims Adjuster for a remote/hybrid role. The position handles medium‑complexity indemnity claims, collaborates with agents, policyholders and internal stakeholders, and investigates losses to determine coverage and...ClaimsRemote job
- ...alert: Provider Relations Team Lead - Hybrid Indianapolis, IN Date: Aug 13, 2026 Location... ...Collaborate with Provider Enrollment, Claims, Training, Quality Assurance, Project... ...is preferred. Experience with Medicaid, Medicare, managed care organizations, or government...ClaimsFull timeFlexible hours
- Amerisure is hiring a Claims Adjuster Associate to support the claims department. The role will be hybrid for 2 days in one of our offices, assisting adjusters through all phases of the claim lifecycle and handling inquiries from policyholders and claimants. The ideal candidate...ClaimsWork at office
- A leading healthcare provider is seeking a Medicaid Biller for its Central Billing Office in Indianapolis, IN. The role includes managing billing activities, ensuring claims submission, and maintaining thorough documentation. The ideal candidate must possess a high school...ClaimsFull timeWork at office
- Liberty Mutual Insurance is seeking a Casualty Claims Adjuster to investigate, manage and resolve Bodily Injury claims with injured parties... .... This role is stationed in the Indianapolis area with hybrid work, requiring in-office days monthly after training. You will...ClaimsWork at office
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