Medical Coding Auditor - Claims Compliance & Audit Expert
CVS Health Corporation
CVS Health Corporation seeks a Certified Coding Analyst to perform medical claim reviews for waste and error, ensuring coding accuracy and compliant documentation across medical and institutional providers. The role requires up-to-date CPT/HCPCS/ICD-10 knowledge, CMS 1500/UB04 familiarity, and collaboration with Medical Directors. The analyst will audit records, identify errors, and communicate findings clearly to internal teams, supporting process improvements and provider education. #J-18808-Ljbffr CVS Health Corporation
$70k - $75k
...Insurance Attorney Auditor ** This is a fully... ...broad, global network of experts to both learn from and... ...law firms to discuss compliance with client’s billing... ...benefits offering including medical, dental vision, 401K... ...’s leading risk and claims administration partner...ClaimsLocal areaRemote workWork from homeFlexible hours- ...TEKsystemsPosted: 2026-10-05TEKsystems in Baltimore, MD is seeking a Medical Coding Auditor to conduct independent physician coding reviews and audits, ensuring CMS, CPT, HCPCS, and ICD-10 compliance. The role emphasizes education, training, and provider coaching to improve...SuggestedWork at office
$43.89k - $102.08k
...and one community at a time. The Certified Coding Analyst will perform medical claim reviews for waste and error to ensure compliance with coding practices through a comprehensive... .... Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed...ClaimsHourly payFull timeTemporary workLocal area$78.4k - $107.8k
...community The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered... ...) ~Inpatient coding claim experience ~ Prospective... ...action, in compliance with Section 503 of the...ClaimsBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome officeMonday to Friday$21.96 - $32.95 per hour
...required of this position.ADAE1. Ensure all claims are handled according to all internal... ...benefit summary.E2. Monitor workflow of audits to ensure timely turnaround time. Identify... ...HS/GED:Required Experience:5 years prior medical dental, vision, FSA and HRA claims processing...ClaimsFull timeFor contractorsTraineeshipLocal areaWork from home$450 per month
...Vehicle Inventory Rep & Auditor CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform... ...solutions that simplify and enhance the claims and repair journey. Through purposeful... ...based on completed vehicle inventory and audits rather than hourly work. While the work...ClaimsHourly payCasual workImmediate startRemote workFlexible hoursWeekday work- Monro in Maryland is seeking a dedicated professional to evaluate and audit store operations and compliance. The ideal candidate will have over 4 years of retail management experience, proven problem-solving skills, and will travel extensively in field operations. This...
- ...highest standards of quality, compliance and patient safety. Since 200... ...of our work as more than auditing. At its best it is intelligence... ...Consulting is looking for PV Auditor on a freelance basis to cover... ...for a variety of stakeholders Expert knowledge of national and international...Full timePart timeFreelanceRemote work
$68k - $85k
...Operations Support, this individual will evaluate, inspect, audit, and determine the effectiveness of compliance and store operational tasks. This individual will... ..., DM onboarding, inventory subject matter expert, inventory analysis, safety compliance, building and...Work at officeFlexible hours- ...processes, from bi-weekly Workday processing to multi-jurisdiction tax compliance in ADP SmartCompliance. This role requires keen attention to... ...accurate payroll, respond to employee inquiries, and support audits and reconciliations while training offshore teammates to...Remote job
$120k - $140k
...business.Additionally, you will enjoy:Medical, Dental, and Vision Insurance; we also offer... ...in the US.OverviewThe Commercialization Expert serves as the strategic bridge between... ...connector, this person analyzes technical claims, business models, market fit, startup maturity...ClaimsFull timeRemote work$19.23 - $28.85 per hour
...members. Efforts may include claim submission, coverage parameters... ..., including determining medication appropriateness, applying clinical... ...while ensuring accuracy and compliance with system and documentation... ..., and reimbursement coding practices + Proficiency in pharmacy...ClaimsRemote jobFull timeWork experience placementWork at officeLocal areaVisa sponsorshipWork visa- ...across the United States (excluding Hawaii and Alaska). You will own low-to-moderate exposure injury claims, manage auto liability cases, and handle first-party medical payments as needed. The role supports homeowners and liability claims with opportunities for cross-state...ClaimsRemote jobFlexible hours
- ...Lot Auditor The Lot Attendant / Lot Auditor helps ensure a smooth, safe, and organized... ...records of parked cars. Security & Compliance: Check the lot regularly, report unsafe... ...Compensation and Benefits Health Benefits Medical, vision and dental insurance...Hourly payMinimum wageLocal areaShift workNight shift
- ...recognition and margin protection across homebuilding projects. You will create job jacket files, review order documentation, and perform audits in ERP to support install release and billing. Collaborate with customers and internal sales and operations to resolve PO issues,...
$115k - $130k
...strategic governance of Quality Management programs, risk management, and regulatory compliance. This senior‑level specialist acts as a quality contact, coordinates external and internal audits, and leads root‑cause analyses and CAPAs with remediation plans. The position is...- ...path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level... ...and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting...Claims
- Calibre CPA Group in Maryland is seeking a Compliance Department Operations Coordinator to support daily operations, monitor audit workflow, track staff time, and maintain the audit database. This role requires strong organizational skills, attention to detail, proactive...
$39.89 per hour
...in Annapolis Junction, MD is seeking a Property Officer to manage and audit Contractor-Acquired, Contractor-Owned, Leased, and Government-Furnished property, ensuring accurate records and compliance with government regulations. The role involves data entry, inventory,...Hourly payFor contractors- A public accounting firm is looking for a Staff Auditor to join their team in Bethesda, MD. The role involves assisting on audit engagements, preparing audit workpapers, and tax returns. Candidates should have a Bachelor’s Degree in Accounting with a GPA of 3.0 or higher...
- ...Health Corporation is seeking a Senior Analyst to join the SOX Audit team, evaluating IT application controls and operating effectiveness... ...design tests, review documentation, and work with external auditors to strengthen financial controls. Responsibilities include...
$31.5 - $42 per hour
...Position Objective: The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately... ..., research, statistics and compliance to federal and state regulations... ...in code assignments to prevent claim denials, billing errors, and potential...ClaimsFull timeWork at office$46.99k - $112.2k
...the Sarbanes-Oxley (SOX) Audit, the Senior Analyst... ...improvements to our financial compliance processes, and the... ...Work with the external auditors and regulatory bodies,... ...integrity and the company code of conduct, and a... ...this position include medical, dental, and vision coverage...Hourly payFull timeTemporary workLocal area- ...Security Inspectors to evaluate airport security systems in Gunpowder and nationwide, ensuring compliance with federal regulations. You will conduct inspections, perform audits, and prepare detailed reports for federal oversight. The role includes coordinating with...
- Our client is seeking external auditors in the DC Area (DC, Baltimore, Richmond) who are ready... ...degree in Accounting 3 or more years of audit/accounting experience Public accounting... ...verbal communication skills Comprehensive medical, dental, and insurance coverage plans...
- -Senior Accountant and Yardi expert needed for Property Management Company in Annapolis, MD. -Lead transition of accounting software to... ...billing system and financial system. Participates in year-end audit or review pre-planning and preparation. Skills/Experience: Proficient...Work experience placement
- ...Maryland . This role supports multiple security disciplines, including personnel, physical, and industrial security, while ensuring compliance with Department of Defense (DoD) regulations and organizational security procedures. Work Type: Full-Time Key Responsibilities...Full timeTemporary workFor contractorsLocal area
$62k - $72k
Position: Healthcare Claims Supervisor Location: Remote... ..., disputes, and audits. Established in 2017,... ...healthcare policy, and compliance expertise through our... ...operational subject matter expert for complex claims,... ...Working knowledge of medical coding, including ICD-10, CPT...ClaimsPermanent employmentContract workRemote work$32k - $42k
...Senior Healthcare Claims Processor Location... ..., disputes, and audits. Established in 20... ...policy, and compliance expertise through... ...technical subject matter expert for healthcare... ...Healthcare claims, coding, billing, auditing... ...~3-5+ years of medical coding knowledge preferred...ClaimsFull timeContract workRemote work- Zenith American Solutions is seeking a Medical Claims Adjustor in Maryland to process routine health and welfare... ...apply plan guidelines, use ICD-10 and CPT-4 coding, and protect PHI/PII while maintaining accuracy and compliance. The role emphasizes attention to detail,...ClaimsFlexible hours
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