Clinical Auditor (Fully Remote)
UnityPoint Health
- Remote job
Assess clinical documentation for compliance with AMA and CMS coding guidelines. Validate documentation against charges and evaluate billing accuracy. Identify audit areas and provide one-on-one education to providers. Qualifications: High school diploma required; AAS in Health Information Management preferred. Must obtain AHIMA or AAPC coding certification within 12 months. Three years of coding experience preferred. Paid time off, parental leave, and 401K matching. Dental and health insurance, paid holidays, and disability coverage. Pet insurance, Daily Pay, tuition reimbursement, and adoption assistance. UnityPoint Health UnityPoint Health is a healthcare system serving Iowa, Illinois, and Wisconsin. It is recognized as a top workplace in healthcare and promotes a culture of belonging, support, and professional development. #J-18808-Ljbffr UnityPoint Health
$60.1k - $98.7k
...of 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,...Remote workFull time- EXL is seeking a Clinical Validation Auditor to review inpatient medical records, apply clinical judgment, and ensure accurate DRG code assignments. This fully remote role is based in the United States. You will assess medical documentation for coding accuracy, identify...Remote job
$60.1k - $98.7k
...of 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 work$60.1k - $98.7k
...Requirements: Active RN license and 5+ years acute care experience. DRG auditing or clinical coding validation experience preferred. Strong Excel, written communication, and analytical skills. Fully remote role within the US. Annual salary of $60,100-$98,700. Healthcare benefits...Remote job$82k - $87k
...predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a... ...for all patients. Job Description The Clinical Compliance Auditor II is responsible for ensuring Guidehealth... ...: Work from Home: Guidehealth is a fully remote company, providing you the...Remote jobBi-weekly payFull timeTemporary workFor contractorsWork at officeLocal areaWork from homeFlexible hours$90k - $120k
...Job Description Job Description MDS Auditor – PDPM & Clinical Reimbursement Location: Remote Job Type: Full-Time Compensation: $90,000-120,000 (DOE... ...knowledgeable MDS Auditor to join our team in a fully remote capacity. This is an excellent...Remote workFull time- EXL is seeking a qualified Clinical Validation Auditor to review inpatient records, validate DRG codes, and help prevent improper payments in a fully remote role based in the U.S. As a Registered Nurse with 5+ years in acute care, you’ll apply clinical and coding knowledge...Remote job
- ...to refine large language models. The role involves designing clinical scenarios, evaluating AI responses, and collaborating with researchers... ...experience, and strong communication skills. This is a fully remote contractor position requiring 20-40 hours per week, with a commitment...Remote jobFor contractors
- EXL is seeking a Clinical Validation Auditor to review inpatient records, ensuring DRG codes align with documentation and to identify potential overpayments. This fully remote, U.S.-based role leverages clinical judgment to validate billing accuracy. You'll use tools like...Remote job
- Michael Hill, MD and Associates (MHMDAA) is seeking a Nurse Auditor to perform clinical validation on draft Claim Review reports. You will verify... ..., and collaboration skills are required. The role is fully remote within the United States, with a minimum of 15 hours per...Remote jobPart timeMonday to FridayFlexible hours
- Guidehealth, a data-powered healthcare company, seeks a Clinical Compliance Auditor II to lead complex audits ensuring UM/PHM and delegated services... ...auditing. Experience with Medicare/commercial plans is preferred. This is a fully remote role. #J-18808-Ljbffr GuidehealthRemote job
- RADcube is seeking a Registered Nurse Clinical Auditor with extensive Behavioral Health experience to support IHCP medical record reviews and billing compliance audits. This fully remote role includes occasional travel to Downtown Indianapolis, IN (expenses covered) to...Remote job
- ...trusted partner for large-scale government digital initiatives and more. Job Description This is a remote position. RN Clinical Auditor - Behavioral Health Location: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered) Job Summary We are...Remote workContract work
$55.1k - $99k
...Clinical Coding Auditor & Trainer Location: Remote, NY, US (The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the...Remote workPermanent employmentFull time$55.1k - $99k
...Job Overview Clinical Coding Auditor & Trainer – Remote, NY, US. The position is primarily remote with a small travel expectation (twice a year to New York). Full‑time, permanent, salary $55,100–$99,000 / yr. Required Qualifications ~ RN, PA, MD, APRN, DO, or...Remote workPermanent employmentFull time$68.57k - $104.84k
...DRG Quality Control/Clinical AuditorCERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible... ...of medical necessity rules.This is a remote position.Essential Functions &...Remote workMinimum wageFull timeLocal areaFlexible hours- ...Overview UnityPoint Health is seeking a Clinical Auditor – Coding, Professional Billing to support and enhance documentation accuracy and... ...in coding are encouraged to apply! Location: Remote - applicants must reside within the UnityPoint Health footprint...Remote workDaily paidTemporary workWork at officeMonday to Friday
- We are hiring nurse auditors who can commit to a minimum of 15 hours... ...this opening, regardless of clinical background. Work availability... ...schedule during training so you are fully independent before you begin... ...technical issues in a remote work environment. Required Qualifications...Remote jobHourly payContract workFor contractorsHome officeOverseasMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shiftWeekday work
- ...Quality Analyst to oversee and perform clinical CVA audits ensuring accuracy in inpatient... ...for consistency, coaching clinical DRG auditors, and driving quality improvements across... ...communication, and problem-solving skills. This remote opportunity offers exposure to a broad...Remote job
- AI Trainer Jobs seeks a remote Clinical Health Strategy Evaluation Specialist to review AI outputs touching clinical review. You will assess reasoning, dosing logic, and guideline adherence while flagging patient-safety issues, documenting corrections for model improvement...Remote jobFor contractorsFlexible hours
- Guidehealth seeks a Clinical Compliance Auditor II to ensure our clinical operations and delegated services meet regulatory and client requirements... ..., and help strengthen our compliance framework in a remote, agile environment with opportunities to grow within a mission...Remote job
- ...better business outcomes and unlock growth with speed. This remote office opportunity oversees clinical CVA audits to ensure accuracy and quality. Responsibilities include DRG audit quality checks, mentoring auditors, process improvements, and clear communication with...Remote jobWork at office
- WellSense Health Plan is seeking a Clinical Auditor I to perform detailed retrospective chart audits, verifying that medical documentation supports paid charges. This role acts as a liaison between WellSense and external providers, collaborating with management, physicians...Remote job
- PACS Group, Inc. is seeking a Clinical Compliance Auditor I to conduct routine audits of clinical documentation, regulatory compliance practices, and reimbursement processes in Skilled Nursing Facilities. The role enforces CMS and state requirements, supports quality improvement...Remote job
- PACS Group, Inc. is seeking a Clinical Compliance Auditor I to conduct routine audits of clinical documentation and reimbursement processes for... ...quality improvement, and promotes accurate billing practices. Remote position with occasional travel (<25%). Preferred...Remote job
- PACS Group seeks a Clinical Compliance Auditor I to conduct routine audits of clinical documentation and reimbursement processes at Skilled Nursing Facilities. You’ll ensure adherence to CMS and state requirements while supporting quality initiatives and accurate billing...Remote job
- PACS Group, Inc. is seeking a Clinical Compliance Auditor I to conduct audits of clinical documentation and regulatory compliance for skilled nursing... ...improvement, and promote accurate billing practices. Remote role with less than 25% travel. Collaboration with operations...Remote job
- PACS Group, Inc. is seeking a Clinical Compliance Auditor I to perform routine audits of clinical documentation and regulatory compliance across skilled nursing facilities. You will help ensure CMS and state requirements are met and support continuous improvement in billing...Remote job
- The Clinical Chart Auditor is responsible for conducting systematic reviews of patient medical records to ensure clinical documentation integrity... ...regulatory adherence for retina-specific services. Remote work options may be available based on operational needs, candidate...Remote workFull timeWork at office
- ...this time. About the Role Alaffia is seeking an experienced Clinical DRG Auditor to join our Payment Integrity team. In this role, you will... ...articulate clinical rationale. Ability to work independently in a remote environment and manage competing priorities. Our Culture...Remote workVisa sponsorshipWork visaFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Auditor (Fully Remote). Be the first to apply!


