Remote Medical Claims Auditor - Texas
Gainwell Technologies
A leading healthcare solutions provider is looking for a Medical Claims Auditor to work remotely from Texas. The role involves auditing medical claims for accuracy and compliance, and requires at least three years of experience in medical claims collections. Ideal candidates will have strong knowledge of medical billing and coding, as well as excellent communication skills. Join a company that values flexibility, learning, and career development while enjoying a competitive salary and comprehensive benefits. #J-18808-Ljbffr
$30.5k - $42.5k
...A leading healthcare solutions provider is looking for a Medical Claims Auditor to work remotely from Texas. The ideal candidate will review and analyze medical claims for accuracy and compliance, validate coding, and identify errors. With at least three years of relevant...Remote workMedicalClaims$30.5k - $42.5k
...flexibility, learning, and career development. Summary The Medical Claims Auditor is responsible for reviewing and analyzing... ...). What you should expect in this role This is a remote position for candidates residing in Texas. Work schedule is Monday – Friday, from 7:00 AM –...Remote workMedicalClaimsFull timeMonday to FridayFlexible hours- ...providing the highest-quality medical care in Los Angeles. We... ...role? The Coding Auditor works under the general... ...inpatient surgical claims experience highly preferred... .... Approved Remote States: Arizona, California... ...Minnesota, Nevada, Oregon, Texas #LI-Remote Cedars-...Remote workMedicalClaimsLocal area
$68k - $88k
...Medical Review Auditor (Fraud Waste and Abuse) Join to apply for the Medical Review... ...records and healthcare claims assessing the accuracy of medical... ...00.00-$85,000.00 1 week ago Texas, United States $20.00-$25.00... ...Premium Insurance Auditor - Remote Remote: Full Time Profee...Remote workMedicalClaimsHourly payFull timeContract workPart timeWork experience placementImmediate startWork from home$58k - $114.9k
...Remote MSDRG AuditorCategory: Analytics and Emerging... ...KnoxvilleUnited States, Texas, DallasUnited States, Texas... ...DRG Validation Auditor is a member of the CGI... ...responsibility for reviewing medical records to determine... ...underpayments) on paid claims on behalf of the client...Remote workMedicalClaimsContract workWork at officeLocal area- ...Claims Auditor- Remote American Health Plans, a division of Franklin, Tennessee-based American... ...these Medicare Advantage plans manage medical risk by improving patient care to reduce... ...Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Louisiana, Iowa, and...Remote workMedicalClaimsFull timeTemporary workWork at officeLocal area2 days per week3 days per week
$65.41k - $85.85k
...Senior Specialist, Coding Auditor to join our Payment... ...resolution in the Oscar claim environment. You will be... ...Location: This is a remote position, open to candidates... ..., Illinois; Dallas, Texas; Louisville, Kentucky;... ...assigned documentation (i.e. medical records or claims) on...Remote workMedicalClaimsFull timeWork experience placementWork from homeHome office- A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to join their remote workforce. The role involves reviewing inpatient hospital claims and ensuring correct payments while operating in a metrics-driven environment. Candidates should...Remote workMedicalClaims
- ...seeking a Senior PIP Adjuster to handle complex PIP claims in Texas. The role requires over 5 years of experience... .... The company offers benefits such as medical, dental, vision, and a 401(k). This position supports remote work capabilities and requires the ability to...Remote workMedicalClaims
- ...A leading health services company is seeking an Inpatient Medical Coding Auditor to review hospital claims. This remote position requires expertise in medical coding, specifically MS-DRG. The ideal candidate will hold a relevant certification with at least four years of...Remote workMedicalClaimsFlexible hours
$51.11k - $97.73k
...BlueCross BlueShield of South Carolina is hiring for a remote position focused on auditing and authorizing medical stop loss claims. The ideal candidate will have at least 6 years of managed care or reinsurance claims experience and an Associate's degree. Responsibilities...Remote workMedicalClaims- ...Santa Barbara Cottage Hospital seeks a Complex Claims Clinical Reviewer for a remote position. Responsibilities include conducting prepayment and post... ...generating decision action notices, and ensuring compliance with medical reimbursement guidelines. Ideal candidates will have a...Remote workMedicalClaimsWork from home
- ...healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...Remote workMedicalClaims
- ...A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work remotely. You will review inpatient hospital claims to ensure proper reimbursement and manage provider disputes in a metrics-driven environment. The ideal candidate holds a relevant...Remote workMedicalClaimsFlexible hours
- ...A leading health services provider is seeking an experienced Inpatient Medical Coding Auditor to work remotely. This position involves reviewing hospital claims for accuracy and ensuring correct coding practices are followed. Candidates must have RHIA, RHIT, or CCS certification...Remote workMedicalClaimsFlexible hours
- A healthcare services provider is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information from... ...ensuring proper reimbursement for inpatient hospital claims. Ideal candidates will have at least four years of experience...Remote workMedicalClaimsContract work
- ...A leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for correct reimbursement and managing provider disputes. Candidates should have RHIA, RHIT or CCS Certification and MS-...Remote workMedicalClaims
- ...based in Olympia, WA, is seeking an Inpatient Medical Coding Auditor. The role involves reviewing inpatient hospital claims for proper reimbursement and requires strong qualifications... ...certification with MS-DRG experience. This remote position allows for flexible work hours and...Remote workMedicalClaimsFlexible hours
$90k - $115k
...The ideal candidate will possess a nursing degree or equivalent, with at least two years of inpatient claims auditing experience. Responsibilities include auditing medical records, providing clinical support, and ensuring compliance with regulations. The job offers a...Remote workMedicalClaimsFlexible hours- ...A company is looking for a Registered Nurse Clinical Auditor. Key Responsibilities Review medical records and documentation for compliance with Indiana... ...preferred At least 1 year of experience in Medicaid claims review or healthcare reimbursement Familiarity with Indiana...Remote workMedicalClaims
- ...Claims Auditor - CPC Certified, is a full-time remote position responsible for conducting audits on claims for payment accuracy, compliance, and operational... ...ICD coding required Associates degree in business, medical, or related field preferred CPC or CPC-P certification...Remote workMedicalClaimsFull time
- ...Working remotely or in a hybrid environment, the full-time Oregon Licensed Medical Auditor will review automated audit results, communicate with medical providers and claims adjusters, and ensure accurate payments for medical services while adhering to relevant regulations...Remote workMedicalClaimsFull time
- ...seeking a Senior Specialist, Coding Auditor to join their Payment Integrity team. This remote position involves supporting issue resolution, ensuring claims repayment quality, and assisting in... ...comprehensive benefits including medical, dental, and unlimited vacation. #J...Remote workMedicalClaims
- CGI Njoyn is seeking a Remote MSDRG Auditor to review medical records for accuracy in coding and reimbursement. The ideal candidate will have at least five years of inpatient coding experience, with expertise in ICD-10-CM/PCS and strong clinical validation skills. This...Remote workMedicalClaims
- ...A company is looking for a Coding Auditor - Outpatient. Key Responsibilities Validate CPT, HCPCs, and ICD-10 coding accuracy of outpatient claims Review medical documentation to support billed services and provide appeal responses Assist with new concept development...Remote workMedicalClaimsWork at office
- ...A company is looking for a Claims Auditor. Key Responsibilities Perform routine and complex audits on claims for payment integrity, ensuring... ...BS/BA degree preferred with 1-3 years of experience as a medical/dental claims auditor At least 3 years of experience processing...Remote workMedicalClaims
- MedPOINT Management is seeking a Hospital Claims Auditor responsible for ensuring the quality of claims processes and... ...organizational, analytical, and communication abilities, along with expertise in medical coding and contracting. This is a remote position. #J-18808-LjbffrRemote workMedicalClaims
- ...company is seeking an experienced Inpatient Medical Coding Auditor to perform coding audits and ensure accurate provider reimbursements. This remote position requires certifications such... ...CCS, and proficiency in MS-DRG coding, claims interpretation, and Microsoft Office....Remote workMedicalClaimsWork at officeFlexible hours
$71.1k - $97.8k
...A leading health insurance provider is seeking an experienced Inpatient Medical Coding Auditor to join their team. This remote position involves reviewing and auditing inpatient hospital claims, ensuring proper reimbursement, and maintaining accurate coding standards....Remote workMedicalClaims- ...A leading healthcare services firm is seeking an experienced Inpatient Medical Coding Auditor to extract clinical information and assign medical codes for inpatient hospital claims. This remote role involves reviewing claims for reimbursement accuracy and handling provider...Remote workMedicalClaims
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