Remote Coding Auditor & Claims Investigator
Human Resources
- Remote job
HCSC is seeking a claims auditing professional to review clinical, billing, coding, and cost-setting reviews pre- and post-payment. You will research findings, document them thoroughly, and consult with special investigations and affordability teams as needed. The role requires in-depth knowledge of claims processes, URAC/NCQA standards, and strong communication with physicians and providers. A Bachelor's degree and coding certification (or plan to obtain) are required, with remote-friendly #J-18808-Ljbffr Human Resources
- Health Care Service Corporation is seeking a role focused on auditing clinical, billing, coding, and cost reviews to validate claims and inform pre/post payment decisions. The position involves researching information, documenting findings, and coordinating with medical...Remote job
- ...6-08-20Elevance Health is seeking a DRG Coding Auditor to review inpatient records and ensure accurate... ..., and document audit findings. Hybrid/remote work with occasional in-person training... ...emphasizes high-quality recoverable claims across lines of business, using audit tools...Remote work
- ...Elevance HealthPosted: 2026-08-19Elevance Health is seeking a DRG Coding Auditor to ensure accuracy in MS-DRG and APR-DRG classifications... ...coding expertise to audit and generate high-quality recoverable claims for the company and its clients.The position offers hybrid/virtual...Remote work
- ...seeking an experienced Inpatient Medical Coding Auditor to perform coding audits and ensure accurate provider reimbursements. This remote position requires certifications such as... ...or CCS, and proficiency in MS-DRG coding, claims interpretation, and Microsoft Office. Strong...Remote workWork at officeFlexible hours
- ...LLCPosted: 2026-08-17Alignment Health is seeking an experienced MRA Coding Auditor to support QA audits of the internal Coding Analyst Team and... ...and proficiency with MS Office and leading EHR systems. This is a remote position with competitive pay and benefits.#J-18808-LjbffrRemote work
$90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates... ...Work-From-Home Job Responsibilities: Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS and...Remote workImmediate startWork from home$32 - $37 per hour
...37.00/hrCompany: TEKsystemsPosted: 2026-08-19*Risk Adjustment Coding Auditor* Overview We are seeking a detail-oriented *Risk Adjustment Coding... ...(PTO, Vacation or Sick Leave) *Workplace Type*This is a fully remote position. *Application Deadline*This position is anticipated...Remote workContract workTemporary workWork at office- ...Denver, Colorado, United StatesCompany: Huron Consulting GroupPosted: 2026-08-17Huron Consulting Group is seeking an Inpatient Coding Auditor to review inpatient coders and offshore auditors, ensuring DRG accuracy and coding compliance across client engagements. You will...Remote workWork at office
- ...healthcare, is hiring a Profee Auditing & Education Specialist to lead professional fee coding audits, provide rationale for changes, and deliver coder education programs remotely.You will organize multiple cases, identify coding trends, develop educational content, and...Remote work
- ...Full-time Description University Health Network is seeking a Full-Time Coding Auditor. This role requires normal business hours Monday-Friday and is a remote position with occasional on-site meetings. Candidate must be able to maintain HIPAA privacy...Remote workFull timeWork at officeWork from homeMonday to Friday
- ...Inpatient Coding Auditor Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications...Remote workTemporary workWork from homeFlexible hours
- ...Remote Inpatient Coding Auditor Review of IP & APR/DRG Codes to determine Coding Quality and accuracy of IP Acute Care records. Minimum Required Qualifications: CCS, RHIT, RHIA or CPC-H. 5+ years IP Auditing experience, 3-5 years IP coding exp. Preferred Qualifications...Remote workShift work
- ...A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be responsible for reviewing and coding inpatient hospital claims, ensuring accuracy for reimbursement. The ideal candidate will have a strong...Remote workWork from home
$68.57k - $104.84k
...is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG)... ...for performing DRG validation (clinical/coding) reviews of medical records and/or other... ...of medical necessity rules. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Seeking an experienced Coding Auditor, the full-time remote position will perform routine audits of professional coding across multiple specialties, ensuring accuracy, compliance, and providing actionable feedback while tracking coding trends for quality improvement....Remote workFull time
$34.59 - $51.89 per hour
...Inpatient Coding Auditor Hourly Wage Estimate: $34.59 - $51.89 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include...Remote workHourly payTemporary workWork from homeFlexible hours- ...inpatient DRG reviews. The role requires an RN or LVN and an inpatient coding certification within 4-6 months of hire. Responsibilities... ...and readmission reviews while documenting findings and managing claims. An excellent compensation package and benefits are provided, underscoring...Remote work
$28k
...Senior Premium Auditor (Workers' Compensation) | 100% Remote Opportunity General Summary Under minimal supervision... ...as appropriate. Analyze and review claims to verify employment, proper classification coding and proper allocation of payroll....Remote workWork from home- ...health information management team, the full-time Inpatient Coding Auditor will conduct complex audits of clinically coded data for accuracy... ..., and prepare reports and presentations, all while working remotely from 8 AM to 4:30 PM. Key responsibilities Conduct complex...Remote workFull time
- ...Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS... ...Certified Risk Adjustment Coder) certification Proficiency in Microsoft Office Suite (Excel, Word, Outlook) This is a remote position....Remote workWork at office
- ...Healthcare is seeking a DRG Revenue Integrity Auditor to perform DRG validation and chart... ...inpatient records. You will apply ICD-10-CM/PCS coding guidelines to ensure accurate classifications and compliant documentation. This remote role offers a salaried schedule,...Remote work
- ...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 work
- ...Inpatient Auditing Specialist who will perform audits on medical records and ensure compliance with DRGs. This fully remote role requires 3+ years of coding and auditing experience and offers a flexible schedule. Responsibilities include conducting audits, providing...Remote workFlexible hours
- ...A healthcare data solutions company seeks an Inpatient Auditing Specialist to conduct coding audits and provide educational support. This fully remote role requires 3+ years of coding experience, a related degree, and good organizational skills. The successful candidate...Remote workRelocation package
$71.1k - $97.8k
...caring community The Inpatient Medical Coding Auditor extracts clinical information from a... ...coding auditor to review inpatient hospital claims for proper reimbursement, handle... ...skills to make an impact WORK STYLE: Remote/work at home. While this is a remote position...Remote workBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$23.87 per hour
...Coding Auditor - Professional Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders,... ...Pay: Based on experience, starting at $23.87/hour Location: Remote or onsite: At this time, you must reside in one of the following...Remote workFull time- ...Supporting quality assessment audits, the full-time Certified Medicare Coding Auditor will work remotely to ensure accurate data submission to CMS, assist in risk adjustment data audits, and analyze audit results for process improvement. Key responsibilities Conducts...Remote workFull time
- ...professional to review inpatient hospital claims and manage disputes. Candidates must have... ..., alongside expertise in MS-DRG coding and auditing. This role offers competitive... ...growth in a supportive environment. Flexible remote work with occasional travel required. #J-...Remote workFlexible hours
- ..., a data collaboration platform for healthcare, seeks a Profee Auditing & Education Specialist. This fully remote role involves performing professional fee coding audits, developing coder education programs, and collaborating with leadership to improve coding quality and...Remote work
- ...healthcare services provider is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves extracting clinical information from... ...and ensuring proper reimbursement for inpatient hospital claims. Ideal candidates will have at least four years of...Remote workContract work
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