Remote Medical Claims Auditor - Billing & Savings Expert
Vālenz Health®
- Remote job
Valenz Health is seeking a Certified Medical Claims Auditor to review bills, identify coding and billing errors, and uncover savings opportunities. You’ll communicate findings to clients and support complex bill reconsiderations with analytical rigor. This fully remote role requires HIPAA compliance and collaboration with internal teams. You’ll mentor junior analysts and contribute to policy improvements while delivering value to diverse healthcare clients nationwide. #J-18808-Ljbffr Vālenz Health®
- Gainwell is seeking a Medical Claims Auditor to review and analyze medical claims for accuracy, compliance... ...identifying discrepancies to improve billing integrity. The ideal candidate has at... ..., and capable communication in a remote work environment. #J-18808-Ljbffr Railway...Remote jobMedicalClaims
$46.99k - $122.4k
...Program Integrity Auditor We're building a world of... ...review of records for medical, behavioral, transportation... ...funds or rebilling of claims, and referral to state... ...any concerning billing patterns or trends.... ...paid time off, retirement savings options, wellness programs...Remote workMedicalClaimsHourly payFull timeMonday to FridayFlexible hours- ...Coding Auditor Department: SIU Employment Type... ...accurately with billed ICD-10-CM, CPT, HCPCS... ...in primary medical coding and a keen... ...codes billed on a claim to a medical record... ...401(k) retirement savings with employer match... ...development initiatives Remote work eligible...Remote workMedicalClaimsHourly payFull timeFlexible hours
- ...Remote Medical Coding Auditor (CPC, CCS-P, or CPMA) Crossroads Treatment Centers is... ...Auditor Conducting audits of claims and patient records to... ...from time to time regarding billing and documentation policies,... ...education. Opportunity to save lives everyday! #J-18808-Ljbffr...Remote workMedicalClaimsTemporary workMonday to FridayShift work
$70k - $75k
...Insurance Attorney Auditor ** This is a fully remote position, and... ...network of experts to both learn from... ...client specified billing guidelines and/... ...offering including medical, dental vision,... ...or health savings account, and other... ...leading risk and claims administration partner...Remote workMedicalClaimsLocal areaWork from homeFlexible hours- A leading health insurance company is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims and ensuring accurate coding and reimbursement. Candidates should hold an RHIA, RHIT, or CCS certification with substantial...Remote workMedicalClaims
- ...A national healthcare organization is seeking an experienced Inpatient Medical Coding Auditor to review hospital claims and ensure accurate coding and reimbursement. This role offers a remote work environment with flexible hours and requires certification in RHIA, RHIT...Remote workMedicalClaimsContract workFlexible hours
$30.46 - $45.69 per hour
Billing Compliance, Senior Auditor Hourly Pay Range: $30.46 - $45.69 Location... ...(Evanston, IL and remote) Hours: Monday‑Friday... ...audits across the medical group and all system... ...including interviews, claim reviews, control... .... Wellness program. Savings plan. Health Savings...Remote workMedicalClaimsHourly payFor contractorsMonday to Friday- ...026-08-05Humana Inc. is seeking a Senior Medical Coding Professional, Outpatient to lead coding-focused audit activities, identify billing anomalies, validate coding accuracy and ensure... ...reimbursement guidelines.You will review claims, apply CPT/HCPCS guidelines, analyze...Remote workMedicalClaims
- The Elevance Health Company seeks a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims for all lines of business. You will apply advanced ICD-10 coding principles and DRG logic to substantiate conclusions and ensure accurate...Remote jobMedicalClaims
- ...Logan Health is seeking a Medical Billing & Collections Specialist for a remote, full-time position. The specialist will ensure the accuracy of claim submissions and handle various billing responsibilities. The role requires 1+ year of experience in a medical setting,...Remote workMedicalClaimsFull time
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN... ...will apply your expert knowledge of... ...auditing of inpatient claims. Employing both... ...statuses billed by hospitals to... ...ensure accuracy of medical coding and... ...Account or a Health Saving account ~... ...independently in a remote environment and...Remote jobMedicalClaimsHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- ...Overview Compliance Auditor Full Time, 80 Per Hour... ...This position is Remote. Covenant Health Overview... ...( , and Covenant Medical Group ( , our area’s fastest... ...coding, documentation and billing compliance. Also... ...over or under payments of claim errors identified during...Remote workMedicalClaimsHourly payFull timeDay shift
- Trend Health Partners is seeking a Nurse Coding Auditor to review medical records and itemized bills for accurate CPT/HCPCS/revenue code usage on hospital claims. The role emphasizes CMS guideline adherence, documentation review, and audit accuracy in a dynamic, tech-enabled...MedicalClaims
- Proliance Surgeons is seeking a Remote Revenue Cycle Specialist to oversee billing processes from a home office, including charge entry, billing, claims, and patient AR. You will post payments... .... Requirements include 1-2 years medical billing experience, CPC certification...Remote jobMedicalClaimsHome office
- ...Senior Auditor We are seeking an experienced Senior Auditor... ...ALS) program. This is a fully remote position supporting DOJ's complex... ...- for example, Medicare billing and claims systems, or DoD inventory... ...pregnancy and childbirth or related medical condition or on any other...Remote workMedicalClaimsFull timeContract workInterim roleWork from homeHome office
- ...Clinical Investigator to detect and audit aberrant billing patterns in claims and clinical documentation. You will review medical records to ensure alignment with guidelines... ...potential recovery or referrals. This is a remote role with NYC/Tempe office options. #J-18808-...Remote jobMedicalClaimsWork at office
- ...Auditor Location US- ID 2026-1564 Remote Yes Overview JOB TITLE: Auditor AGENCY... ...- for example, Medicare billing and claims systems, or DoD inventory systems... ...pregnancy and childbirth or related medical condition or on any other...Remote workMedicalClaimsFull timeContract workInterim roleWork from homeHome officeFlexible hours
- ...Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and... ...by providers. This role involves claims analysis, provider audits, fraud detection... ...audits, and recipient interviews. Review billing practices for upcoding, duplicate billing...Remote jobMedicalClaimsWork at office
- ...Review Clinician to serve as the subject matter expert for itemized bill reviews and analysis of hospital facility bills.... ...a broad policy framework and must understand the claim review process, clinical review, medical record review, and billing guidelines. #J-18808-...Remote jobMedicalClaims
- ...providing the highest-quality medical care in Los Angeles. We... ...Role? The Coding Auditor works under the general... ...with processing re-bills post coding audit changes... ...outpatient surgical claims experience highly preferred... ..., CA, 90048, US (Remote) Overtime Status NONEXEMPT...Remote jobMedicalClaimsLocal areaShift work
- ...bedside setting to review and audit claims, supportprogram integrity... ...Apply nursing judgment to analyze medical records, documentation, and billing data Collaborate with interdisciplinary... ...outcomes for vulnerable populations Remote work - enjoy the convenience and...Remote workMedicalClaimsFull timeTemporary workWork at office
- ...bedside setting to review and audit claims, supportprogram integrity... ...Apply nursing judgment to analyze medical records, documentation, and billing data Collaborate with interdisciplinary... ...outcomes for vulnerable populations Remote work - enjoy the convenience and...Remote workMedicalClaimsFull timeTemporary workWork at officeWork from home
- ...and Responsibilities Perform remote billing and coding audits to ensure client... ...documentation supports medical necessity and the E/M, CPT, and... ...with both UB-04 and CMS 1500 claims data, as well as... ...Certified Professional Medical Auditor (CPMA) Certified Coding Specialist...Remote workMedicalClaimsLocal area
- ...Fraud, Waste, and Abuse Auditor Under the general direction of the... ...leads and detect aberrant billing practices, including data mining, claims analysis, and medical record assessment. Onsite requirement... ...other aspects of the job are remote. Responsibilities Ensure...Remote workMedicalClaimsWork at office
$20.88 - $23.49 per hour
...position. Benefits : ~ Medical, Dental, Vision, Pharmacy,... ...2 years of experience as a Claims Auditor. # Excellent reading, verbal... ...: Customer Service, Claims, Billing & Eligibility, Accounting,... ...connection required to support remote or hybrid work. Must be...Remote workMedicalClaimsHourly payFull timeContract workWork at officeWork from homeFlexible hoursAfternoon shift$30.5k - $42.5k
...and career development. Summary The Medical Claims Auditor is responsible for reviewing and analyzing... ..., a solid understanding of medical billing and coding, and experience with appeals... ...should expect in this role This is a remote position for candidates residing in...Remote jobMedicalClaimsFull timeMonday to FridayFlexible hours- ...an experienced Certified Inpatient Medical Coding Auditor to review hospital claims for proper reimbursement and... ...coding quality, and driving cost savings by improving payment accuracy. Responsibilities... ..., and collaborating across teams. Remote, with potential travel for...Remote workMedicalClaims
$97.8k
...Comprehensive benefits package including medical, dental, vision, and 401(k) retirement savings plan Opportunities for... ...within a Fortune 100 company Flexible remote work environment with occasional... ...): Review inpatient hospital claims to ensure proper reimbursement and...Remote workMedicalClaimsImmediate startFlexible hours$24 - $43 per hour
...Medical Coding AuditorOptum is a global organization... ...challenges.The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider... ...of medical coding/billing and payment recommendation... ...*All employees working remotely will be required to...Remote workMedicalClaimsHourly payMinimum wageFull timeContract workWork experience placementLocal area
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