Remote Coding Quality Analyst - Fraud & Compliance
Texas Health Institute
- Remote job
Optum is a global health services company seeking a Coding Quality Analyst to join our team. This full-time role requires 40 hours per week, with flexible 8-hour shifts during CST business hours and potential overtime. You can telecommute from anywhere in the U.S. while contributing to accurate coding and auditing processes. Primary responsibilities include reviewing records for fraud indicators, documenting decisions, and communicating findings to relevant stakeholders. #J-18808-Ljbffr Texas Health Institute
- Optum, part of UnitedHealth Group, is seeking a Coding Quality Analyst for a full-time role with 40 hours/week. You may telecommute from anywhere... ...overtime. Responsibilities include reviewing records for fraud indicators, documenting decisions, and collaborating with teammates...Remote jobFraudFull time
- ...focused on improving health outcomes through technology. The Coding Quality Analyst role is full time, 40 hours per week, Monday to Friday, with... ...include reviewing records for accuracy and potential fraud, documenting decisions, presenting findings, and collaborating...Remote jobFraudFull timeMonday to FridayFlexible hours
- UnitedHealth Group is seeking a Coding Quality Analyst to review medical records for coding accuracy and potential fraud. The role offers telecommuting from anywhere in the U.S. with a standard 40-hour week, 8am-5pm CST hours, and occasional overtime. Training provided...Remote jobFraud
$24 - $43 per hour
...Coding Quality Analyst Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives... ...: Behavioral Health experience Experience with fraud, waste, abuse, and error Knowledge of CMS 1500 and UB04 data...Remote jobFraudHourly payMinimum wageFull timeWork experience placementLive inLocal areaMonday to FridayShift work$32.76 - $36.44 per hour
...'s Employer of the Year! Quality Management Analyst Opportunity VANCOUVER, WA... ...and ensures Medicaid compliance for all CQI requirements. This... ...implement Medicaid and healthcare coding compliance strategies to... ...and prevention of Medicaid Fraud and Abuse. Directly...FraudContract workWork at office- ...ABOUT THE ROLE The Quality Assurance, Risk Control... ...Special Investigations Analyst is a specialized and critical... ...pre-referral fraud investigations while providing... ...our Dallas office or Remote (US). #LIREMOTE WHAT... ...ensuring accuracy, regulatory compliance, and adherence to TPA...Remote workFraudFull timeWork at office
- ...As a Compliance QA Analyst , you are the vigilant operator responsible for the precision... ...perform detailed, line-by-line quality checks on KYC , AML , and fraud-related tasks to ensure every... ...growth opportunities. Fully remote work culture and support for professional...Remote workFraudFull timeImmediate start
$33.58 - $49.16 per hour
...alternative application process. HAWP Quality and Compliance Analyst Full Time Professional Ron Chew HAWC,... ...HIPAA/Privacy case investigations; fraud, waste, and abuse (FWA) reporting, exclusion... ...in-office, with the possibility of remote work based on business needs and...Remote workFraudHourly payFull timeContract workWork experience placementWork at office- UnitedHealth Group values a Coding Quality Analyst to review patient records, extract data, and craft... ...references, maintaining HIPAA compliance and timely deliverables. The position... ...peers while supporting enterprise goals. Remote work across the U.S. is encouraged. #J...Remote job
- Optum is seeking a Coding Quality Analyst for a full-time role, with telecommuting options within the United States. The position involves reviewing medical records for coding accuracy, documenting decisions, and presenting findings to stakeholders. Requirements include...Remote jobFull timeFlexible hours
- Justrite Safety Group - Remote | United States Description About... ...bring to this Role: TheEHSS and Quality Senior Analystisresponsible... ...goals. This position ensures compliance with applicablefederal and... ...using Python, R, or similar coding languages. Integrate data from...Remote workTemporary workWork at office
- Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The role... ...guidelines and privacy standards. The position emphasizes quality, accuracy, and adherence to regulations. #J-18808-Ljbffr...Remote jobFraud
$57.51k - $85.84k
...guidelines are followed and identifying potential overpayment, fraud, waste, and abuse. The role requires a minimum Bachelor'... ...(5-7 years preferred); RN licensure is required and coding certification preferred. Remote work options are available; salary ranges from $57,512...Remote jobFraud- ...serve. Job Description: The Compliance Manager will report to the Director... ...physician practices, healthcare coding, billing and reimbursement, fraud waste and abuse compliance, and conflicts... ..., correct spelling and the ability to transcribe accurately. #LI-REMOTERemote workFraudWork at office
$25 - $28 per hour
...Sr. Compliance Specialist FreedomCare is a healthcare company that... ...external audits, investigating Fraud, Waste & Abuse claims. The... ...concerns for all active states Quality assurance review All other... ...knowledge of Billing and Coding preferred Nice-to-Haves:...Remote workFraud- ...unlock the full value of our fraud detection and digital trust solutions... ...., Data Feeds, Analytics, or Compliance) and deployed to sales calls... ...supply path optimization• AI coding tools experience a plus —... ...reimbursement• Casual, remote work environment with flexible...Remote workFraudContract workCasual workFlexible hoursAfternoon shiftEarly shift
$150k - $175k
...advice and oversight of CIBC's compliance with regulatory requirements,... ...the Head of Cybersecurity, Fraud & Technology Risk Management,... ...site, while other days will be remote.Who You AreBachelor’s degree... ...tests (such as simulation, coding, MS Office). Our goal for the...Remote workFraudFull time3 days per week- ...platform powers payment processing, fraud detection, and financial compliance for businesses handling 100M+ in... ...Guide junior engineers and establish coding standards, design patterns, and engineering... ...in a growing fintech company Remote-first culture with flexible working...Remote workFraudFlexible hours
- ...Inc. located in the U.S. while ensuring compliance with local statutory requirements and alignment... ...Process vendor invoices, ensuring proper coding, approval Maintain vendor records, W-9... ...and flag unusual activity or potential fraud indicators Maintain supporting...Remote workFraudContract workLocal area
- ...Corporate by ensuring accuracy and compliance of property and portfolio... ...integrity Bank reconciliations and GL coding accuracy Offshore Team Output Quality Work product accuracy, turnaround... ...Working Requirements Fully remote Fluent in English Will work...Remote workFull timeContract work
$160k - $185k
...financial products by enabling them to outpace fraud and confidently serve more people around... ...to take control of fraud, credit, and compliance risk, and grow with the clearest picture... ...and understanding object-oriented code. Scripting/coding ability not required but...Remote workFraudImmediate startHome officeFlexible hours- ...Franklin, TN corporate office with remote work flexibility Travel: Up to 25% The Compliance Investigator is responsible... ..., Clinical Operations, and Quality to evaluate concerns,... ...regulatory compliance Billing and coding concerns Fraud, waste, and abuse risks...Remote workFraudWork at office
- ...offering advanced solutions in compliance and fraud detection. We are looking... ...applications, ensuring high-quality inputs for model performance... ...fraud detection solutions. Coding experience in one of the... ...production deployments. #LI-Remote About SymphonyAI...Remote workFraudShift work
- ...Compliance Role at Baba Baba is an applied AI lab modernizing risk... ...puts licensure, credentialing, coding, privacy, marketing claims,... ...right person we'll consider remote, with regular onsite time.... ...person the company asks: Fraud, waste, and abuse: Anti-Kickback...Remote workFraudFull timeContract workFixed term contractWork at office2 days per week3 days per week
- ...matter expert in medical coding and DRG validation,... ...coding accuracy, regulatory compliance, and appropriate... ...claims operations, and quality management. This position... ...thrives in a fast-paced, remote environment and is passionate... ..., potential fraud, and quality concerns...Remote workFraudFull timeWork at officeWork from homeHome office
- ...practices. Serve as a key compliance resource to teams... ...requirements, federal/state fraud, waste and abuse laws (... ...-party billing and coding standards for... ...deliver error-free and quality product. WORK ENVIRONMENT... ...Location: Hybrid / Remote Frequently required...Remote workFraudLocal area
- ...collaborates closely with UR and with Coding, CDI, HIM, Patient Financial Services, Compliance, Quality, Finance, clinical leaders,... ...potential overpayments or fraud, waste, or abuse concerns through... ...analytics or audit software.Other: Remote corporate position.The ideal...Remote workFraudFull timeWork experience placementWork at officeFlexible hours
$150k - $160k
...The Director of Compliance is a leadership role within... ...state laws, and applicable coding guidelines. The... ...professionals (auditors, analysts, educators), setting priorities... ...site, hybrid, or fully remote work arrangements based... ...Programs, as well as fraud, waste, and abuse laws...Remote workFraudTemporary workLocal area- ...Analyst Role Focused On Credit Risk Our mission is to become the... ...ARR in 2028. We believe in a remote first approach to work and... ...and optimise credit risk and fraud strategies for our lending operations... ...between task exploration, coding and presenting. It's important...Remote workFraudHome officeShift work
$143.62k - $229.79k
...Remote Flex - North Carolina Remote Flex - Mississippi Remote... ..., ensuring timeliness, compliance, and quality of work Provide proactive... ...understanding of diagnosis coding (ICD-10-CM) , provider documentation... ...Compliance JOB ALERT FRAUD: We have become aware of...Remote workFraudFull timeLocal areaFlexible hours
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