REMOTE Healthcare Coding Auditor
Med Review Inc
A 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 knowledge of outpatient coding and payment methodologies, along with at least 3 years of relevant experience. The position offers competitive salary options and comprehensive benefits including health insurance and a 401(k) plan.
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- ...HumanaPosted: 2026-09-07Humana Inc. is seeking a Medical Coding Auditor for its Outpatient Facility/APC Coding Team. This remote role reviews claims, ensures CPT/HCPCS... ...interprets medical records to support accurate payments. Occasional travel to Humana offices may be...Remote work
$72.8k - $130k
...GroupPosted: 2026-09-10Outpatient Coding Compliance AuditorOptum is... .... Growing together.The Outpatient Coding Compliance Auditor performs audits of... ...enjoy the flexibility to work remotely from anywhere within the U... ...Medicare regulations and payment policies, including OPPS)Preferred...Remote workMinimum wageFull timeWork experience placementLocal area- ...Coding Auditor Location: Miramar, Florida At Memorial, we are dedicated to improving the health... ...for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis...Remote jobInternship
- ...Be Doing In This Role? The Coding Auditor works under the general... ...Operations, Clinical Documentation Integrity (CDI), Payor Revenue... ...required upon hire. Facility outpatient surgical claims experience highly... ...Los Angeles, CA, 90048, US (Remote) Overtime Status NONEXEMPT...Remote jobLocal areaShift work
- ...Humana Inc. is seeking a Senior Medical Coding Outpatient Auditor to lead coding-focused audit... ...guidelines. You will report to the Manager, Payment Integrity.The role involves researching claims... ...teams to improve audit strategies. Remote work with occasional travel is...Remote work
- ...TechnologiesPosted: 2026-09-10Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-... ..., and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported.#J-18808-LjbffrRemote work
- ...and detail-oriented Senior Integrity Auditor to join our Compliance team.... ...and reviews in areas such as coding, billing, medical record documentation... ...in multi-specialty outpatient or Ambulatory Surgery Center... ...- DRG, APC, and ASC payment methodologies - Ability to...
- ...External Auditor Outpatient Under general supervision of client, Omega's External Auditor Outpatient... ...Services medical records for coding accuracy and medical record documentation... ...Environment This job operates in a remote home office environment. This role routinely...Remote workFull timeWork at officeHome officeMonday to FridayWeekend work
- ...understand their needs and desires. Outpatient Clinical Documentation Integrity Specialist JOB SUMMARY The... ...of clinical documentation and coding across the organization’s multi-facility... ..., and follow-up activities in a remote environment. Strives to Exceed Expectations...Remote workLocal areaFlexible hours
- ...ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for... ...Association of Professional Coders (AAPC) required. Outpatient - Registered Health Information Technician (...Remote workRelocation
$73.35k - $113.25k
...Description Job Description The Payment Integrity Analyst (Team Lead) assists... ...review, hospital outpatient; trend analysis of internal... ...healthcare policies. This is a remote position. ESSENTIAL... ...of claims processing, ICD-10 Coding, DRG Validation, Coordination...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$59.3k - $80.9k
...caring community The Medical Coding Auditor reviews medical claims... ...accuracy of provider contract payments in our payer systems, and by... ...Medical Coding Auditor for the Outpatient Facility/APC Coding Team you... ...make an impact Work Style: Remote, work at home. While this is...Remote workBi-weekly payContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...DRG Revenue Integrity Auditor About the Role The DRG Revenue Integrity Auditor (DRG-A) is responsible for performing Diagnostic... ...accurately reflect the patient's true clinical picture, based on codes assigned by facility coders, and in compliance with federal...Remote work
$80k - $95k
...Insight Global is seeking a Remote DRG Validation Auditor for one of our clients to... ..., and/or inpatient coding and has a high level of understanding... ...-DRG, AP-DRG, and APR-DRG payment systems. This position is... ...for this role: • Integrates medical chart coding principles...Remote work$50k - $55k
...Medical Claims Auditor (Remote - Texas) Join the group that solves business... ...claims, validating coding accuracy, and identifying errors... ...verify correct billing and payment data. Identify and document... ...contracts) to ensure claims integrity. Support process improvements...Remote workMonday to Friday$70.8k - $123.8k
Clinical Nurse Auditor Position Description... ...of improper payments while ensuring audit... ...review inpatient and outpatient claims, evaluate... ...This position is remote within the United... ...activities by documenting coding-related findings... ...review, payment integrity, or clinical claim...Remote workWork at officeLocal area- ...controls that support them. You'll lead integrated audits that pair IT and business process... ...development for financial products (e.g., payments, lending, securitization)Work Location... ...essential for this role’s success, and remote placement will not be considered. Happen...Remote workFull timeWork at officeLocal areaRelocationFlexible hours
$68.57k - $104.84k
...Quality Control/Clinical Auditor. The Diagnostic... ...validation (clinical/coding) reviews of medical records... ...necessity rules.This is a remote position.Essential... ...transparency in healthcare payments. We are a stable and... ..., Excellence, Integrity and Teamwork (ACE-IT!)...Remote workMinimum wageFull timeLocal areaFlexible hours- ...expert human-in-the-loop integration, EnableComp provides... ...removes the burden of payment from patients and... ...Position Summary The DRG Auditor is responsible for... ...diagnosis and procedure coding. Working within a... ...primarily office-based or remote, depending on company...Remote workFlexible hours
- ...ThedaCare! Summary : The Coding Auditor performs coding quality... ...eligible ~16 hrs/week ~ Remote, flexible schedule ~ Preferred... ...related to inpatient, outpatient surgery, observation, emergency... ...of Clinical Documentation Integrity Specialists (ACDIS) PHYSICAL...Remote workAgency workPermanent employmentPart timeWork at officeFlexible hoursShift work
- ...Compliance Coding Auditor Performs a number of functions including... ...achieve mastery in the MPFS payment methodology, including the impact... ...experience with acute care outpatient coding (Required) ~... ...coding experience (Required) Remote work opportunity preferred candidates...Remote workTemporary work
- ...Outpatient Coder (Remote) Full-time Work From Home Must have Surgical/OBS coding experience and documented billing edit experience... ...Reviewing codes with revenue integrity for NCD/LCD coverage Reviewing... ...Combining codes for payment window encounters Initiating...Remote jobFull timeWork from home
- ...detail-oriented Claims Auditor to join our team in Sherman... ...the accuracy and integrity of claims processing within... ...Conduct pre- and post-payment audits to ensure proper... ...ICD-10, CPT, and HCPCS coding standards Requirements:... ...industry. This is a remote position. #J-18808-Ljbffr...Remote workWork at office
$63.74k - $95.26k
...Groups (DRG) Clinical Auditor will be responsible for... ...validation (clinical/coding) reviews of medical records... ...in healthcare payments. We are a stable and growing... ..., Excellence, Integrity and Teamwork (ACE-IT!)... ...with ADA regulations as applicable. #LI-Remote...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$30.46 - $45.69 per hour
...Billing Compliance, Senior Auditor Reporting to the... ...investigations related to coding, billing,... ...risks affecting claim payment, in partnership with administrative... ...(Evanston, IL and remote) Full Time/Part Time:... ...Endeavor Health is a fully integrated healthcare delivery...Remote workHourly payFull timeContract workPart timeFor contractorsMonday to Friday$90k - $110k
Job Title: DRG Revenue Integrity Auditor (Inpatient Coding Auditor) Employment Type: Full-Time, Permanent Salary Range: $90,000 - $110,000 per year... ...: Technical Skills Strong understanding of DRG payment systems Ability to interpret clinical documentation Familiarity...Permanent employmentFull timeLocal areaMonday to FridayFlexible hours- ...Description The Provider Coding Auditor & Educator is responsible... ...risk and support revenue integrity. Physician Professional Coding... ...Strong understanding of outpatient/physician CDI principles, including... ...changes, and balance remote and on‑site responsibilities...Remote workFull timeInterim role
$112.7k - $193.2k
...the product strategy for one of Optum Payment Integrity's Professional Claim Review products. These... ....You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you... ...- including CPT/HCPCS and E/M coding; NCCI edits; physician fee schedules (RBRVS...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst... ...subject matter expert, blending deep coding domain expertise with advanced analytics... ...with Medical Directors and internal auditors (RNs/Coders) to ensure clinical appropriateness...Remote workLocal area$78.91k - $98.64k
...appropriate procedural and diagnostic coding and payment of hospital inpatient claims... ...billing coordinator and/or auditor. # Certified... ...opportunities identified by the payment integrity analytical team. #... ...required to support remote or hybrid work. Must be comfortable...Remote workHourly payFull timeWork at officeWork from homeAfternoon shift
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