- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire ... Start Date: December 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities for a state… more
- AdventHealth (Daytona Beach, FL)
- …Daytona Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the ... process for assigned staff, as well as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for … more
- Insight Global (South Jordan, UT)
- …(2 years in clinical documentation) OR IF NOT A NURSE: Degree in RHIM, RHIA, RHIT with medical coding degree or just CCS is fine with strong clinical knowledge ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...Below are the key responsibilities for this role: Integrates medical chart coding principles, clinical guidelines, and… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding , and the structure and format of a health ... to work onsite for this position Telework: Not Authorized Remote : Not authorized; work is onsite Financial Disclosure Report:...courses in medical terminology, anatomy and physiology, medical coding , and introduction to health records);… more
- CIBC (New York, NY)
- …As a member of CIBC's Internal Audit team, the Senior Auditor /Manager/Senior Manager is responsible for conducting risk-focused audits; advising business units ... days per week on-site, while other days will be remote ._ _**Kindly note that we are hiring for 3...we are hiring for 3 open positions - Senior Auditor /Manager/Senior Manager. The job level will be determined based… more
- SSM Health (MO)
- **It's more than a career, it's a calling.** MO- REMOTE **Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor ... Appeals denials which are found to be unsubstantiated through review of the medical record and/or billing information. Tracks assigned cases and enters data of audit… more
- Dartmouth Health (Lebanon, NH)
- …audit and monitor completeness, accuracy and timeliness of documentation, coding , billing, reimbursement, efficiency and effectiveness of operations and compliance ... compliance objectives. Performs complex professional and facility (DRG or APC) coding and billing audits across all clinical specialties. Responsibilities * Plans… more
- Baystate Health (Springfield, MA)
- **Summary:** Location: Commutable Remote -Springfield MA Schedule: Monday-Friday; Dayshift; Per Diem Responsible for performing a variety of diversified duties in ... connection with reviews of medical record documentation for professional billing to ensure it...billing. **2)** Validates and identifies appropriate ICD-9 (ICD-10) diagnosis coding as it pertains to specific risk adjustments and… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …cycle services performed for Bon Secours Mercy Health. *Please note this role is remote , but requires living in the continental US and working hours in alignment ... Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development of compliance… more
- Centene Corporation (Tallahassee, FL)
- …Associate's degree in related field or equivalent experience. 2+ years of medical or pharmacy claims processing, training or auditing experience. Knowledge of claim ... interpret state and provider contracts preferred. Knowledge of CPT/HCPCS Coding preferred.Pay Range: $19.04 - $32.35 per hour Centene...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more