Remote Auditor Jobs in United States (480)

Coding Auditor and Educator Professional Fee 16 applicants

Claims Auditor

The Claims Auditor performs pre-pay and post-pay audits to ensure the accuracy of claims payments and denials. They also maintain regulatory compliance and work closely with other departments to resolve processing errors.

Vehicle Inventory Rep & Auditor

The Vehicle Inventory Rep travels to dealerships to document vehicle details such as VIN, price, and mileage. They also conduct audits of body shops to ensure accurate data for automotive market valuations.

Coding Auditor

The Coding Auditor is responsible for resolving medical coding claim defects to ensure accurate and timely reimbursement. They perform detailed reviews of claim denials and provide expert guidance to optimize the revenue cycle.

Senior Credentialing Representative - Quality Auditor

The role involves processing credentialing and recredentialing applications, performing primary source verifications, and maintaining data in the credentialing database. Additionally, the representative will monitor sanctions, communicate with committee members, and support provider enrollment efforts.

CODING EDUCATOR & AUDITOR

The role involves developing and conducting coding and billing training programs while ensuring compliance with government and third-party payer regulations. Additionally, the incumbent will perform medical coding audits for providers and coding specialists to address educational needs and maintain revenue integrity.

Auditor

Provide assurance services and business advice to clients within the Asset Wealth Management sector. Act as a team leader to resolve complex issues and manage client expectations while utilizing automation and digitization tools.

Solid Organ Transplant Coding Auditor

The incumbent performs audits on procedural billing, facility E&M, and ICD-10 coding to ensure accuracy and compliance with reimbursement rules. They also assist in training departmental personnel on documentation processes and coding guidelines.

Vehicle Inventory Rep & Auditor

The role involves traveling to automotive dealerships and repair facilities to conduct vehicle inventory and audits. Responsibilities include documenting vehicle information, performing visual inspections, and submitting accurate data to support market valuation.

Agriculture Standards Auditor | California Area

Conduct food safety inspections and audits in accordance with QIMA/WQS and scheme owner standards. Evaluate findings and communicate results effectively to client representatives while maintaining strict reporting timelines.

Stop Loss Claim Auditor

The Stop Loss Claim Auditor reviews and audits reimbursement requests to ensure accurate payments in accordance with plan documents and contractual requirements. They also perform aggregate claim calculations, monitor high-cost claims, and maintain detailed documentation of all audit activities.

Grant Finance Auditor

Performs advanced financial and compliance audits to ensure adherence to federal and state regulations, grant requirements, and agency policies. Leads risk-based monitoring of contractors and sub-recipients to identify deficiencies and support corrective action planning.

Chargemaster Auditor, Full Time, First Shift

The Charge Master Auditor is responsible for performing detailed charge audits to ensure compliance and resolve charging discrepancies. They also provide outreach education to clinical departments and work to reduce unbilled accounts by resolving charge-related errors.

GCP QA Auditor III

The Quality Assurance Auditor III leads complex internal and external audits to ensure compliance with global regulatory guidelines and quality standards. This role identifies non-conformance issues, performs root cause analysis, and provides strategic consultation to project teams and clients.

External Auditor Physician

The External Auditor Physician reviews professional services medical records to ensure coding accuracy and documentation quality for ICD-10-CM and CPT/HCPCS codes. They are responsible for identifying query opportunities, maintaining auditing productivity, and reporting findings to clients.

Sr. Premium Auditor - Remote

The auditor is responsible for conducting physical and virtual audits of commercial insurance policies to ensure accurate premium calculations and classification. They must manage their own territory, resolve audit disputes, and provide technical expertise to internal and external stakeholders.

Remote Special Process Auditor

The auditor will support the Nadcap certification compliance program and provide quality oversight for global Honeywell Aerospace sites. They will also lead special process audits, drive corrective actions, and collaborate with cross-functional teams to improve manufacturing reliability.

Claims Auditor II

Perform audit samples on benefit coding, reimbursement, and pharmacy claims to ensure accurate adjudication and compliance. Manage audit findings through resolution, documentation, and collaboration with internal business teams.

Auditor, Medical Devices - Full-Time

The auditor will lead and participate in management system assessments for medical device clients in accordance with accredited certification programs. They are responsible for verifying compliance, preparing audit reports, and providing technical support to clients and internal teams.

Auditor Clinical Validation Outpatient Specialty Clinical

The auditor is responsible for performing clinical chart validation and coding audits for outpatient and specialty claims to ensure accuracy and medical necessity. They will interpret medical records, document audit results, and identify opportunities for process improvements or claim recoveries.

DRG Validation Auditor: Full-time Remote

The DRG Validation Auditor reviews inpatient claims to ensure coding accuracy based on medical records and industry guidelines. They also serve as a subject matter expert for payment integrity and contribute to process improvements within the audit team.

Inpatient Medical Coding Auditor

The Inpatient Medical Coding Auditor extracts clinical information from medical records to assign accurate procedural terminology and medical codes. They review inpatient hospital claims to ensure correct reimbursement and appropriate diagnosis related group (DRG) assignments.

Premium Auditor II

The Premium Auditor examines policyholders' financial records to ensure accurate calculation of earned premiums according to insurance guidelines. They are responsible for communicating audit findings through formal reports and coordinating with various stakeholders to address risk conditions.

Accounts Receivable Quality Assurance Auditor

The Quality Assurance Auditor conducts detailed audits of billing activities, claim follow-ups, and collection efforts to ensure compliance and accuracy. They provide feedback to staff, identify performance trends, and collaborate with leadership to refine billing policies and workflows.

Revenue Integrity Auditor

The auditor will perform charge capture reconciliation audits to ensure compliance with health system policies and facilitate corrective action plans for non-compliant departments. They are also responsible for maintaining expertise in third-party billing regulations and analyzing charge data to support revenue integrity.

Auditor

Execute and support external audit engagements for clients within the Asset & Wealth Management sector while evaluating financial statements against regulatory standards. Collaborate with engagement teams to identify audit risks, perform substantive testing, and communicate findings to stakeholders.

Auditor

Execute and support external audit engagements for clients within the Asset & Wealth Management sector. Evaluate financial statements and disclosures while identifying and assessing financial reporting and audit risks.

PARD Lead Auditor - Novitas

The Lead Auditor performs desk reviews and audits of Medicare cost reports while overseeing the daily workload and training of the audit team. They ensure compliance with CMS regulations and internal quality standards while coordinating complex audit projects.

Call Quality Auditor

The Call Quality Auditor will evaluate patient scheduling and referral calls to ensure service quality, accuracy, and compliance with healthcare standards. They will also provide performance feedback, lead coaching sessions, and recommend process improvements to support operational readiness.

HIM Coding Auditor/Educator

The HIM Coding Auditor-Educator leads coding quality initiatives by performing inpatient and outpatient audits to ensure accurate DRG assignment and regulatory compliance. They are responsible for developing and maintaining comprehensive training programs based on audit findings and coding quality trends.