8 results for Remote Medical Billing And Coding jobs

Medical Coder

Minneapolis, MN
remote
Temporary
28 - 31 USD / Hourly
We are looking for a skilled Clinical Consultant to join our team on a contract basis.This role focuses on supporting a strategic benefit digitization initiative, ensuring consistent and accurate coding practices across diverse markets. As part of a healthcare organization advancing its digital transformation, you will play a vital role in optimizing member and provider experiences while ensuring compliance with regulatory standards. Responsibilities:• Apply standardized coding practices to interpret and digitize benefit structures effectively.• Develop and manage groupings of procedures and service codes to ensure accurate alignment with benefit plans.• Maintain and update industry-standard codes quarterly and annually, along with benefit plan modifications throughout the year.• Execute coding solutions for benefit administration across multiple markets, including customized coding for nonstandard requests.• Ensure coding practices comply with regulatory mandates and support updates as needed.• Provide expert consultation on coding inquiries to project teams and business partners.• Collaborate with cross-functional project teams to contribute coding expertise for successful implementations.• Support benefit digitization initiatives by leveraging advanced coding methodologies and tools.• Assist in designing and implementing digital capabilities that align with organizational goal
2026-04-01T00:00:00Z

Inpatient Coding Auditor

Sharonville, OH
remote
Temporary
33 - 41 USD / Hourly
The Inpatient/DRG Validation Coding Auditor is responsible for reviewing acute inpatient medical records to ensure accurate coding, compliant documentation, and appropriate DRG assignment. The role focuses on identifying coding errors, ensuring regulatory compliance, optimizing reimbursement, and providing education and feedback to coders and CDI teams. Key Responsibilities<ul><li>Perform detailed audits of inpatient records to validate ICD-10-CM/PCS coding, DRG assignment (MS-DRG, APR-DRG, TRICARE), and clinical documentation accuracy.</li><li>Ensure documentation supports coded diagnoses, procedures, severity of illness, and resource utilization.</li><li>Identify overpayments and underpayments through claim analysis (including 30-day lookbacks).</li><li>Provide clear, compliant audit recommendations aligned with Official Coding Guidelines and AHA Coding Clinics.</li><li>Partner with CDI specialists to identify documentation improvement and query opportunities.</li><li>Maintain productivity, quality standards, and client turnaround expectations.</li><li>Stay current on regulatory changes, reimbursement policies, and coding updates.</li><li>Contribute to process improvement initiatives and compliance risk identification.</li></ul>
2026-03-18T00:00:00Z

Medical Collections II

Malvern, PA
remote
Temporary
16.625 - 20 USD / Hourly
We are looking for a skilled Medical Collections Specialist to join our team. In this long-term contract role, you will play a critical part in ensuring accurate and efficient resolution of insurance claims, denials, and billing issues. The ideal candidate is detail-oriented, self-motivated, and thrives in a fast-paced healthcare environment. Responsibilities:• Manage and review assigned claims within daily work queues, focusing on accounts with the highest priority or balances.• Investigate claims requiring follow-up due to denial reasons, claim aging, or outstanding balances.• Make outbound calls to insurance providers to address non-payment issues and clarify reasons for denials.• Document all claim activity, correspondence, and status updates thoroughly in the billing system.• Conduct detailed research and problem-solving to overcome payment barriers, leveraging available resources and critical thinking.• Organize and prioritize tasks to ensure timely follow-ups on all outstanding claims within departmental deadlines.• Collaborate with colleagues and other teams to resolve complex cases requiring escalation or additional documentation.• Maintain a high volume of calls and follow-ups while ensuring accuracy and organization.• Utilize technical expertise with Office Suite applications and practice management software to support daily tasks.• Stay current on payer guidelines, denial codes, and best practices for collections, adapting strategies as needed to resolve claims efficiently.
2026-03-25T00:00:00Z

Remote Inpatient Coding Auditor

Indianapolis, IN
remote
Contract / Temporary to Hire
62000 - 86000 USD / Yearly
Our company is searching for a Remote Inpatient/DRG Validation Coding Auditor to join our team, performing in-depth documentation and coding audits for our healthcare clients. In this audit-focused role, you’ll conduct independent reviews of inpatient medical records, evaluating the accuracy of diagnosis and procedure codes to ensure optimal reimbursement and compliance with official guidelines, regulatory requirements, and ethical standards. Leveraging your deep knowledge of DRG payment systems (such as MS, APR, and Tricare), you’ll assess coding accuracy, documentation integrity, and identify opportunities for coder education and documentation improvement. This is a fully remote position and you can live anywhere within the US. Hours: Monday - Friday 8am - 5pm EST with flexibility Responsibilities for the position include the following: <ul><li>Perform comprehensive audits of all acute inpatient medical records to identify coding errors, compliance concerns, and educational opportunities.</li><li>Interpret, evaluate, and apply ICD-10-CM/PCS coding principles and guidelines to ensure documentation adequately supports the coded diagnoses and procedures.</li><li>Verify that assigned DRGs accurately reflect patient severity and resource utilization according to MS, APR, Tricare, and related payment methodologies.</li><li>Research regulatory requirements and provide clear, well-supported recommendations in audit reports.</li><li>Collaborate with Clinical Documentation Integrity (CDI) specialists to pinpoint and communicate documentation and/or physician query opportunities.</li><li>Write concise, constructive feedback and educational notes for coders, referencing the latest official coding guidelines and AHA Coding Clinics.</li><li>Maintain established productivity and quality standards as measured by audit leadership.</li></ul>
2026-03-20T00:00:00Z

Medical Insurance Claims Specialist

Boise, ID
remote
Temporary
15 - 16 USD / Hourly
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for Idaho Residents) Responsibilities:• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.• Notify management promptly about compliance concerns related to claims payment timelines.• Perform quality reviews of claims processes to ensure adherence to organizational standards.• Collaborate with team members to identify trends and root causes of recurring issues.• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.• Support the implementation of quality measures and compliance protocols within claims operations.
2026-03-25T00:00:00Z

Medical Insurance Claims Specialist

Albuquerque, NM
remote
Temporary
15 - 16 USD / Hourly
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) Responsibilities:• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.• Notify management promptly about compliance concerns related to claims payment timelines.• Perform quality reviews of claims processes to ensure adherence to organizational standards.• Collaborate with team members to identify trends and root causes of recurring issues.• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.• Support the implementation of quality measures and compliance protocols within claims operations.
2026-03-26T00:00:00Z

Medical Claims Auditor

Emeryville, CA
remote
Temporary
39.5865 - 45.837 USD / Hourly
We are looking for an experienced Medical Claims Auditor to join our team in Emeryville, California. In this long-term contract position, you will play a pivotal role in ensuring the accuracy and compliance of medical claims while also serving as a trainer to enhance team knowledge and performance. If you have a strong background in medical coding, auditing, and training, this opportunity is ideal for you. Responsibilities:• Conduct detailed audits of paid, pending, and denied medical claims to ensure proper coding, adherence to benefit rules, and compliance with state and federal regulations, including the California Knox-Keene Act and Medi-Cal.• Design and deliver comprehensive training programs for Claims Examiners, focusing on workflows, updated policies, and emerging technologies.• Investigate complex claim issues, including provider disputes and appeals, and identify trends to propose effective corrective actions.• Compile and maintain detailed statistical and quality reports, presenting audit findings and staff performance metrics to management.• Stay informed about federal and state billing laws, including Medicare guidelines, to ensure compliance during health plan audits.• Collaborate with team members to resolve discrepancies and implement efficient claims processing practices.• Assist in the development of new audit procedures and quality control measures to continuously improve operations.• Provide subject matter expertise in medical coding standards, including ICD-10 and CPT codes, to support organizational goals.• Contribute to special projects and initiatives as needed to enhance claims auditing and training functions. If you are interested in this role please apply Now for immediate consideration.
2026-03-24T00:00:00Z

Patient Accounts Insurance Specialist

Minneapolis, MN
remote
Temporary
27.7115 - 32.087 USD / Hourly
We are looking for a Patient Accounts Insurance Specialist to join our team on a contract basis. In this role, you will play a vital part in ensuring the accurate billing and processing of insurance claims while adhering to established guidelines and procedures. This position requires strong attention to detail, excellent communication skills, and a thorough understanding of medical billing and coding practices. This role is part time, approximately 10 hours a week. Responsibilities:• Prepare and submit insurance claims using appropriate codes and ensure compliance with billing guidelines.• Review new patient admissions to accurately bill based on facility, state, funding plan, and contract requirements.• Maintain detailed knowledge of coding systems such as ICD-10 and claim field requirements for both facility and detail-oriented services.• Utilize electronic claim submission systems and clearinghouses efficiently.• Interpret and adhere to billing policies and procedures specific to the organization's facilities and states.• Communicate effectively with patients, guarantors, and insurance companies to clarify billing processes and resolve concerns.• Coordinate conference calls to address complex insurance issues involving patients and insurance representatives.• Perform regular account reviews and follow up on outstanding claims in accordance with established procedures.• Ensure claims are processed accurately by researching insurance payments and performing detailed reviews.• Work collaboratively with managed care staff for precertification needs and appeals processes.
2026-04-02T00:00:00Z