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10 results for Remote Drg Coding Auditor in Indianapolis, IN

Medical Coding Auditor

Indianapolis, IN
remote
Permanent / Full Time
62000 - 86000 USD / Yearly
Our company is searching for a Remote DRG Coding Auditor to join our client's 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 some flexibility within the daily hours by about 2-3 hours 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>
2026-04-23T00:00:00Z

Inpatient Coding Auditor

Sharonville, OH
remote
Temporary / Contract
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>
2026-05-05T00:00:00Z

IT Auditor

Charlotte, NC
remote
Temporary / Contract
95 - 110 USD / Hourly
Robert Half is seeking an IT Auditor with GenAi experience.Does this sound like you?<ul><li>This engagement supports the internal audit review of a GenAI platform that will assess whether platform and agent controls are designed and operating effectively in alignment with enterprise policies, standards, and relevant industry guidance, and whether access, integrations, prompts, tools, and orchestration are appropriately governed, restricted, tested, and monitored. </li><li>Audit AI/agentic controls, prompt and orchestration risks, integration security, tenant isolation, and MCP/API access patterns. </li><li>The request is intended to supplement the audit team with consultants who can both provide deep subject matter expertise and execute audit work to a high standard, including control testing, evidence assessment, clear workpaper documentation, and well-supported conclusions and findings. This will help ensure efficient fieldwork execution and high-quality coverage over specialized GenAI control domains.</li><li>Support execution of the GenAI platform audit with a focus on IAM, integration security, APIs, MCPs, privileged access, tenant isolation, prompt controls, agent logic, and orchestration workflows. Responsibilities include performing walkthroughs, testing control design and operating effectiveness, reviewing evidence, and documenting conclusions and findings in accordance with audit standards.</li><li>Resources should bring strong experience in access and integration security, GenAI / agentic control environments, and audit execution, including workpaper documentation, control testing, evidence assessment, and issue articulation. Relevant experience should include review of authentication, authorization, least privilege, service accounts, tool permissions, prompt governance, orchestration controls, and change management.</li></ul>
2026-05-09T00:00:00Z

Sr. Auditor

Homewood, AL
remote
Temporary to Hire
30 - 39 USD / Hourly
We are looking for an experienced Sr. Auditor to join a client-focused team on a contract-to-possible permanent basis. In this role, you will evaluate tax and regulatory compliance, identify revenue gaps, and document findings across a range of state and local tax categories. This position works closely with taxpayers and client stakeholders to review records, explain conclusions, and support accurate assessments through clear, well-supported analysis. This position will be remote but need to be local to the Alabama area. Responsibilities:• Review taxpayer books, returns, and supporting documentation to assess compliance with applicable tax and fee requirements under the guidance of leadership.• Investigate potential examination opportunities, gather background information, and coordinate scheduling for upcoming audit activities.• Analyze prior filings, historical audit results, and available financial data to prepare thoroughly for each engagement.• Meet directly with taxpayers or their representatives to explain the review process, request records, and address questions throughout the examination.• Examine accounting and operational records, validate reported information, and develop workpapers that support adjustments and calculated assessments.• Present findings in a clear and thorough manner, showing how relevant laws and rulings apply to the taxpayer’s business operations and transactions.• Respond to inquiries, assist with disputed matters when needed, and participate in discussions or hearings related to contested results.• Lead closing meetings with taxpayers or representatives to explain conclusions, support changes in liability, and work toward resolution of audit outcomes.• Stay current on tax regulations and industry requirements while completing assignments, travel, and additional duties as business needs require.
2026-05-05T00:00:00Z

Auditing Clerk

New York, NY
remote
Temporary / Contract
33.25 - 38.5 USD / Hourly
We are looking for an Auditing Clerk to support a focused review of recently processed pharmacy claims in New York, New York. This Contract position will help examine claim activity, confirm documentation accuracy, and identify irregularities related to prescribing, billing, and reimbursement practices. The ideal candidate brings at least 2 years of audit experience and can work carefully through detailed records while maintaining compliance with applicable standards. Responsibilities: • Review a targeted group of recently paid pharmacy claims to assess accuracy, completeness, and adherence to audit guidelines. • Examine prescription-related records such as original scripts, electronic orders, transfer documentation, delivery confirmation, signature logs, and compounding support files. • Analyze claim activity for unusual prescribing trends, referral relationships, override usage, ingredient cost discrepancies, geographic prescribing patterns, and payment concerns. • Verify that required prescription elements are present, including patient identifiers, issue dates, prescriber information, medication details, quantities, refill authorization, and directions for use. • Confirm that controlled substance documentation meets applicable requirements, including address details and prescriber DEA information when required by law. • Compare submitted records against state and federal documentation standards to identify exceptions, invalid records, or potential compliance gaps. • Document audit findings clearly and escalate questionable billing practices, record inconsistencies, or potential health care fraud indicators for further review. • Maintain organized audit files and prepare concise summaries of findings to support internal review and follow-up actions.
2026-05-05T00:00:00Z

Certified Medical Coder

Boca Raton, FL
remote
Temporary / Contract
24.7 - 28.6 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida. This Contract position will focus on coding accuracy, billing compliance, and reimbursement optimization while partnering with providers and revenue cycle teams. The ideal candidate brings strong experience in E/M coding, medical record auditing, and payer guideline interpretation within a regulated clinical environment. Responsibilities: • Conduct secondary reviews of billing activity to confirm coding accuracy, regulatory compliance, and appropriate reimbursement outcomes. • Examine clinical documentation to identify coding variances, prepare audit findings, and educate providers on documentation improvement opportunities. • Collaborate with physicians and care teams to clarify incomplete or conflicting chart details and resolve documentation questions affecting claims. • Escalate recurring documentation concerns, coding risks, and reimbursement patterns to revenue cycle leadership and practice management. • Partner with billing and revenue staff to support account follow-up, claim corrections, and resubmissions that improve accounts receivable performance. • Evaluate payer behavior, reimbursement trends, and policy updates to identify issues that may affect billing results or compliance. • Investigate denials, coding questions, and billing-related inquiries, then provide clear guidance based on payer rules and compliance standards. • Deliver training and day-to-day support to providers and less experienced staff on coding requirements, documentation standards, and regulatory expectations. • Assist with updates to charge documents, workflows, and related procedures to maintain alignment with organizational and payer requirements. • Protect the confidentiality of patient and financial information while completing assigned billing, coding, and audit activities.
2026-05-06T00:00:00Z

Surgery Medical Coding Specialist

Indianapolis, IN
remote
Temporary / Contract
19 - 22 USD / Hourly
We are seeking a detail-oriented Surgery Medical Coder to join our team. This role is primarily remote, but candidates must live close enough to attend minimal onsite training and occasional in-person meetings as needed. The ideal candidate will have coding experience in a surgical specialty environment and hold an active coding certification. Hours: Monday - Friday 8am -5pm Responsibilities for the position include the following:<ul><li>Review and accurately code surgical procedures, diagnoses, and related services</li><li>Ensure coding compliance with payer, regulatory, and organizational guidelines</li><li>Analyze medical documentation to assign appropriate CPT, ICD-10, and HCPCS codes</li><li>Work closely with providers and staff to clarify documentation as needed</li><li>Maintain productivity and accuracy standards in a remote work environment</li><li>Support billing and reimbursement processes through precise code assignment</li><li>Participate in minimal onsite training sessions and periodic team meetings</li></ul>
2026-05-07T00:00:00Z

IT Audit Manager

New Providence, NJ
remote
Temporary / Contract
70 - 85 USD / Hourly
Our client is a major bank looking for an experienced IT audit consultant who can execute audits surrounding IT asset management and other areas within infrastructure. Candidate must have internal audit experience with a large financial institution.
2026-05-06T00:00:00Z

Senior Data Analytics – Internal Auditor

Chicago, IL
remote
Permanent / Full Time
100000 - 121000 USD / Yearly
The salary range for this position is $100,000-$121,000 plus bonus, and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this remote role please send your resume to [email protected]. Fast-Track Career Advancement Opportunity (This position is expected to advance quickly within the company over the next few months.) ESSENTIAL FUNCTIONS & RESPONSIBILITIES: · Lead the Internal Audit data analytics function, serving as the primary point of expertise for data analytics, automation, AI-enabled solutions, and continuous auditing within the department.· Apply a data-driven mindset to build, enhance, and execute Internal Audit data solutions that deliver advanced audit capabilities, including automation, continuous auditing, and data analytics.· Lead and oversee data analytics initiatives supporting audit, SOX, and risk projects, leveraging advanced analytical techniques to enhance audit procedures, expand coverage, and identify risks.· Design and execute data-driven testing of key controls across in-scope processes, systems, and programs, elevating levels of assurance, consistency, and audit efficiency.· Develop and implement AI-enabled and advanced analytics solutions using available tools to support audit teams and audit operations.· Drive automation across audit, SOX, and risk activities, unlocking efficiencies and improving the quality and scalability of testing and analysis.· Develop and enhance continuous auditing capabilities, including dashboards and monitoring solutions that provide timely control and business insights to support management action.· Serve as a data champion within Internal Audit by elevating awareness of appropriate, effective, and responsible uses of data in assurance and advisory work.· Collaborate closely with audit teams to integrate analytics into audit planning, execution, and reporting activities.· Build and maintain strong relationships with key data leaders, system owners, and data custodians to enable timely and reliable access to data required for audit and risk initiatives.· Leverage enterprise systems such as Workday, JD Edwards (JDE), Salesforce, and other core platforms as key data sources to support audit analytics, continuous auditing, and data-driven control testing.· Use existing data sources and structures to provide more quantitative, evidence-based assessments of key risks, controls, and audit conclusions.
2026-05-07T00:00:00Z

Audit Manager

Philadelphia, PA
remote
Temporary / Contract
71 - 75 USD / Hourly
We are looking for an experienced Audit Manager to join our team on a long-term contract basis. As an Audit Manager, the role requires expertise in regulatory compliance, Sarbanes-Oxley audits, and a deep understanding of the banking industry. The ideal Audit Manager candidate will excel at identifying risks, evaluating controls, and ensuring adherence to financial regulations while delivering meaningful insights to improve processes. Situated in the Greater Philadelphia Region, this position offers a dynamic opportunity to contribute to governance, risk management, and compliance strategies. What you get to do every single day:• Lead and oversee audits focused on regulatory compliance, Sarbanes-Oxley requirements, and internal control processes within the banking sector.• Assess current processes to ensure alignment with regulatory frameworks such as Dodd-Frank, Basel accords, and Federal Reserve guidelines.• Identify risks, control gaps, and deficiencies, and propose actionable recommendations to enhance processes and controls.• Support Sarbanes-Oxley compliance efforts, including evaluating key controls, conducting walkthroughs, and performing testing and documentation.• Prepare detailed audit reports that summarize findings, risks, and recommendations for stakeholders and senior management.• Collaborate with departments such as Compliance, Finance, Legal, and IT to provide strategic advice on regulatory changes and their impact.• Monitor regulatory developments to maintain audit readiness and compliance with new standards.• Offer advisory support to improve governance, risk management, and compliance practices within the organization.• Facilitate the resolution of identified issues to ensure timely remediation and compliance.• Mentor and train staff on audit methodologies, regulatory requirements, and best practices in compliance.
2026-04-27T00:00:00Z