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Remote Clinical Auditor Jobs in Oregon (NOW HIRING)

EnableComp

DRG Auditor (REMOTE)

OR · On-site +1

$27.25 - $31/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... Match clinical documentation in the medical record to corresponding ICD-10 codes, ensuring DRG ...

Moda Health

RN Hospital Claims Auditor

Portland, OR · On-site +1

$78K - $98K/yr

Position Summary Provides clinical and technical analysis for interpretation of appropriate ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

Healthcare Support Staffing

Remote HEDIS Specialist

OR · On-site +1

HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.

Bannerhealth

Senior Healthcare Internal Audit Consultant

OR · On-site +1

$84K - $104K/yr

The shift is Monday-Friday, 8:00am-5:00pm AZ Time This is a Hybrid/Remote position if you live in ... The position will be required to work cooperatively with various external auditors. MINIMUM ...

Mineralys Therapeutics

Director of Tax

OR · On-site +1

$195K - $215K/yr

"Mineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing ... US Salary Range: $195,000-$215,000 #LI-Remote

WellSense Health Plan

Coder

$18.75 - $25/hr

The Coder manages the day to day responsibilities of chart abstraction, vendor auditing and ... remote work · Competitive salaries · Excellent benefits Responsibilities · Perform code ...

Jobs for Humanity

Quality Compliance Specialists

Salem, OR · Remote

$21.82 - $42.55/hr

Specialist, Quality Interventions/QI Compliance (Remote) Application Deadline: Open Until Filled ... Clinical Quality, Public Health or Healthcare. Preferred Experience 1 year of experience in ...

Centene

Senior Compliance Investigator

OR · On-site +1

$70K - $126K/yr

You could be the one who changes everything for our 28 million members as a clinical professional ... in investigations, auditing and risk analysis required. * 1+ year of experience in reading ...

All JobsClinical Auditor JobsRemote Clinical Auditor JobsRemote Clinical Auditor Jobs in Oregon

Remote Clinical Auditor information

See Oregon salary details

$10

$20

$49

How much do remote clinical auditor jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for remote clinical auditor in Oregon is $20.31, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $20.34 per hour, depending on experience, location, and employer.

What is a remote clinical auditor?

A Remote Clinical Auditor is a healthcare professional who reviews medical records and clinical documentation from a remote location to ensure compliance with healthcare regulations, policies, and quality standards. They assess the accuracy, completeness, and consistency of patient records, often for billing, coding, or regulatory purposes. By working remotely, they utilize secure digital systems to access records and communicate findings with healthcare providers. Their work helps healthcare organizations maintain high standards of patient care and avoid compliance issues.

What are the key skills and qualifications needed to thrive as a remote clinical auditor?

To thrive as a Remote Clinical Auditor, you need a strong background in clinical documentation, healthcare regulations, and auditing principles, typically supported by a degree in a health-related field and relevant certifications such as RHIA, RHIT, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and audit management tools is essential. Exceptional attention to detail, analytical thinking, and effective communication skills help auditors identify discrepancies and convey findings clearly. These skills ensure accurate compliance reviews, support organizational integrity, and maintain high standards in healthcare data quality.

How does a remote clinical auditor typically collaborate with on-site medical staff and other team members?

As a Remote Clinical Auditor, effective collaboration with on-site medical staff and interdisciplinary teams is essential to ensure accurate and comprehensive audit results. Communication is often managed through video conferencing, secure messaging platforms, and shared documentation systems. Regular virtual meetings and clear reporting protocols help bridge the physical distance, allowing auditors to clarify findings, address questions, and provide feedback in real time. Building strong professional relationships and maintaining a proactive communication style are key to ensuring smooth workflows and successful audit outcomes.

What is the difference between Remote Clinical Auditor vs Remote Data Analyst?

AspectRemote Clinical AuditorRemote Data Analyst
Required CredentialsCertifications in clinical auditing, healthcare complianceData analysis certifications, SQL, Excel skills
Work EnvironmentHealthcare settings, clinical research organizationsVarious industries, including healthcare, finance, marketing
Employer & Industry UsagePharmaceutical companies, CROs, healthcare providersTech firms, healthcare, finance, marketing agencies
Common Search & ComparisonYesNo

Remote Clinical Auditors focus on reviewing clinical trial data for compliance and accuracy, often requiring healthcare certifications. Remote Data Analysts interpret data sets across industries, emphasizing statistical and technical skills. While both roles involve data handling, their industry focus and required credentials differ significantly.

What are popular job titles related to Remote Clinical Auditor jobs in Oregon?

For Remote Clinical Auditor jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Remote Clinical Auditor jobs in Oregon look for?

The top searched job categories for Remote Clinical Auditor jobs in Oregon are:

What cities in Oregon are hiring for Remote Clinical Auditor jobs?

Cities in Oregon with the most Remote Clinical Auditor job openings:

Remote Clinical Auditor jobs near you
Infographic showing various Remote Clinical Auditor job openings in Oregon as of August 2026, with employment types broken down into 3% As Needed, 70% Full Time, 20% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $42,235 per year, or $20.3 per hour.

DRG Auditor (REMOTE)

OR • On-site, Remote

EnableComp
Health Care and Social Assistance • 501 - 1,000 employees

8.7

Company rating: 8.7 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

50th of 499 rated business services

Great coworkers

People enjoy working here

Good employer

Learn more about EnableCompexternal

$27.25 - $31/hr

Full-time

Posted 25 days ago

Job description

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years. 
 
Position Summary
 
The DRG Auditor is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database, DRG Reviewers utilize their technical expertise in ICD-10 coding to analyze medical records, determine coding accuracy, and make recommendations that optimize hospital reimbursement. This role requires certification as a Certified Coding Specialist (CCS) and a deep understanding of medical record documentation, clinical coding guidelines, and DRG reimbursement methodology. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.
Key Responsibilities
  • Review inpatient claims imported into the DRG database, focusing on diagnosis, procedures, grouping logic, and reimbursement accuracy.
  • Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and procedure codes.
  • Conduct detailed medical record reviews post-bill to determine if submitted diagnosis and procedure codes are accurate and complete.
  • Navigate medical records efficiently, targeting specific sections (e.g., discharge summary, operative reports) based on system edits and flagged items.
  • Match clinical documentation in the medical record to corresponding ICD-10 codes, ensuring DRG accuracy.
  • Identify and correct errors such as under coded or misclassified diagnoses and procedures.
  • Utilize Health ROI system edits to detect specific high-value opportunities (e.g., dialysis, occlusion, embolization, catheterization).
  • Make reimbursement improvement recommendations and submit findings for client review and approval.
  • Collaborate with leadership on case prioritization and workflow management.
  • Stay informed on coding updates, payer guidelines, and DRG changes to support accurate recommendations.
  • Analyze client reporting.
  • Identify new revenue opportunities related to all inpatient DRG related components.
  • Other duties as required.
Requirements and Qualifications
  • Associate's or bachelor's degree in health information management or related field required. (RHIT or RHIA credentialed individuals encouraged).
  • Certified Coding Specialist (CCS) certification required.
  • 2-3 years' experience in DRG validation, inpatient medical coding, or related coding review.
  • Strong understanding of ICD-10-CM/PCS coding guidelines, DRG reimbursement methodology, and hospital billing processes.
  • Proficient in reading and interpreting clinical documentation across multiple departments (e.g., nursing, operative, radiology, pharmacy).
  • Experience working in a post-bill coding environment and familiarity with DRG grouping software and billing databases.
  • Analytical thinker with a focus on financial impact and reimbursement accuracy.
  • Comfortable navigating multiple digital platforms, EMRs, and data systems.
  • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Special Considerations and Prerequisites
  • This role is primarily office-based or remote, depending on company policy, with extensive computer and document review work.
  • Must be comfortable working independently in a detail-oriented, data-driven environment.
  • Excellent communication and documentation skills to support client reporting and recommendations.
  • High integrity and professionalism in handling PHI and confidential information.
  • Strong collaboration and responsiveness to feedback from leadership and client partners.
  • Ability to review and analyze large volumes of medical and billing data.
  • Strong focus and attention to detail in identifying discrepancies and ensuring compliance.
  • Ability to manage high volumes of case processing with accuracy and efficiency.
  • Ability to meet deadlines and handle time-sensitive workloads in a high-volume environment.
  • Proven written and verbal communication skills.
  • Strong analytical and problem-solving skills.
  • Ability to prioritize and manage multiple competing priorities and projects concurrently.
  • Proven experience working with external clients; strong customer service skills and business acumen.
  • Timely and regular attendance.
EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.
 
EnableComp recruits, develops and retains the industry's top talent.  As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people.  We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies.  If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.
 
 Don't just take our word for it!  Hear what our people are saying:
"I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other." - Revenue Specialist
 
"I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun." - Supervisor, Operations
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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