Reviews coding-related provider claims denials by systematically examining medical records, denial ... Completes data points within internal applications to comply with auditing requirements used within ...
Reviews coding-related provider claims denials by systematically examining medical records, denial ... Completes data points within internal applications to comply with auditing requirements used within ...
Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon ... Certified Coder Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information ...
Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon ... Certified Coder Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information ...
Coder III : Medical Coding
Newport Beach, CA · On-site +1
$20 - $26.75/hr
Certified Professional Medical Auditor (CPMA) Cath Lab / IR: One of the following Certifications: * Certified Professional Coder (CPC) * Certified Coding Specialist (CCS) * Certified Interventional ...
Coder III : Medical Coding
Newport Beach, CA · On-site +1
$20 - $26.75/hr
Certified Professional Medical Auditor (CPMA) Cath Lab / IR: One of the following Certifications: * Certified Professional Coder (CPC) * Certified Coding Specialist (CCS) * Certified Interventional ...
Senior Auditor, Delegation Oversight (Remote)
Long Beach, CA · Remote
$88K - $108K/yr
... auditing experience, or equivalent combination of relevant education and experience. experience ... Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified Professional in Healthcare ...
Senior Auditor, Delegation Oversight (Remote)
Long Beach, CA · Remote
$88K - $108K/yr
... auditing experience, or equivalent combination of relevant education and experience. experience ... Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified Professional in Healthcare ...
Senior Auditor, Delegation Oversight (Remote)
Long Beach, CA · On-site +1
$49K - $107K/yr
... auditing experience, or equivalent combination of relevant education and experience. experience ... Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified Professional in Healthcare ...
Senior Auditor, Delegation Oversight (Remote)
Long Beach, CA · On-site +1
$49K - $107K/yr
... auditing experience, or equivalent combination of relevant education and experience. experience ... Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified Professional in Healthcare ...
Medical Coding Specialist (Inpatient) - Remote Role and Responsibilities: Review inpatient encounters and AI coding recommendations across diagnosis and procedure coding. Assess the reasoning quality ...
Medical Coding Specialist (Inpatient) - Remote Role and Responsibilities: Review inpatient encounters and AI coding recommendations across diagnosis and procedure coding. Assess the reasoning quality ...
Clinical Quality Assurance Nurse Auditor (32292)
Redding, CA · On-site +1
$34 - $35/hr
REMOTE* Clinical Quality Assurance Nurse Auditor to join the team! Schedule:: Monday-Friday 8am-5pm ... Reviews, Coding Reviews, Hospital Bill Reviews, List of Missing Records, Medical Bill ...
Clinical Quality Assurance Nurse Auditor (32292)
Redding, CA · On-site +1
$34 - $35/hr
REMOTE* Clinical Quality Assurance Nurse Auditor to join the team! Schedule:: Monday-Friday 8am-5pm ... Reviews, Coding Reviews, Hospital Bill Reviews, List of Missing Records, Medical Bill ...
Investigator, Special Investigative Unit Coding (Remote)
Long Beach, CA · On-site +1
$19.64 - $42.55/hr
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified * Critical-thinking ...
Investigator, Special Investigative Unit Coding (Remote)
Long Beach, CA · On-site +1
$19.64 - $42.55/hr
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified * Critical-thinking ...
HCC Risk Adjustment Coder, Sr.
West Hills, CA · On-site +1
$33 - $36/hr
Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation ...
HCC Risk Adjustment Coder, Sr.
West Hills, CA · On-site +1
$33 - $36/hr
Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation ...
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified * Critical-thinking ...
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified * Critical-thinking ...
Investigator, Special Investigative Unit Coding (Remote)
Long Beach, CA · On-site +1
$19.64 - $42.55/hr
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified * Critical-thinking ...
Investigator, Special Investigative Unit Coding (Remote)
Long Beach, CA · On-site +1
$19.64 - $42.55/hr
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified * Critical-thinking ...
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified * Critical-thinking ...
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified * Critical-thinking ...
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Ex...
Alhambra, CA · Remote
Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire. * Req 5 years ...
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Ex...
Alhambra, CA · Remote
Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire. * Req 5 years ...
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Ex...
Alhambra, CA · On-site +1
Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire. * Req 5 years ...
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Ex...
Alhambra, CA · On-site +1
Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire. * Req 5 years ...
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Ex...
Alhambra, CA · Remote
Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire. * Req 5 years ...
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Ex...
Alhambra, CA · Remote
Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire. * Req 5 years ...
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Ex...
Alhambra, CA · Remote
Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire. * Req 5 years ...
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Ex...
Alhambra, CA · Remote
Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire. * Req 5 years ...
HCC Risk Adjustment Coder I
West Hills, CA · On-site +1
$25 - $27/hr
Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation ...
HCC Risk Adjustment Coder I
West Hills, CA · On-site +1
$25 - $27/hr
Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation ...
Risk Adjustment Specialist
San Bernardino, CA · On-site +1
$30 - $34/hr
Description JOB SUMMARY The Risk Adjustment Specialist - Coding Compliance supports the ... Strong organizational, analytical, auditing, and data tracking skills with exceptional attention to ...
Risk Adjustment Specialist
San Bernardino, CA · On-site +1
$30 - $34/hr
Description JOB SUMMARY The Risk Adjustment Specialist - Coding Compliance supports the ... Strong organizational, analytical, auditing, and data tracking skills with exceptional attention to ...
Staff Software Engineer, Full Stack
San Francisco, CA · On-site +1
$210K - $260K/yr
Flexibility for remote work if you are not within a commutable distance to either office. The ... code-auditing strategies. * You help create a respectful, low-ego team environment, approaching ...
Staff Software Engineer, Full Stack
San Francisco, CA · On-site +1
$210K - $260K/yr
Flexibility for remote work if you are not within a commutable distance to either office. The ... code-auditing strategies. * You help create a respectful, low-ego team environment, approaching ...
Smart Contract Engineer Remote (DeFi)
San Francisco, CA · Remote
$120K - $300K/yr
We are looking for an exceptional Remote Smart Contract Engineer for one of our clients. Our client ... Work regularly with security auditors and external contributors to document and upgrade code.
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Smart Contract Engineer Remote (DeFi)
San Francisco, CA · Remote
$120K - $300K/yr
We are looking for an exceptional Remote Smart Contract Engineer for one of our clients. Our client ... Work regularly with security auditors and external contributors to document and upgrade code.
Remote Coding Auditor information
See California salary details
$20.64 - $22.06
1% of jobs
$22.06 - $23.49
1% of jobs
$23.49 - $24.91
3% of jobs
$25.85 is the 25th percentile. Wages below this are outliers.
$24.91 - $26.33
30% of jobs
$26.33 - $27.76
7% of jobs
The median wage is $28.66 / hr.
$27.76 - $29.18
12% of jobs
$29.91 is the 75th percentile. Wages above this are outliers.
$29.18 - $30.60
40% of jobs
$30.60 - $32.03
1% of jobs
$32.03 - $33.45
1% of jobs
$33.45 - $34.87
1% of jobs
$34.87 - $36.30
2% of jobs
$20
$28
$36
How much do remote coding auditor jobs pay per hour?
What is the difference between Remote Coding Auditor vs Remote Medical Biller?
| Aspect | Remote Coding Auditor | Remote Medical Biller |
|---|---|---|
| Credentials | Certifications like CPC, CCS, or CRC | Certifications like CPC or CPC-A |
| Work Environment | Reviewing medical records and coding accuracy | Submitting claims and processing payments |
| Industry Usage | Healthcare, insurance companies, hospitals | Healthcare providers, billing companies |
| Search & Comparison Intent | Understanding coding review roles | Understanding billing and claims processing |
Remote Coding Auditors focus on reviewing medical records for coding accuracy, ensuring compliance and proper reimbursement. Remote Medical Billers handle submitting claims and managing billing processes. While both roles work in healthcare and may share certifications, their core responsibilities differ, with auditors emphasizing review and compliance, and billers focusing on claims submission and payment processing.
What are some common challenges faced by Remote Coding Auditors, and how can they effectively overcome them?
What are the key skills and qualifications needed to thrive as a Remote Coding Auditor, and why are they important?
What does a Remote Coding Auditor do?
What Does a Remote Coding Auditor Do?
As a remote coding auditor, your job is to work from home to audit medical billing documents and make corrections as needed. In this role, you may study patient records to determine if a given code is appropriate, collect and enter data to monitor trends, provide feedback on performance improvement opportunities, and maintain your knowledge of auditing guidelines. Remote coding auditors frequently review past records, provide input on particularly complex cases, support large annual audits, and attend meetings when necessary. This is a remote job, so it is usually possible to use teleconference equipment, but some employers may ask you to attend meetings in person. This job title refers exclusively to medical coding, not those that audit software or website code.

Full-time
Posted 13 days ago
Molina Healthcare rating
8.0
Based on 192 frontline employees who took The Breakroom Quiz
145th of 260 rated insurance
Job description
Job Summary
Provides support through the investigation and resolution of disputes related to provider appeals, ensuring that claims adhere to correct billing standards and regulations.
Job Duties
- Reviews coding-related provider claims denials by systematically examining medical records, denial reasons, submitted claims, and claim history, in accordance with applicable state, federal, and Molina guidelines, rules, and protocols, to determine whether the documentation substantiates the services rendered.
- Conducts independent audits of non-medical records to verify billing accuracy, making decisions within designated authority to either overturn or uphold denials in a timely manner.
- Generates and communicates the determination to the provider using appropriate letter language and providing any necessary guideline links.
- Identifies, documents, and communicates any identified coding errors or inconsistencies, collaborating with appropriate internal department(s)to capture and track issues to ensure precise code editing and compliance.
- Completes data points within internal applications to comply with auditing requirements used within the departments of Molina.
- Actively participates in the enhancement of departmental processes to maintain alignment with current coding regulations and guidelines, while also refining internal procedures.
Job Qualifications
REQUIRED QUALIFICATIONS:
- At least 2 years of experience in medical coding or billing.
- Active and unrestricted Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification.
- Strong attention to detail and ability to independently read and comprehend the details of medical records.
- Comfortable working in a production-centric environment with high quality standards.
- Ability to use Microsoft Office including Outlook, Word, and Excel.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980