Minimum of 7-10 years of experience in post-payment auditing, healthcare reimbursement, or revenue ... Excellent understanding of healthcare billing, coding (ICD-10, CPT, HCPCS), and payer policies
Minimum of 7-10 years of experience in post-payment auditing, healthcare reimbursement, or revenue ... Excellent understanding of healthcare billing, coding (ICD-10, CPT, HCPCS), and payer policies
Outpatient Coder 3 (H)
Medley, FL · On-site +1
Under the general direction of the Outpatient Coding Manager, the Outpatient Coder 3 reviews ... Capable of working in a 100% remote environment with little supervision, while also staying focused ...
Outpatient Coder 3 (H)
Medley, FL · On-site +1
Under the general direction of the Outpatient Coding Manager, the Outpatient Coder 3 reviews ... Capable of working in a 100% remote environment with little supervision, while also staying focused ...
Healthcare Compliance Manager (Remote, U.S.)
Fort Lauderdale, FL · Remote
$95K - $120K/yr
Remote or Hybrid with office located in Fort Lauderdale, FL Status: Full Time Dress code: Business ... You will oversee and evolve the Compliance strategy across the company, by auditing and analyzing ...
Healthcare Compliance Manager (Remote, U.S.)
Fort Lauderdale, FL · Remote
$95K - $120K/yr
Remote or Hybrid with office located in Fort Lauderdale, FL Status: Full Time Dress code: Business ... You will oversee and evolve the Compliance strategy across the company, by auditing and analyzing ...
Director, Quality Assurance (Quality Systems)
Fort Lauderdale, FL · On-site +1
$2/hr
Professional certifications such as ASQ Certified Quality Auditor (CQA), Regulatory Affairs ... Expertise in the US FDA Code of Federal Regulations and International Council on Harmonisation (ICH ...
Director, Quality Assurance (Quality Systems)
Fort Lauderdale, FL · On-site +1
$2/hr
Professional certifications such as ASQ Certified Quality Auditor (CQA), Regulatory Affairs ... Expertise in the US FDA Code of Federal Regulations and International Council on Harmonisation (ICH ...
Professional certifications such as ASQ Certified Quality Auditor (CQA), Regulatory Affairs ... Expertise in the US FDA Code of Federal Regulations and International Council on Harmonisation (ICH ...
Quick apply
Professional certifications such as ASQ Certified Quality Auditor (CQA), Regulatory Affairs ... Expertise in the US FDA Code of Federal Regulations and International Council on Harmonisation (ICH ...
Hospital Based Outpatient Coder II - HIM - FT - Days - MSS - Remote Eligible
Miramar, FL · On-site +1
$17.25 - $22.75/hr
... Coding Specialist (CCS). For Physician Billing: Certified For Physician Billing, Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder ...
Hospital Based Outpatient Coder II - HIM - FT - Days - MSS - Remote Eligible
Miramar, FL · On-site +1
$17.25 - $22.75/hr
... Coding Specialist (CCS). For Physician Billing: Certified For Physician Billing, Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder ...
Remote Retirement Plan Compliance Analyst
Miami, FL · On-site +1
$65K - $95K/yr
FuturePlan is the nation's largest third-party administrator (TPA) of retirement plans, partnering with advisors in all 50 states. FuturePlan delivers the best of both worlds: high-touch personalized ...
Remote Retirement Plan Compliance Analyst
Miami, FL · On-site +1
$65K - $95K/yr
FuturePlan is the nation's largest third-party administrator (TPA) of retirement plans, partnering with advisors in all 50 states. FuturePlan delivers the best of both worlds: high-touch personalized ...
Remote Coding Auditor information
See Miami, FL salary details
$20 - $21.38
1% of jobs
$21.38 - $22.76
1% of jobs
$22.76 - $24.14
3% of jobs
$25.05 is the 25th percentile. Wages below this are outliers.
$24.14 - $25.52
30% of jobs
$25.52 - $26.90
7% of jobs
The median wage is $27.78 / hr.
$26.90 - $28.28
12% of jobs
$28.99 is the 75th percentile. Wages above this are outliers.
$28.28 - $29.66
40% of jobs
$29.66 - $31.04
1% of jobs
$31.04 - $32.42
1% of jobs
$32.42 - $33.80
1% of jobs
$33.80 - $35.18
2% of jobs
$20
$27
$35
How much do remote coding auditor jobs pay per hour?
What pays more, CCS or CPC?
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.
Can CPC work from home?
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.
How do I become a coding auditor?
Can you work remotely as an auditor?
Full-time
Re-posted 3 days ago
Job description
Job Summary:
We are seeking a highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines) operations. This leader will be responsible for overseeing the execution of comprehensive post-payment audits across commercial and government payers (Medicare, Medicaid, TRICARE, etc.), ensuring compliance, accuracy, and maximum revenue recovery for healthcare provider clients.
The ideal candidate brings deep knowledge of healthcare reimbursement policies, government audit programs (e.g., RAC, UPIC, MAC), and a proven ability to lead cross-functional and cross-cultural teams at scale.
Key Responsibilities:
- Lead and manage the end-to-end post-pay audit function, including planning, execution, quality assurance, and reporting.
- Direct and support a global team of audit professionals, ensuring productivity, accuracy, and compliance across both U.S.-based and Philippines-based operations.
- Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC, Medicaid Integrity Program, etc.).
- Establish and refine audit workflows, KPIs, and escalation protocols to optimize audit yield and recovery timelines.
- Collaborate with compliance, legal, and analytics teams to identify audit opportunities and mitigate risk.
- Serve as the subject matter expert for payer audit guidelines, CMS regulations, and state-specific requirements.
- Build strong relationships with internal stakeholders and clients to align audit strategies with broader revenue recovery goals.
- Develop and execute training programs and professional development plans for onshore and offshore audit staff.
- Ensure adherence to internal quality standards, HIPAA regulations, and client-specific SLAs.
- Analyze audit outcomes and present regular performance and risk reports to senior leadership.
Qualifications:
- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s or MBA preferred
- Minimum of 7–10 years of experience in post-payment auditing, healthcare reimbursement, or revenue recovery
- Proven experience managing global teams, including operations based in the Philippines
- Strong knowledge of government audit programs (RAC, MAC, CERT, ZPIC/UPIC, Medicaid audits)
- Excellent understanding of healthcare billing, coding (ICD-10, CPT, HCPCS), and payer policies
- Demonstrated ability to lead process improvement initiatives in large-scale audit operations
- High proficiency with audit and recovery systems, reporting tools, and workflow platforms
- Strong communication, leadership, and analytical skills
- Certification in auditing, billing, or compliance (e.g., CPMA, CPC, CHC) is a plus
Health Business Solutions (HBiz) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.
HBiz complies with all applicable employment laws for remote and multi-state hiring and provides reasonable accommodations as required by law.
About Health Business Solutions
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Cooper City, FL, US
Year founded
2002