Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor ... contracts and regulatory guidelines. * Analyze provider disputes for patterns or recurring issues.
Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor ... contracts and regulatory guidelines. * Analyze provider disputes for patterns or recurring issues.
Outpatient Auditor III - Remote Certified
$70K - $90K/yr
Strong understanding of payer contracts, claim adjudication, and reimbursement variance analysis ... auditing career. * Work-life balance: Enjoy remote flexibility with limited travel. Your APC ...
Outpatient Auditor III - Remote Certified
$70K - $90K/yr
Strong understanding of payer contracts, claim adjudication, and reimbursement variance analysis ... auditing career. * Work-life balance: Enjoy remote flexibility with limited travel. Your APC ...
Smart Contract Engineer Remote (DeFi)
Boston, MA · 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.
Quick apply
Smart Contract Engineer Remote (DeFi)
Boston, MA · 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.
Smart Contract Engineer Remote (DeFi)
New York, NY · 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.
Quick apply
Smart Contract Engineer Remote (DeFi)
New York, NY · 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.
Auditor 9-12 (Commission Audits)
Lansing, MI · On-site +1
$24.44 - $45.78/hr
Permanent Full Time Remote Employment: Flexible/Hybrid Job Number: 5901-26-OCA-1-Auditor9-12-LB ... GAGAS) for contracts of consultants and railroad companies and performs internal audits/risk ...
Auditor 9-12 (Commission Audits)
Lansing, MI · On-site +1
$24.44 - $45.78/hr
Permanent Full Time Remote Employment: Flexible/Hybrid Job Number: 5901-26-OCA-1-Auditor9-12-LB ... GAGAS) for contracts of consultants and railroad companies and performs internal audits/risk ...
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.
Quick apply
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.
Smart Contract Engineer Remote (DeFi)
Mountain View, 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.
Quick apply
Smart Contract Engineer Remote (DeFi)
Mountain View, 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.
Contract Analyst
Houston, TX · Remote
$26/hr
The primary responsibilities will include reviewing and auditing contract files and related ... Both local and virtual/remote candidates are welcome and will be considered for this opportunity.
Contract Analyst
Houston, TX · Remote
$26/hr
The primary responsibilities will include reviewing and auditing contract files and related ... Both local and virtual/remote candidates are welcome and will be considered for this opportunity.
Associate Director, Clinical Quality Assurance Auditor
$195K - $227K/yr
Oversee and coordinate with contract auditors on internal and external quality audits of clinical ... Other duties as assigned. #LI-REMOTE Pay Range: In the U.S., the hiring pay range for fully ...
Associate Director, Clinical Quality Assurance Auditor
$195K - $227K/yr
Oversee and coordinate with contract auditors on internal and external quality audits of clinical ... Other duties as assigned. #LI-REMOTE Pay Range: In the U.S., the hiring pay range for fully ...
Provider Coding Auditor & Educator
Albuquerque, NM · Remote
$30 - $38/hr
Provider Coding Auditor & Educator Location (City, State ... Remote (U.S.) Industry: Healthcare / Revenue Cycle / Coding Compliance Pay: $30 - $38/hr (Contract ...
Quick apply
Provider Coding Auditor & Educator
Albuquerque, NM · Remote
$30 - $38/hr
Provider Coding Auditor & Educator Location (City, State ... Remote (U.S.) Industry: Healthcare / Revenue Cycle / Coding Compliance Pay: $30 - $38/hr (Contract ...
Provider Coding Auditor & Educator
Albuquerque, NM · Remote
$30 - $38/hr
Provider Coding Auditor & Educator Location (City, State ... Remote (U.S.) Industry: Healthcare / Revenue Cycle / Coding Compliance Pay: $30 - $38/hr (Contract ...
Provider Coding Auditor & Educator
Albuquerque, NM · Remote
$30 - $38/hr
Provider Coding Auditor & Educator Location (City, State ... Remote (U.S.) Industry: Healthcare / Revenue Cycle / Coding Compliance Pay: $30 - $38/hr (Contract ...
Smart Contract Engineer Remote USA (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.
Quick apply
Smart Contract Engineer Remote USA (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.
Smart Contract Engineer Remote USA (DeFi)
Mountain View, 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.
Quick apply
Smart Contract Engineer Remote USA (DeFi)
Mountain View, 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.
Inpatient Auditor
Tampa, FL · Remote
$36 - $40/hr
Remote - Anywhere in the United States Schedule: Full-Time, Monday-Friday, EST Business Hours Are ... Job Type & Location This is a Contract to Hire position based out of Tampa, FL. Pay and Benefits ...
Inpatient Auditor
Tampa, FL · Remote
$36 - $40/hr
Remote - Anywhere in the United States Schedule: Full-Time, Monday-Friday, EST Business Hours Are ... Job Type & Location This is a Contract to Hire position based out of Tampa, FL. Pay and Benefits ...
Smart Contract Engineer Remote USA (DeFi)
New York, NY · 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.
Quick apply
Smart Contract Engineer Remote USA (DeFi)
New York, NY · 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.
Smart Contract Engineer Remote USA (DeFi)
Boston, MA · 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.
Quick apply
Smart Contract Engineer Remote USA (DeFi)
Boston, MA · 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.
Inpatient Auditor
Linthicum Heights, MD · Remote
$36 - $40/hr
Remote - Anywhere in the United States Schedule: Full-Time, Monday-Friday, EST Business Hours Are ... Job Type & Location This is a Contract to Hire position based out of Linthicum Heights, MD. Pay and ...
Inpatient Auditor
Linthicum Heights, MD · Remote
$36 - $40/hr
Remote - Anywhere in the United States Schedule: Full-Time, Monday-Friday, EST Business Hours Are ... Job Type & Location This is a Contract to Hire position based out of Linthicum Heights, MD. Pay and ...
... provider contract payments in our payer systems, and by ensuring correct claims payment for ... Remote, work at home. While this is a remote position, occasional travel to Humana's offices for ...
... provider contract payments in our payer systems, and by ensuring correct claims payment for ... Remote, work at home. While this is a remote position, occasional travel to Humana's offices for ...
SOC 2 Assessor (Part time & Remote)
Sterling, VA · On-site +1
$50 - $90/hr
TestPros is looking for Expert level SOC 2 Auditors with experience performing SOC 2 Type 2 Assessments. Position Type: Consultant (Project-Based) Location: Remote Contract Period: February 2026 ...
SOC 2 Assessor (Part time & Remote)
Sterling, VA · On-site +1
$50 - $90/hr
TestPros is looking for Expert level SOC 2 Auditors with experience performing SOC 2 Type 2 Assessments. Position Type: Consultant (Project-Based) Location: Remote Contract Period: February 2026 ...
Auditor 9-12 (Commission Audits)
Lansing, MI · On-site +1
$24.44 - $45.78/hr
... GAGAS) for contracts of consultants and railroad companies and performs internal audits/risk ... remote work and alternate work schedule requests for this position may be considered. For ...
Auditor 9-12 (Commission Audits)
Lansing, MI · On-site +1
$24.44 - $45.78/hr
... GAGAS) for contracts of consultants and railroad companies and performs internal audits/risk ... remote work and alternate work schedule requests for this position may be considered. For ...
Remote Contract Auditor information
See salary details
$10.34 - $13.61
15% of jobs
$14.34 is the 25th percentile. Wages below this are outliers.
$13.61 - $16.89
46% of jobs
$18.63 is the 75th percentile. Wages above this are outliers.
$16.89 - $20.17
26% of jobs
$20.17 - $23.45
7% of jobs
$23.45 - $26.73
1% of jobs
$26.73 - $30
1% of jobs
$30 - $33.28
1% of jobs
$33.28 - $36.56
0% of jobs
$36.56 - $39.84
1% of jobs
$39.84 - $43.12
1% of jobs
$43.12 - $46.39
0% of jobs
$10
$19
$46
How much do remote contract auditor jobs pay per hour?
What is a Remote Contract Auditor?
What are some common challenges faced by Remote Contract Auditors, and how can they be managed effectively?
What are the key skills and qualifications needed to thrive as a Remote Contract Auditor, and why are they important?
What is the difference between Remote Contract Auditor vs Remote Internal Auditor?
| Aspect | Remote Contract Auditor | Remote Internal Auditor |
|---|---|---|
| Certifications | CPA, CIA, CISA | CPA, CIA, CISA |
| Work Environment | Client sites, remote, consulting firms | Corporate offices, remote, internal departments |
| Employer & Industry | Accounting firms, consulting agencies, government | Corporations, government agencies, non-profits |
| Search & Comparison Intent | Yes | Yes |
Remote Contract Auditors typically work on short-term projects for clients, focusing on compliance and financial accuracy, often in consulting or external audit firms. Remote Internal Auditors are employed within organizations to evaluate internal controls and processes regularly. While both roles require similar certifications and work remotely, their primary focus and employer types differ, with Contract Auditors serving external clients and Internal Auditors working internally.
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 14 days ago
Job description
Claims Quality Auditor| Remote
Job Type: Full time
Work Setup: Remote
Reports to: Claims Supervisor
Position Summary:
TheClaims Quality Auditor plays a key role in ensuring the accuracy, compliance, and effectiveness of claims processing and provider dispute resolution. The ideal candidatehas hands on experience withEZCap,auditing claims, analyzing dispute claims and evaluating internal policies and regulatory requirements, with a particular focus on Medi-Cal and commercial health plans.This role is responsible to partners closely with cross-functional teams to drive continuous improvement and operational excellence.
Key Duties:
- Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy and compliance with provider contracts and regulatory guidelines.
- Analyze provider disputes for patterns or recurring issues.
- Identify root causes and work with relevant teams to implement corrective actions and process improvements.
- Develop and track performance related to claims accuracy, turnaround time, and dispute resolution efficiency.
- Conduct thorough root cause analyses on high-impact errors or escalations.
- Support training initiatives by identifying knowledge gaps and assisting in the development of updated procedures and documentation based on audit results.
- Ensure all reviewed processes align with applicable regulatory requirements. Participate in internal and external audits as needed.
Qualifications:
- High school diploma or equivalent
- At least 3-5 years of Quality Analyst in healthcare,TPA, or health plan settings/ healthcare claims or in a claims processing/adjudication environment
- Hands-on experience with EZCap (strongly preferred)
- Familiarity with Medi-Cal and Commercial insurance claim
- Strong analytical and problem-solving skills
- Excellent verbal and written communication
- Attention to detail in documentation and compliance
- Ability to manage multiple tasks and meet deadlines
- Experience with other claim adjudication platforms and provider systems.
- Familiarity with DHCS, DMHC, CMS dispute handling regulations.
What We Offer
- Remote work offered
- Equipment provided
- Paid training to set you up for success
- Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
- Paid Time Off (PTO)
- 7 paid holidays
- A supportive team and a company that values internal growth
COMPANY OVERVIEW:
Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.
The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.
Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.