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Remote Medical Auditor Jobs in Tennessee (NOW HIRING)

Vertek Staffing

Revenue Integrity Analyst

Franklin, TN · Remote

Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday ... CPMA (Certified Professional Medical Auditor) * CPC (Certified Professional Coder) * COC (Certified ...

EnableComp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$27 - $30.50/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... Navigate medical records efficiently, targeting specific sections (e.g., discharge summary ...

Wellpath

Compliance Analyst (Remote)

Franklin, TN · Remote

Certified Professional Medical Auditor (CPMA) through AAPC - preferred, or to be obtained within the first twelve (12) months of employment * Certified Professional Biller (CPB) through AAPC ...

Wellpath

Compliance Analyst (Remote)

Franklin, TN · Remote

Certified Professional Medical Auditor (CPMA) through AAPC -- preferred, or to be obtained within the first twelve (12) months of employment * Certified Professional Biller (CPB) through AAPC ...

Wellpath

Compliance Analyst (Remote)

Franklin, TN · Remote

Certified Professional Medical Auditor (CPMA) through AAPC -- preferred, or to be obtained within the first twelve (12) months of employment * Certified Professional Biller (CPB) through AAPC ...

Altegra Health

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...

AMSURG

Staff Accountant (Remote-Centric Hybrid)

Nashville, TN · On-site

$53K - $70K/yr

Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare ... Auditing internal documentation regarding legal documents for assigned centers. * Lease analysis.

Quorum Health

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You ... coding edits, auditing, and staff education. * Assigned functions may include inpatient ...

QHC ARM Shared Services

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You ... coding edits, auditing, and staff education. * Assigned functions may include inpatient ...

Quorum Health

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You ... coding edits, auditing, and staff education. * Assigned functions may include inpatient ...

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Remote Medical Auditor information

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$12

$19

$26

How much do remote medical auditor jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote medical auditor in Tennessee is $19.62, according to ZipRecruiter salary data. Most workers in this role earn between $15.72 and $24.86 per hour, depending on experience, location, and employer.

What is a remote medical auditor?

Remote Medical Auditors are professionals who review and analyze medical records, billing data, and coding procedures from a remote location to ensure accuracy, compliance, and proper reimbursement. They work with healthcare providers to identify discrepancies, detect fraud, and improve documentation practices. This role typically requires strong knowledge of healthcare regulations, medical coding systems, and auditing standards. Remote Medical Auditors play a crucial part in helping organizations maintain compliance with insurance and government requirements while reducing financial and legal risks.

What does a remote medical auditor do?

Most remote medical auditors specialize in medical coding and billing, which is a complex element of the industry used by insurance and care companies to help determine the care and reimbursements patients qualify for. As a remote medical auditor, you work from home to audit the records of a medical facility to ensure compliance with all regulations. In this role, you may be asked to check that bills are accurate, to perform random quality assurance tests, to provide ongoing feedback, and to answer queries from coders. Many remote medical auditors also generate quality assurance scores to evaluate coder performance and ensure a consistently high level of accuracy for coded data.

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

To thrive as a Remote Medical Auditor, you need strong knowledge of medical coding, billing practices, and healthcare regulations, typically supported by certifications such as CPC, CCS, or CPMA. Proficiency with auditing software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is essential. Attention to detail, analytical thinking, and effective communication are standout soft skills for this role. These abilities are crucial to ensure accurate compliance, reduce errors, and maintain the integrity of healthcare billing and documentation.

What are some common challenges faced by remote medical auditors, and how can they be effectively managed?

Remote Medical Auditors often encounter challenges such as staying current with ever-changing healthcare regulations, ensuring data security when handling sensitive patient information, and maintaining clear communication with healthcare providers and billing teams from a distance. To effectively manage these challenges, it's important to regularly participate in professional development, use secure digital tools for data exchange, and establish structured communication protocols within the team. Additionally, strong organizational skills and self-motivation are key to successfully navigating the remote work environment and meeting audit deadlines.

Can a remote medical auditor work from home?

Yes, remote medical auditors typically work from home, as the role involves reviewing medical records and claims electronically. They often use specialized auditing software and must maintain confidentiality and accuracy while working independently. This setup allows for flexible schedules and reduces the need for physical office presence.
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Remote Medical Auditor jobs near you
Infographic showing various Remote Medical Auditor job openings in Tennessee as of August 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $40,813 per year, or $19.6 per hour.

Coding and Medical Records Auditor- Remote

American Health Partners

Franklin, TN • On-site, Remote

Full-time

Posted 15 days ago

Job description

JOB SUMMARY:
TruHealth is the clinical arm of the health plan and supplies the model of care. The Coding and Medical Records Auditor will be
responsible for conducting coding audits prior to claims submission. This position will ensure appropriate and accurate coding is
applied for each member of the plan. Additionally, post-payment coding reviews may be performed with coding education
correspondence sent to providers
The Coding and Medical Records Auditor will be responsible for conducting coding audits prior to claims submission. This position will ensure appropriate and accurate coding is applied for each member of the plan. Additionally, post-payment coding reviews may be performed with coding education correspondence sent to providers.
ESSENTIAL JOB DUTIES:
To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.
  • Review claims prior to billing to provide a proactive level of accuracy.
  • Assess trends; communicate appropriate education both individually to staff and collectively as an organization.
  • Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries as needed to verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
  • Conduct pre-claim and post-claim coding audits to ensure accurate claims' denials.
  • Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment.
  • Assist with validation audits to evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives.
  • Work assigned coding projects to completion.
  • Provide a high level of customer service to internal and external customers by consistently meeting and/or exceeding expectations including but not limited to quality and productivity.
  • Escalate appropriate coding audit issues to management as required and follow departmental/organizational policies and procedures.
  • Maintain required levels of production and quality standards as established by management.
  • Work directly with provider representatives and executive directors on Letters of Agreement (LOAs) to ensure appropriate coding methodology and reimbursement.
  • Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of coding standards.
  • Follow all appropriate Federal and State regulatory requirements and guidelines applicable to Health Plan operations or as documented in company policies and procedures.
  • Participate in and support ad-hoc coding audits as needed.
  • Other duties as assigned

EXPERIENCE:
  • 3 years HCC coding and/or coding and billing required
  • 5 years HCC coding and/or coding and billing preferred
  • 2+ years of complex claims processing and/or coding auditing experience in the health insurance industry or medical health care delivery system recommended.
  • 2 + years of experience in managed healthcare environment related to claims' and/or coding audits recommended.
  • 2 year(s): Knowledge of standard coding and reference materials used in a claim setting, such as CPT4, ICD10, HCPCS and others
  • 2 year(s): Knowledge of CMS requirements regarding claims processing and coding; especially Skilled Nursing Facility and other complex claim processing rules and regulations
  • 2 year(s): Coding/auditing claims for Medicare and Medicaid plans.
  • 2 year(s): Experience in managed healthcare environment related to coding audits
  • 2 year(s): Complex claims processing and/or coding experience in the health insurance industry or medical health care delivery system

LICENSE/CERTIFICATION: REQUIRED (any of the following):
  • Certified Professional Coder (CPC)
  • Certified Risk Coder (CRC) • Certified Coding Specialist (CCS)
  • Certified Documentation Integrity Practitioner (CDIP)
  • Certified Clinical Documentation Specialist ( CCDS)
  • Registered Health Information Technician (RHIT)

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
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About American Health Partners

Sourced by ZipRecruiter

American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Franklin, TN, US

Year founded

1976

Social media

Facebook

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