Manager, Audits and Appeals
Iowa City, IA · On-site +1
$98K - $131K/yr
Experience with medical coding and/or CPC Certification (or similar). * Nursing or clinical ... remote location.
New
Iowa City, IA · On-site +1
$98K - $131K/yr
Experience with medical coding and/or CPC Certification (or similar). * Nursing or clinical ... remote location.
New
Iowa City, IA · On-site +1
$98K - $131K/yr
Experience with medical coding and/or CPC Certification (or similar). * Nursing or clinical ... remote location.
New
Iowa City, IA · On-site +1
$101K - $133K/yr
Experience with medical coding and/or CPC Certification (or similar). * Nursing or clinical ... Per policy, work arrangements will be reviewed annually, and must comply with the remote work ...
New
Iowa City, IA · On-site +1
$101K - $133K/yr
Experience with medical coding and/or CPC Certification (or similar). * Nursing or clinical ... Per policy, work arrangements will be reviewed annually, and must comply with the remote work ...
New
Clive, IA · Remote
$80K - $90K/yr
This is a remote position. Seeking Registered Nurse for fully remote role to perform complex ... Certification in coding highly preferred. * A minimum of five (5) years clinical experience in an ...
Quick apply
Clive, IA · Remote
$80K - $90K/yr
This is a remote position. Seeking Registered Nurse for fully remote role to perform complex ... Certification in coding highly preferred. * A minimum of five (5) years clinical experience in an ...
Iowa City, IA · Remote
$119 - $242/hr
Compensation for CPT codes can vary based on clinician's license and state of licensure. * Expand ... Active medical license in good standing. * Comfortable prescribing medication when clinically ...
Quick apply
Iowa City, IA · Remote
$119 - $242/hr
Compensation for CPT codes can vary based on clinician's license and state of licensure. * Expand ... Active medical license in good standing. * Comfortable prescribing medication when clinically ...
Iowa City, IA · Remote
$29.05 - $67.97/hr
... LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and ...
Iowa City, IA · Remote
$29.05 - $67.97/hr
... LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and ...
Sioux City, IA · Remote
$29.05 - $67.97/hr
... LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and ...
Sioux City, IA · Remote
$29.05 - $67.97/hr
... LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and ...
Des Moines, IA · Remote
$29.05 - $67.97/hr
... LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and ...
Des Moines, IA · Remote
$29.05 - $67.97/hr
... LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and ...
Davenport, IA · Remote
$29.05 - $67.97/hr
... LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and ...
Davenport, IA · Remote
$29.05 - $67.97/hr
... LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and ...
Cedar Rapids, IA · Remote
$29.05 - $67.97/hr
... LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and ...
Cedar Rapids, IA · Remote
$29.05 - $67.97/hr
... LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and ...
West Des Moines, IA · Remote
$90K - $110K/yr
We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote ... Review PDPM classifications, clinical documentation, diagnosis coding, and reimbursement accuracy
Quick apply
West Des Moines, IA · Remote
$90K - $110K/yr
We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote ... Review PDPM classifications, clinical documentation, diagnosis coding, and reimbursement accuracy
Cedar Rapids, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Cedar Rapids, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Cedar Rapids, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Cedar Rapids, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Davenport, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Davenport, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Iowa City, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Iowa City, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Ankeny, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Ankeny, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Des Moines, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Des Moines, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Des Moines, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Des Moines, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Sioux City, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Sioux City, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Ames, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Ames, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Council Bluffs, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
Council Bluffs, IA · Remote
$29.05 - $67.97/hr
... auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in ...
$31.9K - $36.9K
4% of jobs
$36.9K - $41.9K
2% of jobs
$41.9K - $46.9K
5% of jobs
$46.9K - $51.9K
8% of jobs
$54.8K is the 25th percentile. Wages below this are outliers.
$51.9K - $56.9K
10% of jobs
$56.9K - $61.9K
4% of jobs
$61.9K - $66.9K
13% of jobs
The median wage is $67.4K / yr.
$66.9K - $71.9K
39% of jobs
$71.9K - $76.9K
6% of jobs
$76.9K - $81.9K
5% of jobs
$81.9K - $86.9K
3% of jobs
$31.9K
$64.3K
$86.9K
| Aspect | Remote Medical Coding Auditor | Remote Medical Coding Specialist |
|---|---|---|
| Certifications | Certified Professional Coder (CPC), Certified Coding Specialist (CCS) | Same as auditor, often holds CPC or CCS |
| Work Environment | Remote, healthcare facilities, insurance companies | Remote, healthcare providers, billing companies |
| Primary Role | Review and ensure coding accuracy, compliance, and reimbursement | Assign and input medical codes based on documentation |
| Industry Usage | Used by insurance companies, healthcare organizations, auditing firms | Used by hospitals, clinics, billing services |
The main difference between a Remote Medical Coding Auditor and a Remote Medical Coding Specialist lies in their focus. Auditors review and verify coding accuracy and compliance, while specialists are responsible for assigning codes. Both roles require similar certifications and often work remotely within healthcare and insurance industries.
$98K - $131K/yr
Full-time
Posted 18 hours ago
6.8
Based on 84 frontline employees who took The Breakroom Quiz
408th of 536 rated colleges and universities
Financial Oversight and Budgeting Responsibilities:
Lead and oversee all audit and appeal operations, including external payer audits, internal audits, forensic reviews, and release of information.
Develop and execute denial and appeal strategies to optimize reimbursement and minimize revenue loss.
Monitor, trend, and report audit and denial KPIs such as overturn rates, audit accuracy, financial impact, and response timeliness.
Translate audit data into actionable insights and present findings to leadership and stakeholders.
Collaborate with Patient Financial Services, HIM/Coding, Compliance, and clinical teams to resolve audit issues and prevent recurrence.
Ensure compliance with federal regulations, payer requirements, and internal policies Establish and refine audit workflows, policies, and controls to strengthen audit readiness and response.
Lead continuous improvement initiatives focused on denial prevention and revenue integrity optimization.
Manage, mentor, and develop audit and appeal staff, including performance management and training.
Serve as subject matter expert on audit and appeal processes and regulatory changes.
Serve as the primary point of contact for audit tracking software and associated tasks.
Required Qualifications:
Bachelor's degree in business, finance, or clinical field, OR an equivalent combination of education and experience.
5 years of experience with professional and facility revenue cycle operations.
2 years of supervisory experience
2 years of experience with clinical and administrative/technical denials and appeals
Experience with Epic Patient Accounting System
Experience with complex financial analysis and presentation.
Reasonable knowledge of claims payment methodologies for both physician and hospital reimbursement (ex. fee schedule, APR-DRG, EAPG, APC, per diems, etc.)
Understanding of CPT-4 and ICD-10 coding.
Ability to manage large complex projects simultaneously.
Excellent written and verbal communication skills.
Demonstrated proficiency in Microsoft Office applications.
Advanced experience using Microsoft Excel.
Demonstrated experience working effectively in a welcoming and respectful workplace environment.
Desired qualifications:
Masters degree preferred (clinical or administration)
Experience with clinical and administrative/technical denials and appeals specific to audits
Experience with medical coding and/or CPC Certification (or similar).
Nursing or clinical background.
Familiarity or experience with Epic clinical and/or administrative application build
Application Process: To be considered, applicants must upload a cover letter and resume (under the submission of relevant materials) that clearly address how they meet the listed required and desired qualifications of this position. Job openings are posted for a minimum of 7 calendar days. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification.
Up to 5 professional references will be requested at a later step in the recruitment process. For questions, contact Sharon Walther at sharon-walther@uiowa.edu.
This position is not eligible for University sponsorship for employment authorization now or in the future.
This position is eligible for hybrid work within Iowa and will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location.
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Colleges, universities, and professional schools
10,000+ Employees
Iowa City, IA, US
1847