Physician Coding Auditor
Athens, GA · Remote
$57K - $99K/yr
... Coding Auditor develops and implements strategic needs analyses and training plans for coding ... RHIT (Registered Health Information Technician) #LI-HB1 #LI-REMOTE
Athens, GA · Remote
$57K - $99K/yr
... Coding Auditor develops and implements strategic needs analyses and training plans for coding ... RHIT (Registered Health Information Technician) #LI-HB1 #LI-REMOTE
Athens, GA · Remote
$57K - $99K/yr
... Coding Auditor develops and implements strategic needs analyses and training plans for coding ... RHIT (Registered Health Information Technician) #LI-HB1 #LI-REMOTE
ONLINE ACADEMIC COACH (Higher Education, Graduate-Level Programs & Courses, Remote/Virtual ... A current and valid RN license and a conferred Masters of Science in Nursing (MSN) or greater is ...
ONLINE ACADEMIC COACH (Higher Education, Graduate-Level Programs & Courses, Remote/Virtual ... A current and valid RN license and a conferred Masters of Science in Nursing (MSN) or greater is ...
$19.03 - $21.40
6% of jobs
$21.40 - $23.76
6% of jobs
$23.76 - $26.12
3% of jobs
$27.64 is the 25th percentile. Wages below this are outliers.
$26.12 - $28.49
15% of jobs
$28.49 - $30.85
17% of jobs
The median wage is $31.17 / hr.
$30.85 - $33.21
23% of jobs
$34.06 is the 75th percentile. Wages above this are outliers.
$33.21 - $35.58
15% of jobs
$35.58 - $37.94
8% of jobs
$37.94 - $40.30
0% of jobs
$40.30 - $42.67
0% of jobs
$42.67 - $45.03
7% of jobs
$19
$31
$45
| Aspect | Remote Rn Auditor | Remote Rn Reviewer |
|---|---|---|
| Certifications | RN license, auditing certifications (e.g., CHAP, RAC) | RN license, clinical review certifications |
| Work Environment | Healthcare organizations, insurance companies, auditing firms | Healthcare providers, insurance companies, utilization review |
| Primary Responsibilities | Auditing medical records for compliance, coding accuracy, and billing | Reviewing medical records for appropriateness and medical necessity |
Remote Rn Auditors focus on compliance and coding accuracy through audits, while Remote Rn Reviewers primarily assess medical necessity and appropriateness of care. Both roles require RN licensure and related certifications, often working within healthcare or insurance settings. The key difference lies in their core functions: auditing versus clinical review, though both contribute to quality and compliance in healthcare reimbursement.
As a remote RN auditor, your job is to review claims and audit financial statements to ensure validity and accuracy. In this role, you may examine documentation from the patient or clinic, evaluate the effectiveness of care, or ensure that claims comply with government regulations. RN auditors often provide advice for cutting costs and contact both healthcare providers and clients to negotiate specific claims or resolve billing issues. Remote RN auditors often work with daily or weekly batches of work as assigned, but in rare cases, you may be asked to prioritize auditing certain material when time is of the essence.

$57K - $99K/yr
Full-time
This job post has expired today. Applications are no longer accepted.
6.6
Based on 244 frontline employees who took The Breakroom Quiz
141st of 150 rated financial services
CAREER OPPORTUNITY OFFERING:
The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards. Ability to code and a clear understanding of the coding principles and guidelines for various specialties including Neurosurgery, Intervention Radiology, ENT, General Surgery, Cardiology, Anesthesia, Emergency Department.
Job Responsibilities:
Experience We Love:
Minimum Education:
Required Certifications:
Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred):
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Health care and social assistance
5,001 - 10,000 Employees
Cincinnati, OH, US
2014