Top 34 Quality assurance auditor Jobs in Remote

Medical Billing Quality Assurance Auditor
Brault —Remote
- $24 - $27 an hour
- Full-time
- Microsoft Outlook
- Customer service
- HIPAA
- Health insurance
- Dental insurance
14d
Claims Audit Specialist_Quality Assurance
Versant Health —Troy, NY
- $25 an hour
- Full-time
- Remote
- Bilingual
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quality Control Auditor (Remote)
North American Partners in Anesthesia —Sunrise, FL
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- High school diploma or GED
- Health savings account
- AD&D insurance
3d
Manager-Quality Assurance Auditor- GCP
Regeneron —Remote
- $114,800 - $187,400 a year
- Project management
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
Senior Auditor, Food Safety
SGS —Remote
- $87,000 - $100,000 a year
- Full-time
- Basic math
- English
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Food Safety Auditor
SGS —Remote
- $80,000 - $90,000 a year
- Full-time
- Basic math
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Coding Quality Audit Inpatient Coordinator
BJC HealthCare —St. Louis, MO
- $57,304 - $93,288 a year
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Pediatrics
- Disability insurance
- Health insurance
Associate Director, Clinical Quality Assurance Auditor
Cytokinetics —Remote
- $195,300 - $227,850 a year
- Full-time
- Remote
- Bachelor's degree
- Travel
- Senior level
Machine Learning (ML) AI Task Auditor - Freelance AI Trainer Project
Meridial —Austin, TX
- $70 - $100 an hour
- Remote
- Mid-level
- Analysis skills
- Under 1 year
- Health insurance
9h
Claims Quality Auditor
HealthEdge —Remote
- $44,000 - $50,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- 3 years
- Health insurance
1d
Financial Records Quality Analyst
AuraOne Human Data —Remote
- $20 - $40 an hour
- Remote
- Bilingual
- CPA
- Writing skills
Quality Assurance Audit Manager (Finance)
Charter School Business Management —New York, NY
- $95,000 - $105,000 a year
- Full-time
- Remote
- Microsoft Excel
- CPA
- Bachelor of Science
- Health insurance
- Dental insurance
Quick Apply
Digital Manual Accessibility Auditor
Digital Accessibility by WeCo —Remote
- $35 an hour
- Urgently hiring
- Remote
- Mid-level
- JavaScript
- 1 year
- Work from home
- Flexible schedule
Sr. QA Auditor
IQVIA —Durham, NC
- $75,400 - $188,600 a year
- Full-time
- Remote
- 5 years
- Word processing
- Bachelor's degree
- Work from home
Senior Manager Quality Audit Operations (Clinical Chart Validation)
Cotiviti —Remote
- $120,000 - $160,000 a year
- Full-time
- Computer Science
- HIPAA
- 3 years
- Paid holidays
- Disability insurance
Food Safety Auditor (contract)
Solenis —Remote
- $70 an hour
- 8 hour shift
- Ability to walk for extended periods
- Mid-level
- Bachelor's degree
- 401(k)
Auditor, Food Safety, BRCGS / SQF
SCS Global Services —Remote
- Contract
- 5 years
- Travel
- Ability to sit for extended periods
Quick Apply
Auditor, Food Safety, GlobalGAP/PrimusGFS/HGAP
SCS Global Services —Remote
- 8 hour shift
- Mid-level
- Travel
- Ability to sit for extended periods
Quick Apply
SWE-Bench AI Task Auditor - Freelance AI Trainer Project
Meridial —Austin, TX
- $70 - $100 an hour
- Remote
- Mid-level
- Analysis skills
- Under 1 year
- Health insurance
9h
Claims Quality Audit Lead
HealthEdge —Remote
- $55,000 - $70,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Analysis skills
- Health insurance
1d

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quality assurance auditor jobs near remote

Medical Billing Quality Assurance Auditor

Brault -
Remote

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Job Details

Full-time
$24 - $27 an hour
14 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Employee discount
Life insurance
Referral program

Qualifications

Microsoft Outlook
Medicare
Managed care
Electronic health records (EHR) management
Accounts receivable management
Customer service
Health insurance policy knowledge
Regulatory compliance in claims processing
HIPAA
Patient management software
Medical claims processing software
High school diploma or GED
Pattern recognition
Medicare regulations
Financial records review
Attention to detail
Health information regulatory compliance
Health insurance company experience
Data interpretation
Organizational skills
Analytical thinking
Documentation review
Documentation reviews
Time management

Full Job Description

Description:

Position Summary

The Quality Assurance Auditor is responsible for conducting detailed audits of all billing activities and accounts worked within the billing software system. This includes reviewing claim follow-up, collections efforts, resolution of denials, and special billing projects or programs. The auditor ensures compliance with internal protocols, payer regulations, and industry standards.

This role plays a critical part in identifying trends, ensuring accuracy, and improving the overall efficiency and effectiveness of the billing and collections process.

Essential Duties and Responsibilities

Audit daily work completed by billing staff, including claim submissions, follow-up activities, and collection efforts.
Review account documentation, actions taken, and billing outcomes within the billing system to ensure accuracy, completeness, and compliance.
Identify errors, discrepancies, and trends that may impact reimbursement, operational efficiency, or regulatory compliance.
Provide detailed audit findings, feedback, and recommendations to billing staff and leadership to improve performance and accuracy.
Monitor, address, and audit special projects (e.g., credit card chargebacks and high priority payer follow up) and programs (e.g., AB75) to ensure adherence to established billing protocols.
Collaborate with team leads, supervisors, and managers to develop, implement, and refine policies, procedures, and workflows based on audit results.
Assist with the training and education of staff on documentation standards, payer requirements, billing procedures, and industry best practices.
Participate in quality assurance initiatives and prepare reports for leadership summarizing audit results, performance trends, and opportunities for improvement.
Maintain current knowledge of industry regulations, payer policies, and billing software updates applicable to medical billing and accounts receivable.
Support internal and external audit requests by gathering documentation, performing reviews, and responding to audit inquiries as needed.
Perform manual tasks within Cross Workflow, including but not limited to AR Support Requests and AR Follow-Up Requests, while addressing high-priority emails from Patient Services related to invoices involving legal representation and time-sensitive deadlines.
Conduct audits for compliance, as assigned or requested to ensure adherence to company policies, payer guidelines, and regulatory requirements.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Requirements:

Knowledge, Skills, & Abilities

Ability to work in a fast-paced environment while maintaining accuracy and focus
Strong organizational skills to ensure deadlines are met
Strong knowledge of medical billing and accounts receivable processes, including claim lifecycle, denials, and payer rules.
Proficient in using billing software and electronic health record (EHR) systems.
High attention to detail and accuracy in reviewing documentation and financial records.
Analytical skills with the ability to detect patterns, discrepancies, and areas for improvement.
Understanding and adhering to HIPAA and other government and healthcare industry regulations.
Strong written and verbal communication skills to provide constructive feedback and report findings.
Ability to work independently, manage multiple tasks, and prioritize responsibilities effectively.
Extensive knowledge of insurance guidelines including Medicare and other government payers, private, self-insurance, and managed-care plans.
Familiarity with auditing techniques and principles within a healthcare revenue cycle setting.
Knowledge of MS Office including Outlook, Word and Excel
Excellent verbal and written communication skills
Excellent attention to detail and time management skills
Excellent customer service skills.

Education & Experience Requirements

High School Diploma
Minimum 3-4 years revenue cycle experience

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Employee discount
Health insurance
Life insurance
Paid time off
Referral program
Vision insurance

Work Location: Remote

Apply Now

Refine Your Search

quality assurance auditor jobs in remote

Medical Billing Quality Assurance Auditor

Claims Audit Specialist_Quality Assurance

Quality Control Auditor (Remote)

Manager-Quality Assurance Auditor- GCP

Senior Auditor, Food Safety

Food Safety Auditor

Coding Quality Audit Inpatient Coordinator

Associate Director, Clinical Quality Assurance Auditor

Machine Learning (ML) AI Task Auditor - Freelance AI Trainer Project

Claims Quality Auditor

Financial Records Quality Analyst

Quality Assurance Audit Manager (Finance)

Digital Manual Accessibility Auditor

Sr. QA Auditor

Senior Manager Quality Audit Operations (Clinical Chart Validation)

Food Safety Auditor (contract)

Auditor, Food Safety, BRCGS / SQF

Auditor, Food Safety, GlobalGAP/PrimusGFS/HGAP

SWE-Bench AI Task Auditor - Freelance AI Trainer Project

Claims Quality Audit Lead

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