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Remote Medical Auditor for DRG & Coding Compliance

Remote / Online - Candidates ideally in
Raleigh, Wake County, North Carolina, 27601, USA
Listing for: Socket.dev
Remote/Work from Home position
Listed on 2026-08-04
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Compliance, Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 65000 - 90000 USD Yearly USD 65000.00 90000.00 YEAR
Job Description & How to Apply Below

Blue Cross Blue Shield of South Carolina is seeking a qualified reviewer to validate DRG, APC, and Never Events, coordinating rate adjustments with claims teams across lines of business.

In this remote role, you will produce monthly and quarterly reports, ensure HIPAA compliance, and serve as a subject matter expert on medical records and coding methodologies for the Healthcare Services and the Legal Department.

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