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Remote Coding Auditor & Claims Investigator

Remote / Online - Candidates ideally in
Springfield, Sangamon County, Illinois, 62701, USA
Listing for: Human Resources
Remote/Work from Home position
Listed on 2026-08-16
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 56000 - 124000 USD Yearly USD 56000.00 124000.00 YEAR
Job Description & How to Apply Below

HCSC is seeking a claims auditing professional to review clinical, billing, coding, and cost-setting reviews pre- and post-payment. You will research findings, document them thoroughly, and consult with special investigations and affordability teams as needed.

The role requires in-depth knowledge of claims processes, URAC/NCQA standards, and strong communication with physicians and providers. A Bachelor's degree and coding certification (or plan to obtain) are required, with remote-friendly

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