Claims Auditor - CPC Certified

Job Summary

Claims Auditor - CPC Certified, is a full-time remote position responsible for conducting audits on claims for payment accuracy, compliance, and operational efficiency.

Key Responsibilities

• Perform audits on claims to verify accuracy, compliance, and proper billing
• Analyze claim errors and provide reports to management for process improvement
• Conduct focused or ad-hoc audits as determined by business needs

Required Qualifications, Training, and Education

• High school diploma or equivalent required
• Three years of experience in health insurance claim processing required
• Three years of experience with CPT/HCPCS and ICD coding required
• Associates degree in business, medical, or related field preferred
• CPC or CPC-P certification preferred at time of hire