Claims Auditor II

Job Summary

Performing audits on benefit coding and reimbursement, the full-time Claims Auditor II will independently review assigned audit samples, identify processing errors, and manage audit points while working remotely.

Key responsibilities

• Independently review assigned audit samples across various programs to ensure accurate claim adjudication
• Identify processing errors and document findings clearly and accurately
• Manage audit point resolution activities, including follow-up communication and documentation updates

Required qualifications

• High School Diploma/GED required
• 3-5 years of claims processing experience required
• Knowledge of relevant systems, such as NASCO