Healthcare Auditor

Job Summary

Supporting audit operations remotely, the full-time Healthcare Auditor will coordinate projects, review medical billing and reimbursement data, and analyze high-cost pharmaceutical claims to ensure accuracy and compliance.

Key responsibilities

• Coordinate audit projects and track deliverables while serving as a key point of contact between teams
• Review medical billing and reimbursement data to ensure compliance and appropriate payment outcomes
• Analyze high-cost pharmaceutical claims to identify opportunities for accuracy and cost savings

Required qualifications

• 3-6 years of experience in healthcare auditing or related fields
• Strong understanding of medical billing, coding, and reimbursement processes
• Experience with audit operations and project coordination
• Knowledge of compliance standards and regulations in healthcare
• Ability to analyze complex data and identify trends for quality improvement