Remote Carve Out Contract Compliance Auditor

Location: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

Compensation: To Be Discussed

Staff Reviewed: Thu, Nov 19, 2020

This job expires in 15 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A healthcare technology solutions company is seeking a Remote Carve Out Contract Compliance Auditor.

Candidates will be responsible for the following:

  • Evaluate client reimbursement policy and contractual language
  • Research government and manufacturer websites for updated implantable device criteria
  • Communicate audit determinations in writing to the client

Required Skills:

  • Demonstrate knowledge of implantable medical devices as they relate to surgical procedures
  • Knowledge of healthcare contracts
  • Demonstrate knowledge of healthcare billing, coding and reimbursement guidelines
  • Ability to use software, hardware, and peripherals related to job responsibilities