Remote Medical Claims Auditor

Job Summary

A company is looking for a Remote Medical Claims Auditor.

Key Responsibilities

• Ensure compliance with client contract criteria and requirements
• Conduct audits of claims processing and quality audits of staff and system logic
• Perform administrative tasks, including running access queries as needed

Required Qualifications

• Minimum 3 years of experience in healthcare or managed care, including claims/reimbursement experience
• 1-3 years of auditing experience in the healthcare industry
• Advanced proficiency in Microsoft Office products, especially Excel and Access
• Thorough understanding of federal, state, and local healthcare compliance requirements
• Ability to work independently and as part of a team