Telecommute Medical Claims Auditor

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Fri, Jun 14, 2019

Job Category: Financial, Healthcare, Quality Assurance

Telecommute Level: Occasionally

Travel Requirements: Field Travel Required, Some Travel

Employer Type: Employer

Career Level: Experienced

Job Summary

An accounting and management consulting firm has a current position open for a Telecommute Medical Claims Auditor.

Candidates will be responsible for the following:

  • Analyzing data to assess the accuracy of claims payments
  • Reviewing plan documents, service agreements, and provider contracts
  • Communicating audit results in a structured report format within required timelines

Required Skills:

  • Ability to perform site visits at Third-Party Administrators
  • 5+ years of experience in healthcare environment
  • Proficiency with MS Office products
  • Familiarity with medical terminology and ICD-9/ICD-10, CPT, HCPCS
  • Thorough understanding of claims adjudication processes