Remote Medical Claims Auditor

Job Summary

A company is looking for a Remote Medical Claims Processor Auditor.

Key Responsibilities

• Conduct routine monitoring and audits of billing systems and client procedures
• Ensure compliance with client contract criteria and generate required claims reporting
• Assist in auditing, submitting appeals, and preparing for annual Health Plan audits

Required Qualifications

• 3-5 years of experience in the healthcare or managed care industry
• 3 years of auditing experience in the healthcare industry
• Knowledge of CPT, ICD coding, Medicare requirements, and APC Pricing
• Advanced proficiency in Microsoft Office products
• Ability to work independently and prioritize tasks effectively