Claims Quality Auditor

Take on an important role within a world-class health organization as a Claims Quality Auditor. Provide specialized expertise to enable the efficient operation of a complex health system.

Requirements

• High school diploma, GED or equivalent
• Four or more years of medical claims payment experience in an HMO environment
• Experience with CPT-4, ICD-9CM, RBRVS, ASA, and HCPCS
• Understanding of Medicare Guidelines and COB
• Knowledge of medical terminology
• Experience in benefit determination and claims adjudication
• Ability to accurately key 6,000-8,000 keystrokes or type 40-50 WPM
• Understanding of professional and facility reimbursement methodologies
• Strong organizational skills
• Computer proficiency with Microsoft Office
• Knowledge of claims adjudication systems

Benefits

• Generous Paid Time Off
• 401k Matching
• Retirement Plan
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Disability Insurance