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High Cost Drug Auditor

AuditorAuditorFull TimeRemoteTeam 10,001+H1B No SponsorCompany Site LinkedIn

Location

United States

Posted

54 days ago

Salary

$60K - $90K / year

Associate Degree3 yrs expEnglish

Job Description

• In this fully remote position as an HCD Auditor you will apply your expert knowledge of billing HCD claims to perform extensive audit reviews. • You will utilize HCPCS codes, medical record review, industry and EXL proprietary tools in the audit process. • Write professional communications documenting audit findings and supporting rationales. • You will also apply your extensive industry knowledge to identify audit trends and opportunities.

Job Requirements

Expert in HCPCS codes with advanced knowledge of medical terminology.
Prefer experience with encoder tools and industry systems (FACETS, NASCO, Encoder Pro, TrueCode, 3M, Webstrat, Pricers).
Works independently in a remote environment and delivers exceptional results during EXL core business hours.
Possesses excellent time management and work prioritization skills.
Takes ownership of problem solving.
Demonstrates excellent written and verbal communication skills, strong analytical skills, and attention to detail.
Intermediate skills in Word and basic computer literacy.
Intermediate skills in Excel including comfort working with charts, graphs and percentages.
Basic math skills with ability to do conversion calculations.
Passionate about Auditing with a desire to work in an environment thriving on teamwork, excellence, collaboration, inclusiveness, and support.
Minimum High School Diploma
3+ years of claims processing or HCD medical billing experience with expert knowledge HCPCS codes.
Must have prior experience reading and interpreting contract language and fee schedules and medical record review.
Prefer Certified Pharmacy Technician or one or more of the following credentials: RHIA or CPC; preference given to those with multiple credentials.