Oscar

Award-winning recruitment consultancy; delivering talent across Tech, Digital, Life-Sciences, Energy & Construction

Senior Coding Auditor

AuditorAuditorFull TimeRemoteTeam 51-200H1B SponsorCompany SiteLinkedIn

Location

Arizona + 7 moreAll locations: Arizona, Illinois, Kentucky, New York, Minnesota, Pennsylvania, Texas, Utah

Posted

22 days ago

Salary

$58.9K - $85.9K / year

Bachelor Degree1 yr expExperience acceptedEnglish

Job Description

• Support issue resolution in the Oscar claim environment. • Responsible for end-to-end claims repayment quality and process improvement. • Support root cause analysis. • Report into the VP, Payment Integrity. • Develop and maintain expertise on coding guidelines and billing submission requirements. • Perform policy updates or audits of documentation to determine accuracy of claims. • Document findings clearly for non-clinicians or coders. • Create reports and guides for team use. • Assist in drafting communications to providers and participate in educational calls. • Train new team members and document processes to improve team efficiency.

Job Requirements

  • 1+ years of coding or auditing experience across multiple specialties.
  • Certified Professional Coder (CPC) designation or similar certification
  • Bachelor's degree or 4+ years of work experience
  • Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting.

Benefits

  • Health insurance
  • 401(k) plan participation
  • Unlimited vacation program
  • Annual performance bonuses
  • Paid holidays
  • Paid sick time
  • Paid parental leave
  • Life and disability insurance
  • Paid wellness time and reimbursements

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