Certified Claims Auditor - WI/MN

Job Summary

A company is looking for a Claims Auditor (Remote - WI or MN).

Key Responsibilities

• Perform payment, procedural accuracy, turnaround time, compliance, and operational audits
• Apply effective audit procedures in collecting, analyzing, and reporting findings
• Maintain working knowledge of claim processing and relevant coding systems

Required Qualifications, Training, and Education

• High school diploma or equivalent required
• Three years of experience in health insurance claim processing
• Three years of experience with CPT/HCPCS and ICD coding
• Certified Professional Coder (CPC) or Certified Professional Coder - Payer (CPC-P) certification required within three years of hire
• Preferred: Associate degree in business, medical, or related field