Job Summary
A company is looking for a Claims Auditor (Remote).
Key Responsibilities
- Conduct audits and document findings accurately
- Review discrepancies and resolve post-audit activities in a timely manner
- Develop relationships with vendors and communicate findings effectively
Required Qualifications
- 5+ years of experience in health claims adjudication
- Strong understanding of health and welfare plan design and claims administration
- Familiarity with various plan types including consumer-driven and managed care
- Detailed knowledge of ICD-10 and CPT codes
- Previous internal audit experience is a plus
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