virtual vocationsNew York, NY
Claims Audit Extern
Claims Audit Extern
Claims Audit Extern
virtual vocationsNew York, NY
today
Claims Adjusters, Examiners, and InvestigatorsInsurance Claims and Policy Processing ClerksBookkeeping, Accounting, and Auditing Clerks
All Other Outpatient Care CentersAll Other Miscellaneous Ambulatory Health Care ServicesAll Other Insurance Related Activities
Apply for this role →Supporting claims audits and quality assurance reviews, the full-time Claims Audit Extern will gain hands-on experience in healthcare claims auditing while working remotely with provider clinics and cross-functional teams to ensure coding accuracy and compliance.
Key responsibilities:
Participate in claims audits, including selecting patient claim samples and validating coding and billing accuracy
Document audit findings and prepare comprehensive audit reports and required documentation
Educate provider clinics on audit findings and coding requirements, while assisting with special projects as neededRequired qualificationsCPC-A, CPC, CCA, CCS, or CCS-P certification required
Strong proficiency in Microsoft Office, especially Excel, with experience in managing large datasets
Working knowledge of CPT, HCPCS, ICD-10-CM coding, and healthcare claims concepts
Ability to work independently in a fast-paced environment while managing multiple priorities
Interest in healthcare audit, coding, payment integrity, and process improvement
Also on the board Same function, level within a rung
Level
Senior
Location
New York, NY
Occupation
Claims Adjusters, Examiners, and Investigators
Industry
All Other Outpatient Care Centers
Posted
today