Healthcare Claims Auditor

Conducting claims audits for healthcare clients, the full-time remote Data Mining Auditor will review pre and post pay claims, assist in product testing, and ensure compliance with payment guidelines and regulations. Key responsibilities Conduct comprehensive reviews of claims using various resources, including claims data and payment guidelines Serve as a claims billing and payment expert for data teams and other departments Develop and refine reimbursement policies and procedures in collaboration with the team Required qualifications 3-5 years of experience in healthcare claims auditing, processing, or coding Ability to review payment information against Medicare and payer billing guidelines Experience or certification in coding/billing is preferred Proficiency in Excel, Word, Gmail, Google Sheets, and Slack Strong investigative and deductive reasoning skills