Senior Coding Auditor

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🕒 February 19

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Logo of Oscar

Oscar

51 - 200 employees

🎯 Recruiter

🏱 Enterprise

💰 $140M Private Equity Round on 2020-12

Recruitment ‱ Enterprise

Oscar is a world-class specialist STEM recruitment agency that provides industry-leading talent solutions. The company operates across six brands, connecting top talent with companies in various sectors including technology, construction, life sciences, and renewable energy. With offices across the globe, Oscar is recognized as a top-five company to work for and is committed to delivering excellence in staffing services.

📋 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.

🎯 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.

đŸ–ïž 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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