Senior Specialist, Coding Auditor

Job not on LinkedIn

🕒 February 20

🌵 Arizona, Florida, +15 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🌾 Nebraska – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

💵 $58.9k - $77.3k / year

⏰ Full Time

🟠 Senior

🔎 Auditor

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Oscar

WebsiteLinkedInAll Job Openings

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

• Develop a depth of expertise on CPT, HCPCS, and ICD-10 Coding guidelines and other insurance billing submission requirements. • Perform complex audits of assigned medical records and claims on both a prepayment and post payment basis to determine accuracy of claims submitted to Oscar. • Document findings including reference to sources used to support decision making and in a way that can be easily understood by non clinicians or coders. • Create audit report findings, tools, and reference guide that can be used by other team members to communicate findings or more effectively perform similar reviews. • Help draft written communications to providers to convey audit findings. • Participate in educational calls with providers. • Help train new team members. • Develop and document processes to improve the effectiveness of the team. • Compliance with all applicable laws and regulations • Other duties as assigned

🎯 Requirements

• 2+ years of coding or auditing experience across multiple specialties is required • Bachelor's degree or 4+ years of work experience • Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC) designation or similar certification • Experience working in production-based environment • Experience of both outpatient and inpatient auditing

🏖️ Benefits

• Health insurance • Dental and vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life and disability insurance • Paid wellness time and reimbursements • Unlimited vacation program • Annual performance bonuses