Certified Claims Auditor - WI / MN

A company is looking for a Claims Auditor (Remote - WI or MN).

Key Responsibilities

Perform payment, procedural accuracy, turnaround time, compliance, and operational audits

Apply effective audit procedures in collecting, analyzing, and reporting findings

Maintain working knowledge of claim processing and relevant coding systems

Required Qualifications, Training, and Education

High school diploma or equivalent required

Three years of experience in health insurance claim processing

Three years of experience with CPT / HCPCS and ICD coding

Certified Professional Coder (CPC) or Certified Professional Coder - Payer (CPC-P) certification required within three years of hire

Preferred : Associate degree in business, medical, or related field