Claims Auditor

MedPOINT Management; Los Angeles (CA); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Company parties

Dental insurance

Employee discounts

Health insurance

Opportunity for advancement

Paid time off

Parental leave

Savings bank

Training & development

Vision insurance

Wellness resources

Job summary

MedPOINT Management is seeking a detail-oriented Claims Auditor to join our team in Sherman Oaks, CA. In this critical role, you'll help ensure the accuracy and integrity of claims processing within a dynamic healthcare management environment.

If you have a sharp eye for detail and a passion for healthcare operations, we want to hear from you! This remote position offers opportunities for advancement and a collaborative team culture, with a focus on protecting revenue integrity and improving

Qualifications

• 2+ years of experience in claims auditing, claims processing, or healthcare billing.
• Familiarity with ICD-10, CPT, and HCPCS coding standards.

Responsibilities

• Audit medical claims for accuracy, completeness, and payer guideline compliance.
• Review claims data to identify billing errors, overpayments, and underpayments.
• Conduct pre- and post-payment audits to ensure proper reimbursement and reduce risk.
• Document audit findings and prepare detailed management reports.
• Collaborate with claims processing and provider relations to resolve discrepancies.
• Monitor claims trends and suggest process improvements to boost accuracy.
• Ensure compliance with federal, state, and managed care regulations including ICD-10, CPT, HCPCS.

Skills

attention to detail

analytical skills

excellent communication

Education

CPC/CCA certification (preferred)

Tools

Microsoft Office Suite

Claims management system

Job description

Benefits:

• 401(k)
• 401(k) matching
• Company parties
• Dental insurance
• Employee discounts
• Health insurance
• Opportunity for advancement
• Paid time off
• Parental leave
• Savings bank
• Training & development
• Vision insurance
• Wellness resources

About the Role:

MedPOINT Management is looking for a detail-oriented Claims Auditor to join our team in Sherman Oaks, CA. In this critical role, you'll help ensure the accuracy and integrity of claims processing within a dynamic healthcare management environment. If you have a sharp eye for detail and a passion for healthcare operations, we want to hear from you!

Responsibilities:

• Audit medical claims for accuracy, completeness, and compliance with payer guidelines and contractual agreements
• Review and analyze claims data to identify billing errors, overpayments, and underpayments
• Conduct pre- and post-payment audits to ensure proper reimbursement and reduce financial risk
• Document audit findings and prepare detailed reports for management review
• Collaborate with claims processing and provider relations teams to resolve discrepancies
• Monitor claims trends and recommend process improvements to enhance accuracy and efficiency
• Ensure compliance with federal, state, and managed care regulations including ICD-10, CPT, and HCPCS coding standards

Requirements:

• 2+ years of experience in claims auditing, claims processing, or healthcare billing
• Strong knowledge of ICD-10, CPT, and HCPCS coding
• Familiarity with managed care, IPA, or HMO claims environments preferred
• Proficiency in claims management systems and Microsoft Office Suite
• Exceptional attention to detail and strong analytical skills
• Excellent written and verbal communication skills for reporting and cross-team collaboration
• CPC, CCA, or related coding/billing certification is a plus

About Us:

MedPOINT Management is a leading Independent Practice Association (IPA) management company serving the greater Los Angeles area, dedicated to delivering high-quality, coordinated healthcare to patients across Southern California. Providers and patients trust MedPOINT for our commitment to operational excellence and compassionate care coordination. Our team enjoys a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.

This is a remote position.