Healthcare Claims Auditor for Savings & Compliance

Vālenz Health®; Phoenix (AZ); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

HSA, FSA, DCFSA options

401K with match

Flexible working environment

Paid time off

Employee assistance program

Parental leave

Pet insurance

Employee discounts

Community giveback opportunities

Job summary

Valenz Health is seeking a Clinical Bill Review Analyst to scrutinize medical bills for proper coding, uncover billing discrepancies, and identify savings opportunities. You will prepare detailed reports and communicate findings to clients, while guiding junior analysts and contributing to process improvements.

The role emphasizes strong communication, problem-solving, and regulatory compliance, including HIPAA, with opportunities to collaborate across internal teams to drive client savings and

Qualifications

• 3+ years of auditing, claims review, or billing experience in healthcare.
• CPC or CIC certification is required.
• Working knowledge of ICD-10, CPT, HCPCS and revenue codes.

Responsibilities

• Review medical bills to identify proper billing and savings opportunities.
• Analyze and resolve claim discrepancies requiring deeper review.
• Collaborate with Negotiation team to secure additional savings.
• Provide detailed Bill Review Reports to clients and discuss inquiries.
• Evaluate bill reconsideration requests requiring further research.

Skills

Auditing experience

Coding knowledge

CMS guidelines

Communication

HIPAA familiarity

Education

CPC or CIC certification

Tools

RevCycle Pro

Encoder Pro

SuperCoder

Job description

Valenz Health is seeking a Clinical Bill Review Analyst to scrutinize medical bills for proper coding, uncover billing discrepancies, and identify savings opportunities. You will prepare detailed reports and communicate findings to clients, while guiding junior analysts and contributing to process improvements.

The role emphasizes strong communication, problem-solving, and regulatory compliance, including HIPAA, with opportunities to collaborate across internal teams to drive client savings and