Hybrid/Remote Clinical Audit & Payer Response Specialist

Novocure Inc.; Portsmouth (NH); Hybrid; USD 84,000 - 112,000; Full time

Benefits offered by this job

Annual bonus

RSU grant

Full benefits

Job summary

Novocure is seeking a detail-oriented Clinical Audit Response Specialist in Portsmouth, NH. You will review medical records, prepare appeal documentation, and coordinate with reimbursement, clinical, and revenue teams to ensure compliant submissions.

The role supports accreditation, survey readiness, and process improvement, with opportunities to influence denial prevention and revenue protection. Hybrid/remote work may vary by needs.

Qualifications

• Ability to review and interpret medical records, payer requests, denial rationale, coverage criteria, and supporting documentation.

Responsibilities

• Review commercial and governmental payer audits in a timely, accurate, and compliant manner.
• Analyze medical records to support audit responses, appeal arguments, and clinical summaries.
• Coordinate with Reimbursement, Clinical, Revenue Operations, and other teams to obtain necessary documentation.
• Prepare and submit appeal packets with clinical summaries and required forms.
• Support Medicare, Medicaid, commercial payer audits, and other appeal activities.
• Track audit activity, deadlines, responses, and outcomes in designated systems.
• Identify denial trends, documentation gaps, and risks; communicate findings to management.
• Help develop audit response templates, letters, workflows, and procedures.
• Support accreditation activities and evidence preparation as needed.
• Maintain HIPAA-compliant handling of patient and company information.

Skills

Analytical thinking

Documentation

Communication

Multi-tasking

Independence

Confidentiality

Education

Bachelor’s degree

3-5 years clinical/reimbursement experience

Tools

SAP

CRM

Payer portals

Audit trackers

Job description

Novocure is seeking a detail-oriented Clinical Audit Response Specialist in Portsmouth, NH. You will review medical records, prepare appeal documentation, and coordinate with reimbursement, clinical, and revenue teams to ensure compliant submissions.

The role supports accreditation, survey readiness, and process improvement, with opportunities to influence denial prevention and revenue protection. Hybrid/remote work may vary by needs.